R.

VENKATESAN, MPT (NEURO) SLITHERINS-2002 CARDIO-RESPIRATORY ASSESSMENT SUBJECTIVE NAME AGE SEX OCCUPATION ADDRESS D/O EXAMINATION CHIEF COMPOLAINTS H//O PRESENT ILLNESS H/O PAST ILLNESS PERSONAL HISTORY SMOKING NO OF CIGRATTES PER DAY ALCOHOLISM SOCIAL HISTORY FAMILY HISTORY HEART ATTACK ASTHMA CARCINOMA DRUG HISTORY ALLERGIC HISTORY ASSOCIATED PROBLEMS

HYPERTENSION DIABETES MELLITUS HYPER LIPIDIMIA OBESITY SEDENDARY LIFE STYLE EVALUATION OF CARDNAL SYMPTOMS PAIN COUGH SPUTUM DYSPONEA WHEEZE OBJECTIVE VITAL SIGNS RESPIRATORY RATE HEART RATE BLOOD PRESSURE TEMPERATURE I.INSPECTION A) GENERAL PALLOR ICTERES CYANOSIS CLUBBING LYMPADENOPATHY OEDEMA 1 ramkyvenki22@yahoo.com

R.VENKATESAN, MPT (NEURO) SLITHERINS-2002 B) SPECIFIC STATE OF CONSCIOUSNESS BODY BUILT POSTURE HEAD AND NECK UNMOVING CHEST MOVING CHEST EXTREMITIES ANY MONITORING OR SUPPORT EQUIPMENT USED SPECIFIC STATE OF CONSCIOUSNESS ALERT AUTOMATIC CONFUSED DELIRIOUS STUPUROUS SEMICOMATOSE COMATOSE BODY BUILT OBESE NORMAL CACHETIC POSTURE NORMAL STRUCTURAL ABNORMALITIES (DEFORMITIES) POSISTION OF CHOICE EX LEANING FORWARD WITH ARM SUPPORT HEAD AND NECK A) HEAD FLARING OF NASI DILATED PUPILS PALLOR SWEATING (HYPERTENSION) PUFFINESS (HYPERTENSION) CHERRY RED FACE (CO POISONING) CYANOSIS B) NECK DILATED NECK VAINS ACCESSORY MUSCLE USAGE 2 ramkyvenki22@yahoo.com

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C) UNMOVING CHEST SKIN INCISION SCAR BRUISE D) SHAPE NORMAL ABNORMAL E) SYMMETRY RIB ANGLE N=70 COSTOVERTEBRAL ANGLE N=45 F) MOVING CHEST RESPIRATORY RATE INSPIRATION/EXPIRATION RATIO TYPE OF BREATHING o ABDOMINOTHORACIC(MALE) o THORACOABDOMINAL(FEMALE) o ABDOMINAL PATTERN OF BREATHING CONSIDER o DEPTH o RATE o RHYTHM G) EXTREMITIES NICOTINE STAINING CLUBBING CYANOSIS PAINFUL JOINTS (BRANCHOGENIC CARCINOMA) ASTERIXIS(HYPERCAPNIA) H) ANY MONITERING AND SUPPORT DEVICE USAGE SUPPLEMNTAL OXYGEN CARDIAC MONITORING OXYGEN SATURATION MONITIR 3 ramkyvenki22@yahoo.com

R.VENKATESAN, MPT (NEURO) SLITHERINS-2002 CENTRAL OR PULMONARY ARTERIAL LINE MECHANICAL VENTILATION PRESENCE OF INCISION,WOUNDS,DRESSING,CASTS II) PALPATION SYMMETRY OF MOVING AND UNMOVING CHEST TRIAL SIGN CHEST EXPANSION APEX BEAT TACTILE VOCAL FREMITUS ACCESSORY RESPIRATORY MUSCLE ACTIVITY TENDERNESS OEDEMA A) SYMMETRY NORMAL SYMMETRICAL ABNORMAL ASYMMETRICAL UNMPOVING BULGING CHEST FIBROSIS THORACOPLASTY ASYMMETRICAL MOVING(PENDULAR MOVING) PNEUMOTHORAX PLEURAL EFFUSION B) TRIAL SIGN TRACHEAL SHIFT SAME SIDE FIBROSIS PNEUMONECTOMY ATELECTESIS OPPOSITE SIDE PNEUMOTHORAX HAEMOTHORAX HAEMOPNEMO THORAX LUNG CARCINOMA MASSIVE PLEURAL EFFUSION

C) CHEST EXPANSION 4 ramkyvenki22@yahoo.com

R.VENKATESAN, MPT (NEURO) SLITHERINS-2002 AXILLARY LEVEL UPPER LOBE -2 TO 4 CM MIDDLE LEVEL MIDDLE LOBE EXPANSION-5 TOI7CM XIPHISTERNUM LEVEL LOWER LEVEL EXPANSION- 8 TO 10CM

D) APEX BEAT OR APICAL IMPULSE SHIFT ACCORDING TO TRACHEA E) TACTILE VOCAL FREMITUS (TVF) NORMAL EQUAL VIBRATIONS OF MODERATE (RHONCHAL FREMITUS) INTENSITY ARE PERCEIVED DURING SPEECH ABNORMAL - INCREASED-CONSOLIDATION DECREASED OR ABSEBT A FLUID OR AIR IN PLEURAL SPACE ATELECTESIS F) ACCESSORY MUSCLA ACTIVITY SCALENI STERNOCLEIDOMASTIOD TRAPEZIUS G) TENDERNESS RIB FRACTURE PLEURITC PAIN FIBROSITIS OF INTERCOSTAL MUSCLE SUBLUXATION OF COSTAL CARTILAGE CRACKLING SENSATION IN CHEST ON EXPANNSIONSUBCUTANEOUS EMPHYSEMA H) OEDEMA PITTING OEDEMA-IF INDENTATION LASTS NON PITTING OEDEMA-NO INDENTATION III.PERCUSSSION I) MEDIATE PERCUSSION II) DIAPHRAMATIC EXCURSION

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R.VENKATESAN, MPT (NEURO) SLITHERINS-2002 I) MEDIATE PERCUSSION NORMAL RESONANT NOTE LOUD LOW PITCHED, LONGER DURATUION, WITH HIGH AMPLITUDE DULL NOTE-LOW AMPLITUDE, MEDIUM TO HIGH PITCHED AND SHORT DURATION EX CONSOLIDATION STONY DULL NOTE-PLEURAL EFFUSIONJ, HAEMOTHORAX, PYOTHORAX. HYPER RESONANAT-PNEUMOTHORAX II) DIAPHRAMATIC EXCURSION NORMAL -3 TO 5 CM 1V AUSCULTATION A) BREATH SOUNDS NORMAL ABNORMAL B) ADDED SOUNDS CRACKLES WHEEZE C) VOICE SOUNDS D) HEART SOUNDS A) BREATH SOUNDS NORMAL VESICULAR BRONCHIAL BRONCHO VESICULAR ABNORMAL DIMINISHED-COPD,ATELECTESIS,PNEUMOTHORAX BRONCHIAL-CONSOLIDATION EX TB,PREEMOINS ABSENT LARGE PLUERAL EFFUSION, PNEMOTHORAX, SEVERE HYPER INFLATION, OBESITY.

B) ADDED SOUNDS CRACKLES OR RALES ATELECTESIS,FIBROSIS,PULMONARY OEDEMA,PLEURAL EFFUSION, (DUE TO OPENING OF CLOSED AIRWAYS) COLLECTION OF SECRETIONS AIR BLOWN THROUGH SECRETION. 6 ramkyvenki22@yahoo.com

R.VENKATESAN, MPT (NEURO) SLITHERINS-2002 WHEEZES(LOW PITCHED WHEEZE-RHONCHI) COPD EX ASTHMA PLEURAL RUBS-PLERISY C) VOICE SOUNDS o o o o o o o o o NORMAL SOFT,MUFFLED,AND INDISTINCT DECREASED WEAKER OR SOFTER EX PLEURAL EFFUSION PNEUMOTHORAX ATELECTESIS FIBROSIS AIRWAY OBSTRUCTION ABSENT PLEURAL EFFUSION PNEUMOTHORAX ATELECTESIS OBSTRUCTION INCREASED BRONCHOPHONY 99 TRANSMITTED LOUDER AND CLEARLY. EGOPHONY E AS A. IT CO EXISTS WITH BRONCHOPHONY WHISPERING PECTOROLOQUY WHISPERED WORDS-DISTINCT AND CLEAR EX SMALLER PATCHY AREAS OF CONSOLIDATION

D) HEART SOUNDS LYING BREATHE QUITELY AORTIC AREA-II INTERCOSTAL SPACE TO RIGHT OF THE STERNUM PULMONIC AREA-II INTERCOSTAL SPACE TO THE LEFT OF THE STERNUM MURMURS OF AORTIC+PULMONARY ORIGIN-III INTERCOSTAL SPACE LEFT TRICUSPID AREA LOWER LEFT STERNAL BORDER AROUND 4TH OR 5TH INTERCOSTAL SPACE MITRAL AREA-APEX OF THE HEART 7 ramkyvenki22@yahoo.com

R.VENKATESAN, MPT (NEURO) SLITHERINS-2002 I HEART SOUND-HEART BEST AT THE APEX OR THE TRICUSPID AREA II HEART SOUND-LOUDEST ATA AORTIC AND PULMONIC AREA SPLIT A2 AORTIC AND P2 PUILMONIC. FIXED SPLITTING-DELAYEDP2 OR EARLY A2 WIDER SPLITTING-DELAYED PV CLOSURE HEART MURMUR-GRADE

V .OTHERS FUNCTIONAL ASSESSMENT EXERCISE TOLERANCE; 6MWT (TARGET HEART RATE &BORG SCALE) LUNG FUNCTION TEST (BED SIDE); DURATION OF EXPIRATORY AIR FLOW BREATH HOLD TEST SNIDER TEST, ROM ROM OF SPINE SHOULDER NECK STRENGTH (SPINAL CORD INJURY) RESPIROTORY MUSCLE COUGH ASSESSMENT o FUNCTIONAL o WEAK o NON FUNCTONAL MOBILITY BED MOBILITY TRANSFER GAIT LEVEL OF INDEPENDAENCE USE OF ASSISTIVE DEVICE

INVESTIGATION CARDIO CHEST X RAY BLOOD AND LIPID PROFILE ECG ECHO CARDIOIGRAM 8 ramkyvenki22@yahoo.com

R.VENKATESAN, MPT (NEURO) SLITHERINS-2002 CATH AND ANGIOGRAM CT &MRI PULMONARY BLOOD TEST CHEST X RAY SPUTUM CULTURE ABG PaO2 PaCO2 BICARBONATES PFT CT-MRI MANAGEMENT SHORT TERM GOALS LONG TERM GOALS

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