PHYSICAL EXAMINATION OF THE ANTERIOR CHEST Name: ______________________________ A 1 2 3 4 5 6 ! # 1 2 3 4 5 6 ! ( + C 1 2 3 4 5 6 ! ( 1 2 3 4 5 6 ! ( + 12 E * 2 3 4 5 6 ! ( Interpersonal sk lls an!

pro"ess onal sm Wore the appropriate clinic attire Introduced self Was courteous and respected the patients modesty and personal space Explained the procedure to the patient Communicated instructions clearly and completely O tained permission from the patient to perform the examination Exposed the patients chest and extremities ade"uately Per"orm t$e %eneral e&am nat on o" t$e resp rator' s'stem #laced the patient in the supine position Commented on the $eneral appearance of the patient Commented on the rate% rhythm and effort of respiration Commented on &hether there is any use of accessory muscles of respiration Commented on the presence of dyspnea% nasal flarin$ or pursed'lipped reathin$ Commented on &hether there is any pallor% flushin$ or cyanosis Commented if there is clu in$ of the fin$ers or pittin$ of the nails Commented on &hether there is any peripheral edema a o)e oth an*les Commented on &hether there is any halitosis% acetone% musty or fecal reath Inspect t$e anter or c$est Commented on the si,e% shape and symmetry of the chest Commented if there is arrel chest% pectus exca)atum-carinatum or flail chest Commented if there is rachitic rosary Commented on the slope of the ri s% motion and local la$ Commented on any intercostal space retraction or ul$in$ Commented on &hether there are s*in lesions% scars and )ascular a normalities Commented on &hether there are dilated )eins on the chest% a domen or le$s Palpate t$e anter or c$est Warmed hands efore palpation .etermined &hether there is any tracheal shift or tu$ /ssessed the de$ree of expansion of the upper half of the chest /ssessed the de$ree of expansion of the lo&er half of the chest Commented on the expansion of the chest ilaterally #alpated oth trape,ius muscles% lun$ apices% ri s and intercostal spaces Commented the presence of masses% tenderness or any a normal sensations Chec*ed for tactile fremitus o)er apex% 2%3%4% 5th intercostal spaces 0C1 ilaterally Chec*ed for tactile fremitus o)er the 6th intercostal space in the midaxillary line Commented on the tactile fremitus3 asymmetrical% increased or decreased A)sc)ltate t$e anter or c$est Warmed the diaphra$m efore usin$ it Ensured the ear pieces of the stethoscope are facin$ for&ard in the ears Ensured the diaphra$m &as in use /uscultated the apex a o)e the medial third of the cla)icle ilaterally &ith diaphra$m /uscultated the 2% 3% 4 and 5th intercostal spaces in the midcla)icular line ilaterally /uscultated the 5th and 6th intercostal spaces in the midaxillary line ilaterally Commented on the reath sounds3 normal% a sent% decreased or increased Commented on the presence of ad)entitious sounds3 crac*les% &hee,es or ru s Score: ______

PHYSICAL EXAMINATION OF THE POSTERIOR CHEST Name: ______________________________ A 1 2 3 4 5 6 # 1 2 C 1 2 3 4 5 6 ! ( + 12 11 12 ( 1 2 3 4 5 6 ! ( + 12 E 1 2 3 4 5 6 ! ( ( + 12 Interpersonal sk lls an! pro"ess onal sm Wore the appropriate clinic attire Introduced self Was courteous and respectful of the patients modesty and personal space Explained the procedure to the patient clearly and completely O tained permission from the patient to perform the examination Exposed the patients chest ade"uately Inspect t$e poster or c$est /s*ed the patient to sit up so the ac* could e examined Commented on the shape% contour% scars% *yphosis% scoliosis% $i Score: ______

us% lesions

Palpate t$e poster or c$est /s*ed the patient to fold arms across chest and *eep them there throu$hout exam Warmed the hands /ssessed the de$ree of expansion of the upper half of the chest /ssessed the de$ree of expansion of the lo&er half of the chest elo& the scapula Commented on the de$ree of expansion of the upper and lo&er chest Chec*ed for tactile fremitus medial to the medial order of scapulae 41 st5 ilaterally Chec*ed for tactile fremitus medial to the medial order of scapulae 43 rd5 ilaterally Chec*ed for tactile fremitus medial to the medial order of scapulae 45 th5 ilaterally Chec*ed for tactile fremitus on le)el &ith inferior an$le of the scapulae 4! th5 ilaterally Chec*ed for tactile fremitus on le)el &ith the +th intercostal space ilaterally Chec*ed for tactile fremitus elo& the inferior an$le of the scapulae 412 th5 ilaterally Commented on the tactile fremitus in the posterior chest Perc)ss t$e poster or c$est #ercussed 6ust medial to the medial order of scapulae 1 st intercostal space ilaterally #ercussed 6ust medial to the medial order of the scapulae 43rd5 ilaterally #ercussed 6ust medial to the medial order of the scapulae 45th5 ilaterally #ercussed 6ust medial to the medial order of the scapulae 4!th5 ilaterally #ercussed on le)el &ith the +th intercostal space ilaterally #ercussed 6ust elo& the inferior order of the scapulae 412 th5 ilaterally Commented on the character of the percussion note'normal% dull or tympanic #ercussed the position of the diaphra$m durin$ inspiration ilaterally #ercussed the position of the diaphra$m durin$ expiration ilaterally Commented on the extent of the diaphra$matic excursion 4normal ran$e is 3'6 cm5 A)sc)ltate t$e poster or c$est Warmed the diaphra$m efore use Ensured the ear pieces of the stethoscope are facin$ for&ard in the ears Ensured that the diaphra$m is in use /uscultated 6ust medial to medial order of scapula 41st intercostal space5 ilaterally /uscultated 6ust medial to the medial order of the scapula 43 rd5 ilaterally /uscultated 6ust medial to the medial order of the scapula 45 th5 ilaterally /uscultated 6ust medial to the medial order of the scapula 4! th5 ilaterally /uscultated o)er the +th intercostal space ilaterally /uscultated elo& the inferior order of the scapula 412 th5 ilaterally Commented on the reath sounds3 normal% a sent% decreased or increased Commented on the presence of any ad)entitious sounds3 crac*les% &hee,es or ru s