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OSCE > Respiratory Signs > Flashcards

Respiratory Signs Flashcards

1
Q

General Inspection around bed (3)

A

Oxygen
Sputum pot
Inhalers, nebulisers or other medication

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2
Q

General Inspection of patient (10)

A 
Comfortable at rest
Central cyanosis 
No signs of laboured breathing - Accessory muscles or nasal flaring
Chest deformity 
Obvious scars
No sign of wheeze or stridor
Can speak in full sentences 
Cachexia 
Chest drain
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3
Q

Hand Signs/ Wrist/ Arm (12)

A 
Temperature
Capillary Refill
Clubbing
Tar stains
Muscle Wasting
Rheumatological Signs 
Bruising of wrists 
Fine Tremor
CO2 Flap 
Pulse 
Respiratory Rate
BP
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4
Q

Clubbing

A

Lung Malignancy

Bronchiectasis

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5
Q

Rheumatological Disease

A

Pleural Effusion

Pulmonary Fibrosis

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6
Q

Bruising

A

Long term steroid use

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7
Q

Fine tremor

A

Beta 2 agonist use

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8
Q

CO2 Flap

A

Co2 retention e.g. Type 2 respiratory failure - COPD

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9
Q

Facial Signs

A

Conjunctival Pallor
Tongue and lips - blue
Horners Syndrome

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10
Q

Horners Syndrome

A

Ptosis
Miosis
Anhydrosis

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11
Q

Neck

A

JVP

Tracheal deviation

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12
Q

JVP

A

Pulmonary Hypertension

Fluid overload

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13
Q

Chest Palpation

A

Apex Beat

Chest expansion

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14
Q

Apex Beat

A

5th intercostal space, mid-clavicular line

Right Ventricular Heave = Right sided heart failure secondary to hypoxic lung disease.

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15
Q

Chest Percussion

A

Supraclavicular
Infraclavicular
Chest Wall
Axilla

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16
Q

Normal Percussion note

A

Resonant

17
Q

Dull Percussion note

A 
Increased density:
Consolidation
Fluid
Tumour
Lung collapse
18
Q

Stony Dullness

A

Pleural Effusion

19
Q

Hyper Resonant

A

Low density

Pneumothorax

20
Q

Final Examination

A

Sacral and ankle oedema

Calves for DVT

21
Q

Further Examinations

A 
O2 sats
Peak Flow (asthma)
Chest XR
ABG
Cardiovascular Exam

OSCE (10 decks)

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