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    This document provides guidance on examining a patient's respiratory system and thorax. It describes assessing signs of respiratory distress, inspecting chest shape and movement, palpating for tenderness or abnormalities, percussing different areas of the chest, and auscultating breath and adventitious lung sounds using a stethoscope in a systematic manner over the chest. The aim is to evaluate the patient's breathing pattern, lung sounds, and check for any abnormalities, asymmetries, or areas of concern requiring further examination.

    Original Description:

    a guide to physical examination of chest and respiration

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    This document provides guidance on examining a patient's respiratory system and thorax. It describes assessing signs of respiratory distress, inspecting chest shape and movement, palpating for tenderness or abnormalities, percussing different areas of the chest, and auscultating breath and adventitious lung sounds using a stethoscope in a systematic manner over the chest. The aim is to evaluate the patient's breathing pattern, lung sounds, and check for any abnormalities, asymmetries, or areas of concern requiring further examination.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    17 views11 pages

    Respiration Edited Short

    Uploaded by

    mumai_aura
    This document provides guidance on examining a patient's respiratory system and thorax. It describes assessing signs of respiratory distress, inspecting chest shape and movement, palpating for tenderness or abnormalities, percussing different areas of the chest, and auscultating breath and adventitious lung sounds using a stethoscope in a systematic manner over the chest. The aim is to evaluate the patient's breathing pattern, lung sounds, and check for any abnormalities, asymmetries, or areas of concern requiring further examination.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 11

    Respiration and Thorax

    Initial Survey
    Signs of Respiratory Difficulty
    Color for Cyanosis
    Breathing Pattern
    Rate
    Rhythm
    Depth
    Effort
    Neck Inspiration
    Shape of the Chest


    INSPECTION
    Shape of Chest and Movement
    Assymetry in Chest Expansion
    Abnormal Retractions of the
    Interspaces During Respiration
    Impaired Respiratory Movement

    PALPATION
    Tender Areas
    Visible Abnormalities
    Chest Expansion
    Tactile Fremitus
    Compare Symmetric Areas of the
    Lungs
    Percussion of lower posterior
    chest:
    Stay at the side rather than directly
    behind the patient

    Use the same percussion
    technique when comparing 2 areas
    PERCUSSION
    Learn to identify five percussion
    notes
    Percuss one side of the chest and
    then the other at each level in a
    ladder-like pattern
    Identify diaphragmatic excursion


    AUSCULTATION
    PRINCIPLES
    Use the diaphragm of the stethoscope
    Note intensity, presence of silent gap between
    inspiratory and expiratory sounds
    Note for pitch and duration

    BREATH SOUNDS
    Bronchial
    Bronchiovesicular
    Vesicular
    I > E
    I = E
    I < E
    I = E
    ADVENTITIOUS SOUNDS
    Clues to underlying condition:
    Loudness, Pitch, Duration
    Number
    Timing in Respiratory Cycle
    Location on Chest Wall
    Persistence of their Pattern
    Change After Activity or After Position Change
    TRANSMITTED VOICE SOUNDS








    from: Bates guide to pysical examination

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