Chest (Lung) / Thorax

Question 1

Chest Lungs

Answer 1

Posterior
1. Inspect ( Shape, Configuration, symmetry)
2. Palpate for tenderness
3. Palpate for tactile fremitus “99” touch while pt. says “99”
Percussion
1. Perform Percussion
2. Describe diaphragmatic excursion
Auscultate
1. Auscultate breath sounds
2. Voice sounds
-egophony “ee” normal”ee” abnormal “aa”
- whisper pectoriloquy “123” normal “don’t hear” abnormal “123”
3. Perform symmetric expansion
Anterior
1. Inspect (shape, configuration, symmetry)
2. Inspect (shape, AP diameter, symmetry chest expansion)
3. Palpate for Tenderness
4. Palpate for tactile fremitus “99”
5. Describe “adventitious sounds”
Crackles fluid inspiration lower base lower lobe
Rhonchi mucus secretion both typical expiration front upper airway
Wheezing anywhere typically upper