

Respiratory exam
Presentation
•
Science
•
University
•
Medium
Francis Pickersgill
Used 8+ times
FREE Resource
10 Slides • 10 Questions
1
Respiratory exam

2
What we can get from this session
A brief overview of pathology
An template of how to conduct a resp exam
An appreciation for signs in the resp exam
3
Resp exam
General - much like cardio, have a method
Focussed
4
General Exam
General inspection
What can we get from this?
5
We can start with the hands
What can we look for in the hands and what do they indicate
Can cancers cause any signs in the hands?
Any measurements we can take at this point?
6
7
Multiple Select
What are the possible respiratory causes for this sign (select multiple)?
Bronchiectasis
COPD
Cystic fibrosis
Lung cancer
8
Multiple Choice
What's the difference between checking for normal tremor and asterixis (tick true)?
Asterixis required the hands to be extended backwards
Normal tremor implies CO2 retention
9
What else can we look for in the face and neck
Signs of poor oxygenation?
What structures in the neck may be pathologically enlarged and what can cause this?
10
''Swollen Glands''
36 year old, night sweats, productive sputum, recently arrived from bangladesh. Non Smoker
18 Year old with sore throat, fever pain on feeling swollen lymph node. Knows people who have had the same thing
70 year old lady with lymph node, generally quite tired, night sweats, unexplained recurrent chest infection and new anaemia
11
Multiple Select
What would you expect on examination of this patient (select multiple) (Can click to enlarge image)?
Shift of apex beat to the right
Shift of apex beat to the left
Shift of trachea to the right
Shift of trachea to the left
12
Multiple Select
What would you expect to find with this patient (select multiple) (Can click to enlarge image)?
Shift of apex beat to the right
Shift of apex beat to the left
Shift of trachea to the right
Shift of trachea to the left
13
Multiple Choice
What is the correct framework for focused examination (select one)?
Inspection, Auscultation, Percussion, Palpation
Inspection, Percussion, Palpation, Auscultation
Inspection, Palpation, Percussion, Auscultation
Inspection, Auscultation, Palpation, Percussion
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Multiple Select
Which of these could we assess with inspection?
Work of breathing
Scars
Chest expansion
Chest wall deformities
15
Multiple Select
If there is asymmetrical chest expansion what would this suggest?
Pneumothorax
Lobar/ Lung Collapse
Mild pneumonia
COVID
16
Percussion
Why do we do percussion?
Where do we percuss?
What are the findings we can get from this?
17
Multiple Choice
What would you expect with a pneumothorax?
Hyperresonant
Normal
Dull
Stoney dull (minimal percussion)
18
Multiple Choice
How about a pleural effusion?
Hyperresonance
Normal
Dull
Stony dull
19
Open Ended
What is '' vocal tactile fremitus'' ? (don't have to use medical terms)
20
Auscultation
Same areas as percussion, listening for what?
Lets listen to some
What do we do posteriorly
What else can we look for?
Then Le FIN.
Respiratory exam

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