Respiratory Exam

Question 1

Introduction

Answer 1

1 - Introduce Yourself
2 - Confirm for patients' details
3 - Explain the procedure
4 - Gain Consent
5 - Ask if they have any pain before starting

Question 2

Pre-procedure steps?

Answer 2

1 - Wash hands

2 - Ask patient to undress

Question 3

First step?

Answer 3

LOOK

Any sign of cyanosis, SOB, cough, wheeze, cachexia

Question 4

Second Step? (6)

Answer 4

Inspect hands
Finger Clubbing (Schamroth’s windows test)
Assess and compare temperature of the arms
Assess for fine tremor
Assess for asterixis
Palpate radial pulse

Question 5

Third Step? (6)

Answer 5

(looking at the neck/head)

1 - Assess RR
2 - Assess Jugular Venous Pressure
3 - Inspect face
4 - Check for conjunctival pallor
5 - Inspect the mouth
6 - Assess for lymphadenopathy

Question 6

Fourth Step?

Answer 6

LOOK AT THE CHEST!

1 - Inspect the chest (including axilla)
2 - Assess tracheal position
3 - Palpate apex beat
4 - Assess chest expansion
5 - Percuss lung fields
6 - Auscultate lung fields (5 areas, both sides)
7 - Asssess vocal ressonance

Question 7

Fifth step?

Answer 7

Now the POSTERIOR Chest!

1 - Inspection
2 - Expansion
3 - Percussion
4 - Auscultation
5 - Vocal ressonance

Question 8

Last Steps?

Answer 8

Asses oedema!

1 - Sacral oedema
2 - Pedal oedema
3 - Signs of deep vein thrombosis

Question 9

Conclusion

Answer 9

1 - Wash hands again
2 - Thank the patient
3 - Summarise findings