ASSESSMENT OF RESPIRATORY SYSTEM

RESPIRATORY SYMPTOMSChest painDyspnoeaWheezeCoughhemoptysis

Chest painQUESTIONS TO ASKSITENATURE OR QUALITYINTENSITYRADIATIONDURATIONONSETRELIEVING AND AGGRAVATING FACTORSASSOCIATED MANIFESTATIONS

CAUSESCARDIOVASCULARAngina MIPERCARDITISDISSECTING AORTIC ANEURYSM

PULMONARYTRACHEO BRONCHITISPLEURAL PNEUMONIA, PE,NEOPLASM

GIREFLUX ESOPHAGITISDIFFUSE ESOPHAGEAL SPASM OTHER CAUSES CHEST WALL PAINANXIETY

DYSPNEANON PAINFUL UNCOMFORTABLE AWARENESS OF BRETHING

QUESTIONSONSET sudden or gradualOccurs on rest or exertionInterefere with daily activitiesHas dysnea altered the life style of patientTiming and setting of dysneaAssociated symptomsRelieving and aggravating factors

CAUSESLVFCHRONIC BRONCHITISCOPDASTHMAILDPNEUMONIAPNEUMOTHORAXACUTE PEANXIETY

COUGHREFLEX RESPONSE TO STIMULI THAT IRRITATES RECEPTORS IN LARYNX ,TRACHEA, AND LARGE BRONCHI

QUESTIONSSINCE WHENONSETOCCURS AT WHAT TIME OF DAYINTENSITYAGGRAVATING OR RELIEVING FACTORSDRY OR PRODUCTIVE

SPUTUMAMOUNTCOLOURODOURCONSISTENCYBLOOD STREAKED

HEMOPTYSISCOUGHING UP BLOOD IN SPUTUM IS HEMOPTYSIS

QUESTIONSSINCE WHEN?PRECEDED WITH COUGH ?QUANTIFYCOLOUR OF BLOOD FRESH OR ALTEREDSETTING AND ACTIVITYASSOCIATED SYMTOMS

DIFFERENTIATE FROM HEMETEMESISPRECEDED WITH NAUSEAASSOCIATEED GI SYMPTOMSFOOD PARTICLES IN VOMITUSACIDIC PH

CAUSESLARYNGITISTRACHEOBRONCHITISPNEUMONIAPOST NASAL DRIPCHRONIC BRONCHITIS BRONCHIECTASISTBLUNG ABCESS

CONT..ASTHMAGERDCALVFMSPEINHALATION OF FUMES PARTICLES CHEMICLES OR GASES

CHEST CONTOUR AND SYMMMETRYNORMALLLY LATERAL DIAMETER IS MORE THAN AP DIAMETER

DEFORMITIESBARRELFLAILFUNNELPIGEONKYPHOSCOLIOSIS

RESPIRATORY RATE 14 TO 20 BREATHS PER MINUTETHORACO ABDOMINAL IN FEMALES ABDOMEN PROTRUDES OUT DURING INSPIRATION ABDOMENOTHORACIC IN MALES

TACTILE FREMITUSWHEN SOUND WAVES TRAVEL THRU BRONCHOPULMONARY TREE THERE IS PALPABLE VIBRATIONS TRNSMITTED THRU CHEST WALL

HOW TO CHECK?PLACE ULNAR BORDER OF YOUR HAND ON THE CHEST WHILE ASKING PT TO SPEAK NINTYNINE.COMP;ARE BOTH SIDES ANTERIORLY AND POSTERIORLY.

CAUSES OF DECREASED FREMITUSWHEN TRANSMISSION OF VIBRATION FROM LARYNX TO THE SURFACE OF THE CHEST IS IMPEDED.OBSTRUCTED BRONCHUSCOPDPLEURAL EFFUSIONPLEURAL THICKENINGPNEUMOTHORAXINFILTRATING TUMOUR

CHEST EXPANSION5 TO 7 CMCAUSES OF UNILATERAL REDUCED CHEST EXPANSIONFIBROSISEFFUSIONPNEUMONIABRONCHIAL OBSTRUCTION

PERCUSSIONSETS THE CHEST WALL AND UNDERLYING TISSUR IONTO MOTION PRODUCING AUDIBLE SOND AND PALPABLE VIBRATIONPENETRATES ONLY 5 TO 7 CM INTO THE CHEST

PERCUSSION NOTESSTONY DULL DULLRESONANTHYPERRESONANTTYMPANITIC

CAUSESDULLNESS LOBAR PNEUMONIASTONY DULL ,PLEURAL EFFUSION ,HEMOTHORAX,EMPYEMA.HYPER RESONANCE , PNEUMOTHORAX AIR CONTAINING BULLATYPANITIC GASTRIC AIR BUBBLE

DIAPHRAGMATIC EXCURSIONDESCENT OF DIAPHRAGM CHECKED THRU PERCUSSIONNORMALLY WITH FULL INSPIRATION 5 TO 6 CM.

AUSCULTATIONINTENSITYTYPEADDEDVOCAL RESONANANCE

TYPES OF BREATH SOUNDSVESICULARBRONCHO VESICULARBRONCHIAL AS IN PNEUMONIA,COLLASE WITH PATENT BRONCHUS,CAVITATION UPPER PART OF PLEURAL EFFUSION.

ADDED SOUNDSCRACKLES FINE AND COARSEWHEEZESRONCHIPLEURAL RUB

CRACKLESWHEN DEFLATED SMALL AIRWAYS OPEN UP DURING INSPIRATION.ILD,CCF.AIR BUBBLES FLOWING THRU SECRETIONSCHRONIC BRONCHITIS.

WHEEZESWHEN AIRFLOW THRU NARROIWED BRONCHI WHISTLING SOUNDS PRODUCED.ASTHMA, COPD,CCF.LOALISED WHEEZE SIGNIFIES PARTIOAL OBSTRUCTION OF BRONCHUS BY TUMOUR OR FOREIGN BODY

STRIDORMUSICAL SOUND ENTIRELY INSPIRATORY.OBSTRUCTION OF LARYNX AND TRACHEA

PLEURAL RUBWHEN ROUGHENED PLEURAL SURFACES RUB AGAINST EACH OTHER.

TRNSMITTED SOUNDS.BRONCHOPHONY LODER AND CLEARER VOICE SOUNDSEGOPHONY QUALITY OF SOUNDS TURNED TP NASAL EE TO AYWHISPERED PECTORILOQUY LODER CLEARE WHISPERED SOUNDS.ALL ABOVE ARE FOUND IN CONSOLIDATION

THANK YOU