Clinical Skills

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Put the steps in order for doing a respiratory examination

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Metni Eşleştir

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Tıkla ve sürükle

Close inspection of the chest - shape, deformities, scars

Palpate posterior chest in two places

Tracheal deviation and tug

Explain reason for exam. and outline what it will consist of

Assess chest expansion at two points

Inspects face - colour, eyelids for Horner's syndrome, eyelids, mouth

Percuss 7 places on front, including 6th ICS anterior and 8th ICS lateral

Vocal resonance on posterior chest - 99

Feel for apex beat

Vocal resonance on front - 99

Inspect hands - tar, muscle wasting, clubbing, peripheral cyanosis, tremor, CO2 retention flap

End of bed inspection - equipment, patient (colour, sounds, chest expansion, accessory muscles)

Palpate lymph nodes

Percuss posterior chest in minimum of 4 sites down to 11th rib

Auscultate supraclavicular fossa with bell. Take deep breath in through mouth

Auscultate same sights as percussion with diaphragm. Deep breath in through mouth

Auscultates posterior chest down to 11th rib

State you would do BP

Radial pulse, resp rate

Feels for sacral and peripheral oedmema

Wash hands, introduce yourself and obtain patient's name and DOB

Inspects JVP

Examine posterior chest with arms crossed in front of them

Thank patient, wash hands


440657
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440668
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448333
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440642
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600
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440643
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452885
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