1 / 8

The Respiratory Exam

The Respiratory Exam. Surroundings. Is the patient on a respirator? Is he/she on oxygen? Delivery system? (nasal prongs, mask etc) How many litres a minute?. General Appearance. Is the pt dyspnoeic? Are they using their accessory breathing muscles?

arella
Télécharger la présentation

The Respiratory Exam

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Respiratory Exam

  2. Surroundings • Is the patient on a respirator? • Is he/she on oxygen? • Delivery system? (nasal prongs, mask etc) • How many litres a minute?

  3. General Appearance • Is the pt dyspnoeic? • Are they using their accessory breathing muscles? • Are they blue and bloated or pink and puffing? • DISCUSS PHYSIOLOGY

  4. Hands • Clubbing • Nicotine staining • Peripheral cyanosis • Pallor of the palmar creases • Wasting of intrinsic hand muscles- finger abduction (apical lung tumour pressing on the brachial plexus) • Tenderness just below the wrist (pulmonary osteoarthropathy- associated with lung carcinoma an mesothelioma) • Asterixis (CO2 retention) • Pulse (tachycardia with beta blockers) • Resp rate (16-25)- 8>bradypnoea, 25<tachypnoea • BP (paradox- decrease of 10mmHg or more during inspiration-indicates obstructive lung disease like asthma or COPD)

  5. Face • Eyes • Ptosis and pupil constriction (horners syndrome) • Conjunctival palour • Sinuses (tenderness) • Nose- polyps • Mouth- tongue; central cyanosis

  6. Neck • Trachea • Deviation: thoracic mass, pnoemothorax etc • Tracheal tug (downward movements)-aortic aneurism • JVP- elevated in heart failure, cor pulmonale • Lymph nodes

  7. Chest • Inspect- scars, barrel chest, kyphosis & deformity • Palpate • Chest expansion • Percussion (compare sides) • Auscultate • Vocal resonance • Breath sounds • Check for bony tenderness & sacral oedema

  8. Abdomen • Pulsatile liver

More Related