Respiratory Examination Flashcards

1
Q

General inspection findings in resp exam

A
Accessory muscle breathing
Pursed lip breathing
Cachexia
Oxygen
Fluids
Medications
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2
Q

What is pursed lip breathing indicative of

A

Lower airway obstruction

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3
Q

What is cachexia indicative of

A

COPD/Malignancy

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4
Q

Hands findings in resp exam

A
Peripheral cyanosis
Temperature
Dilated veins
Tar staining
1st web space wasting
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5
Q

What are dilated veins indicative of

A

Hypercapnia

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6
Q

What is 1st web space wasting indicative

A

T1 lesion

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7
Q

Nails findings in resp exam

A

Clubbing

Koilonychia

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8
Q

Resp causes of clubbing

A
Cancer
Interstitial lung disease
TB
Abscess
Bronchiectasis
Empyema
Mesothelioma
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9
Q

Wrist findings in resp exam

A

Flapping tremor
Fine tremor
Radial pulse

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10
Q

What is flapping tremor indicative of

A

CO2 retention

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11
Q

What is fine tremor indicative of

A

Beta agonist (salbutamol)

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12
Q

What is a bounding radial pulse indicative of

A

Hypercapnia

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13
Q

Eye findings in resp exam

A

Conjunctival pallor

Horners

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14
Q

What is indicative of horners syndrome and what could be the cause

A

Miosis, ptosis

T1 lesion

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15
Q

Mouth findings in resp exam

A

Central cyanosis

Candida

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16
Q

What is candida indicative of

A

Steroid inhaler use

immunocompromised

17
Q

Neck findings in resp exam

A

JVP
Trachea deviation
Lymph nodes
Cricosternal distance

18
Q

What is trachea deviation indicative of

A

Pneumothorax

Effusion

19
Q

What is a reduced cricosternal distance indicative of

20
Q

What are tender lymph nodes indicative of

21
Q

What are non-tender lymph node masses indicative of

A

Malignancy

22
Q

Chest inspection findings in respiratory

A

Scars
Deformity of chest/spine
Barrel chest

23
Q

What are chest scars indicative of

A

Surgery

Previous chest drains

24
Q

What are chest/spine deformities indicative of

A

Restrictive lung conditions

Scoliosis
Pectus Excavatum
Pectus Carinatum

25
What is barrel chest indicative of
COPD
26
Chest palpation findings in resp exam
Asymmetry of expansion Apex beat displacement RV heave
27
What is asymmetry of chest expansion indicative of
pleural effusion | pneumothorax
28
What is apex beat displacement indicative of
Mediastinal shift (collapse, tension, effusion)
29
What is RV heave indicative of
Right ventricular hypertrophy | Cor pulmonale
30
Chest percussion findings and causes in resp exam
Hyper-resonant - pneumothorax Dull - pneumonia, lung cancer Stony-dull - pleural effusion
31
Chest auscultation findings in resp exam
Wheeze Crepitations Vocal resonance
32
What is a wheeze indicative of
Small airway obstruction (asthma, COPD)
33
What are crepitations indicative of
Fluid in airspaces (pus, tissue fluid etc)
34
What is increased vocal resonance indicative of
Consolidation
35
What is decreased vocal resonance indicative of
Collapse, effusion, pneumothorax
36
Back findings in resp exam
Sacral oedema
37
Ankle findings in resp exam
Peripheral oedema
38
To complete examination for resp exam
``` Check sputum samples Peak flow Spirometry ABG Chest x-ray ```