Respiratory Exam Flashcards

1
Q

What should you look for in the general inspection?

A
  • Patient wellbeing
  • General breathing
  • Noises
  • Around the bed
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2
Q

What noises are important to listen for?

A
  • Speech
  • Stridor
  • Wheeze
  • Cough
  • Prolonged expiratory phase
  • Clicks
  • Gurgling
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3
Q

What tremors might be present?

A
  • Fine tremor (beta 2 agonists)

- Flaming tremor (CO2 retention)

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4
Q

How do you investigate hand perfusion?

A
  • Peripheral cyanosis
  • Capillary refill
  • Sweaty/warm/clammy
  • Small muscle wasting
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5
Q

What are some respiratory causes of clubbing?

A
  • Idiopathic pulmonary fibrosis
  • Lung cancer
  • CF
  • Bronchiectasis
  • Sarcoidosis/tb
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6
Q

What should you check for in the axillae?

A

Lymphadenopathy

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7
Q

What should you look for in the face?

A
  • Cushingoid
  • Plethoric
  • Telangiectasia/microstomia
  • Butterfly rash
  • Lupus pernio
  • Lupus vulgaris
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8
Q

Whats should you look for in the eyes?

A
  • Conjunctival pallor

- Horner’s syndrome

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9
Q

What should you look for in the neck?

A
  • Lymphadenopathy
  • JVP
  • Tracheal tug
  • Tracheal deviation
  • Notch-cricoid distance
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10
Q

What do yo look for in the chest wall?

A
Shape = deformities, hyperexpanded
Surface = scars, skin changes
Movements = symmetry, direction
Muscles = in drawing of intercostals, powerful expiration
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11
Q

What examination is done for palpation?

A
  • Chest wall expansion
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