Professional Documents
Culture Documents
clinicalexaminationofrs-190222051629
clinicalexaminationofrs-190222051629
Respiratory System
Pandian M
Dept of Physiology
DYPMCKOP
SLO
• Materials
• Symptoms
• Examination of Resp. Sys:-
– Inspection
– Palpation
– Percussion &
– Auscultation
• Examination of chest
Materials :
• Stethoscope, measuring tape and 2 cardboards
Symptoms:-
• Pain in chest, fever, cough – dry or expectoration,
blood in sputum (haemoptysis), breathlessness
(dyspnoea), bluish discoloration of nails (cyanosis)
.
Examination of Resp. Sys:-
• It’s starts right from examination of Nose, Oral cavity
and Throat
Examination
• Inspection
• Palpation
• Percussion &
• Auscultation
Examination of chest
• Position of subject:-
– sitting position.
• Inspection:
1. Shape of the chest
2. Movements of the chest
1. sitting Position
– Size and shape – normal is bilaterally symmetrical,
elliptical in cross section, transverse diameter greater
than A-P dia., subcostal angle is 90 ̊ (more acute in males )
– Significance : size and shape get altered in different
diseased condition, e.g.
Rickets
emphysema
Lateral bending Forward bending
Movements of chest
• Observation from foot end of bed tangentially or sitting position and note
following points:-
Rate & Rhythm during quiet resp.
• 12 – 18 breaths/ min, regular.(mostly observing abdominal wall)
• In children Resp.Rate is higher
a) Causes of fast & shallow breathing (Tachypnoea) are : exercise,fever,
nervousness, hypoxia.
b) Causes of slow breathing are: brain damage.
Expansion of chest – whether expansile & symmetrical (use tape )
{diminished or asymmetrical seen in - pneumothorax,
collapse,consolidation, emphysema, pleural effusion}
Types of breathing
• Abdomino thoracic
• Thoracico – abdominal
Accessory muscles of resp – working or not
Position of trachea (Trial’s sign)
Position of apex beat