Respiratory Exam Flashcards
When taking a history consider…
Age Smoker? Chronic disease Wheeze Stridor Cyanosis
What does finger clubbing indicate?
Bronchiectasis COPD Cystic fibrosis Lung cancer Abscess
What does a positive test for flapping tremor indicate?
Carbon dioxide retention
What does fine tremor indicate?
Use of salbutamol
What does central cyanosis indicate?
Hypoxaemia
What does oral candidiasis indicate?
Fungal infection : steroid inhaler usage (asthma)
Median sternotomy scar indicates
Cardiac valve replacement and artery bypass grafts
What does axillary thoracotomy scar indicate? (Between 4th and 5th intercostal)
Chest drains
Posterolateral thoracotomy scar indicates
Lobectomy, pneumonectomy and oesophageal surgery
What does an infraclavicuar scar indicate?
Pacemaker insertion
Name radiotherapy associated skin changes
Xerosis
Hyperkeratosis
Depigmentation
What does dullness upon percus indicate?
Increased tissue density Cardiac dullness Consolidation Tumour Lobar collapse
What does stony dullness indicate?
Pleural effusion
What does hyper resonance indicate?
Pneumothorax
What does increased volume of tactile fremitus indicate?
Increased tissue density