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The Respiratory System Examination

The Respiratory System Examination

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Published by GAURAV

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Categories:Types, Research
Published by: GAURAV on Feb 21, 2010
Copyright:Attribution Non-commercial

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04/12/2015

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THE RESPIRATORYTHE RESPIRATORYSYSTEM EXAMINATIONSYSTEM EXAMINATION
1.COUGH-1.COUGH-
Coughing is a relativelyCoughing is a relativelynonspecific symptom,resulting from irritationnonspecific symptom,resulting from irritationanywhere from the pharynx to the lungs.Theanywhere from the pharynx to the lungs.Thecharacter of a patients cough may , however,character of a patients cough may , however,give some clues to the underlaying cause.give some clues to the underlaying cause.
Ask for- DurationAsk for- Duratione.g. chronic cough-e.g. chronic cough-
think of pertussis, TB,think of pertussis, TB,foreign body, asthma.foreign body, asthma.
 
Dry, chronic coughing may occur following acidDry, chronic coughing may occur following acidirritation of the lungs in oesophageal reflux and asirritation of the lungs in oesophageal reflux and asa side effects of ACE inhibitor.a side effects of ACE inhibitor.
CharacterCharacter
e.g.Loud, brassy coughing-suggests pressure one.g.Loud, brassy coughing-suggests pressure onthe trachea e.g. by a tumourthe trachea e.g. by a tumourHollow,bovine coughing is associated withHollow,bovine coughing is associated withrecurrent laryngeal nerve palsy.recurrent laryngeal nerve palsy.Barking coughs occur in acute epiglottisBarking coughs occur in acute epiglottis
W/FW/F
-Exacerbating factor, sputum ,haemoptysis-Exacerbating factor, sputum ,haemoptysis
 
DYSPNOEADYSPNOEA
- Ask for Duration ,Steps climbed- Ask for Duration ,Steps climbed /Distance walked before onset. /Distance walked before onset.
HOARSENESSHOARSENESS
- e.g Due to Laryngitis,Singers- e.g Due to Laryngitis,SingersNodules or larengial tumourNodules or larengial tumour
FEVER/NIGHT SWEATS-FEVER/NIGHT SWEATS-
Moderate nightModerate nightsweating is common in anxiety states, but severalsweating is common in anxiety states, but severalchanges of night clothes is a more ominouschanges of night clothes is a more ominoussymptom associated with infection. e.g. TB,symptom associated with infection. e.g. TB,lymphoproliferative disease or mesothelioma andlymphoproliferative disease or mesothelioma andpneumonia.pneumonia.
CHEST PAIN-CHEST PAIN-
Pleuritic pain is exacerbated byPleuritic pain is exacerbated byinspiration implies inflammation of the pleurainspiration implies inflammation of the pleurasecondary to pulmonary infection, inflammationsecondary to pulmonary infection, inflammationor infarction.It causes the pt. to catch his breath.or infarction.It causes the pt. to catch his breath.

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