History taking + OSCE

Question 1

Signs of S. respiratory distress 9

Answer 1

• Tachycardia
• Gasping
• Head bobbing
• Inability to speak
• Cyanotic, pale
• Quiet or agitated
• Hypoxic, even with oxygen
• Chest may be silent
• Consciousness may be impaired

Question 2

Signs of moderate respiratory distress 4

Answer 2

Tachypnea
* Recessions are moderate
or severe
* Struggles to feed
* Cannot speak in full
sentences

Question 3

Tachypnea

Answer 3

> 60 breaths/min in infants aged less than 2 months
– >50 breaths/min in infants aged 2 months to 1 year
– >40 breaths/min in children older than 1 year of ag

Question 4

Respiratory exam 12

Answer 4

– General health and activity
– Nutritional status
- level of consciousness
– Color
– Position of comfort
– Voice changes
cough (inspect any sputum)
– Face
–wheeze is a continuous musical sound usually heard during expiration
–Stridor is a harsh, inspiratory noise
–Neck
– Tracheal tug
– Swelling, cystic hygroma, goiter
-Hands
*Clubbing
– Examination of the Chest