Resp Exam

Question 1

what should you look for when inspected a patient in a respiratory exam?

Answer 1

general and bedside
hands -> temp, nails, clubbing
tremor -> fine + flapping
radial pulse
JVP
Eyes + mouth
Any chest scars?

Question 2

What should you palpate in a respiratory exam?

Answer 2

trachea - deviated?
apex beat - 5th intercostal space mid clavic line
chest expansion (exhale fully before)
tactile vocal fremitus ‘99’ (using ulnar border of hand 3 front 3 back)

Question 3

What should you percuss during a respiratory exam?

Answer 3

apices of lung + 3 areas of L + R lung incl R mid lobe front and back

Question 4

Where should you auscultate during a respiratory exam?

Answer 4

start at apices move side to side with open mouth breathing front and back
vocal resonance ‘99’ (3 front 3. back)
whispering pectoriloquy if consilidated

Question 5

What extra things should you do in a respiratory exam?

Answer 5

palpate cervical lymph nodes
ankle oedema

Question 6

How would you finish a respiratory exam?

Answer 6

check sputum pot
assess peak flow + spirometry
bp
oxygen sats