This respiratory examination OSCE guide provides a step by step approach to examining the respiratory system, with an included video demonstration.‎General inspection · ‎Palpation · ‎Auscultation · ‎Ask patient to sit forwards. detailed systemic examination of respiratory system-inspection,palpation,percussion and auscultation. This article reviews the approach to a patient with respiratory distress, with a focus on clues obtained from the physical examination. Respiratory distress is a.


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Another important sound is a pleural rub, which can be appreciated as having a sandpaperlike quality and is typically present throughout the respiratory cycle.

Inflammation or neoplasia can cause thickening of the pleural surfaces, which then creates more friction when sliding along one another, creating this sound.

Previous References Loudon Respiratory system examination. The thorax and lungs. Bates' Guide to Physical Examination. History and physical examination.


Murray and Nadel's Textbook of Respiratory Medicine. Physical examination of the adult patient with respiratory diseases: If clubbing is present, this doesn't happen, and it can be a sign of pulmonary fibrosis, respiratory system examination fibrosis, or bronchogenic carcinoma.


respiratory system examination Examine the skin on the anterior respiratory system examination surface for erythema nodosum, which is inflammation of the skin, or panniculitis that typically causes painful red nodular areas. Inspect the patient's face for obvious facial flushing, and for the signs of Horner's syndrome, which includes the triad of miosis, ptosis, and hemifacial anhidrosis-that is decreased sweating on one side of the face.

Ask the patient to tilt their head upwards and look into each nostril with the help of a flashlight.

Respiratory examination

This is respiratory system examination inspect for nasal polyps or evidence of epistaxis. Next, instruct the patient to open their mouth and stick out their tongue.

The color of the tongue should be noted-pink or red represent normal, while bluish discoloration suggests central cyanosis. Then, ask the patient to phonate by saying, "Ahhhhh", and using a tongue depressor, inspect the throat for pharyngitis or tonsillar inflammation.

After this, move to the chest region and inspect the chest wall for scars that would be an evidence of a prior thoracotomy. Respiratory system examination inspect the chest shape and look for any visible deformities.

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Now, let's review the palpation steps of the respiratory physical exam. Respiratory system examination with palpating the radial pulse. Next, assess for lymphadenopathy in the cervical region.

Palpate the nodes with on both sides simultaneously.

Pulmonary Examination Technique: Inspection, Palpation, Percussion

Start at the preauricular glands followed by jugulodigastric, submandibular, submental, anterior cervical, supraclavicular, posterior cervical, posterior auricular, and occipital lymph nodes. Next, feel the trachea by placing the right index finger in the sternal notch.

Palpate the lateral borders of the windpipe to determine if it is in the normal, midline position. Following that, palpate the chest wall by using the palm of your hand to assess for any obvious point tenderness, masses, or rib deformities.

Perform the palpation at four to five different levels anteriorly and posteriorly, and any differences between the right and left sides can indicate abnormal underlying lung tissue.

Next, assess chest expansion, place your hands just below the level of the nipples, with thumbs touching in the midline and fingers extended to respiratory system examination contact with respiratory system examination lateral edges.

The thumbs should separate by approximately respiratory system examination cm or more in normal chest expansion.

Respiratory examination - OSCE Guide | Geeky Medics

This technique can be also utilized posteriorly. Lastly, to assess tactile vocal fremitus, place the hypothenar sides of your hands at the lower anterior part of the chest.

Then ask the patient to say "99" every time you change the position. The vibration felt against your hand should respiratory system examination the same for each position on both sides.

Same test can be performed on the posterior surface. You've just watched JoVE's video on inspection respiratory system examination palpation during a respiratory exam.