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RESPI LUNG AX

Q: Describe the clinical features of pleural effusion during a respiratory examination.

Condition : Pleural Effusion Inspection : Reduced chest movement on affected side, possible mediastinal shift away from large effusion, patient may be sitting forward and leaning towards unaffected side, tachypnoea. Auscultation : Reduced or absent breath sounds over effusion, possible bronchial breathing at upper border of effusion, egophony above fluid level. Palpation : Reduced chest expansion on affected side, possible mediastinal shift away from large effusion. Percussion : Dull percussion notes over effusion, normal percussion above fluid level. Transmitted Sounds : Reduced in Transmitted Sounds.

Q: What are the key steps in examining for spinal deformities and breath sounds?

Check for spinal deformities like scoliosis . Evaluate shoulder blades using percussion (8-10 points). Distinguish between normal and abnormal percussion sounds. Perform auscultation: ask patient to breathe in/out when stethoscope touches the skin. Ensure normal vesicular breath sounds. Use '1-1-1' test; absence may indicate atelectasis. Conduct the whisper '1-1-1' test.

Q: What are the key symptoms in a respiratory examination summary?

Signs include: COUGH WHEEZE CHEST PAIN SPUTUM

Q: What should be noted in the general inspection during a respiratory examination?

Asymmetry of chest (e.g., barrel or pigeon chest) Deformities : Scars, post-lobectomy, thoracotomy, chest drains Respiratory Rate , Rhythm (regular/irregular) Depth of breathing Effort of Breathing : Use of accessory muscles

Q: What abnormalities can be observed in the hands, arms, face, and neck during examination?

Clubbing : Schamroth's Window Sponginess of fingertip Flapping tremors : Asterixis Smoker stains : Index and middle fingers Nail discoloration Tongue : Check for cyanosis Jugular Venous Pressure (JVP) : Right side, 45 degrees Tracheal deviation : Pneumothorax

Q: What are important auscultation findings in a respiratory examination?

Hyperresonance : Emphysema/pneumothorax Rhonchi : COPD, pneumonia Stridor : Tumor/foreign body Crackles : Pulmonary edema, bronchitis Bronchophony : Say 1-1-1 Whisper test : Abnormal means consolidation/mucus

11 important questions on RESPI LUNG AX

Describe the clinical features of pleural effusion during a respiratory examination.

Condition: Pleural Effusion
Inspection: Reduced chest movement on affected side, possible mediastinal shift away from large effusion, patient may be sitting forward and leaning towards unaffected side, tachypnoea.
Auscultation: Reduced or absent breath sounds over effusion, possible bronchial breathing at upper border of effusion, egophony above fluid level.
Palpation: Reduced chest expansion on affected side, possible mediastinal shift away from large effusion.
Percussion: Dull percussion notes over effusion, normal percussion above fluid level.
Transmitted Sounds: Reduced in Transmitted Sounds.

What are the key steps in examining for spinal deformities and breath sounds?

Check for spinal deformities like scoliosis.
Evaluate shoulder blades using percussion (8-10 points).
Distinguish between normal and abnormal percussion sounds.
Perform auscultation: ask patient to breathe in/out when stethoscope touches the skin.
Ensure normal vesicular breath sounds.
Use "1-1-1" test; absence may indicate atelectasis.
Conduct the whisper "1-1-1" test.