Respiratory Examination Flashcards
General inspection findings in resp exam
Accessory muscle breathing Pursed lip breathing Cachexia Oxygen Fluids Medications
What is pursed lip breathing indicative of
Lower airway obstruction
What is cachexia indicative of
COPD/Malignancy
Hands findings in resp exam
Peripheral cyanosis Temperature Dilated veins Tar staining 1st web space wasting
What are dilated veins indicative of
Hypercapnia
What is 1st web space wasting indicative
T1 lesion
Nails findings in resp exam
Clubbing
Koilonychia
Resp causes of clubbing
Cancer Interstitial lung disease TB Abscess Bronchiectasis Empyema Mesothelioma
Wrist findings in resp exam
Flapping tremor
Fine tremor
Radial pulse
What is flapping tremor indicative of
CO2 retention
What is fine tremor indicative of
Beta agonist (salbutamol)
What is a bounding radial pulse indicative of
Hypercapnia
Eye findings in resp exam
Conjunctival pallor
Horners
What is indicative of horners syndrome and what could be the cause
Miosis, ptosis
T1 lesion
Mouth findings in resp exam
Central cyanosis
Candida
What is candida indicative of
Steroid inhaler use
immunocompromised
Neck findings in resp exam
JVP
Trachea deviation
Lymph nodes
Cricosternal distance
What is trachea deviation indicative of
Pneumothorax
Effusion
What is a reduced cricosternal distance indicative of
COPD
What are tender lymph nodes indicative of
infection
What are non-tender lymph node masses indicative of
Malignancy
Chest inspection findings in respiratory
Scars
Deformity of chest/spine
Barrel chest
What are chest scars indicative of
Surgery
Previous chest drains
What are chest/spine deformities indicative of
Restrictive lung conditions
Scoliosis
Pectus Excavatum
Pectus Carinatum