BRANCHED EXAMINATION OF THE THORAX AND RESPIRATORY SYSTEM CHECKLIST

Student________________________ Date____________ Examiner

TOTAL POINTS

(28)

Time

(15:00 min)

Pass Repeat

Correctly
Completed

1.

Wash hands.

VITAL SIGNS (Bilateral)

2.

Take blood pressure.

3.

Palpate radial arteries for rate, character and symmetry.

4.

Determine respiratory rate, rhythm, depth, effort and sound.

5.

Pain assessment.

Inspection (Patient Seated)

6.

Inspect the neck for supraclavicular retractions and muscle contractions.

7.

Determine the position of the trachea.

8.

Inspect lips for color.

9.

Inspect the fingers for clubbing and cyanosis. Inspect nails and capillary refill

POSTERIOR CHEST
Inspection

10.

Note anterior-posterior to lateral diameter.

11.

Inspect the posterior chest for shape, deformities, symmetry, skin condition.

Palpation

12.

Palpate the chest wall for pain, tenderness, and abnormalities.

13.

Assess respiratory expansion for range and symmetry of movement.

14.

Assess tactile (vocal) fremitus in four areas.

Percussion (Bilateral)

15.

Percuss upper (apices), middle, lower and lateral lung fields.

16.

Identify level of diaphragmatic dullness during quiet respiration.

17.

Assess diaphragmatic excursion noting distance between levels of dullness on full

expiration and inspiration.

Auscultation

18.

Assess upper, middle, lower and lateral lung fields, bilaterally, listening for:
a. duration, pitch and intensity of sounds.
b. type of sounds.
c. adventitious sounds.

19.

Elicit bronchophony (99).

20.

Elicit egophony (ee).

21.

Elicit whispered pectoriloquy (1-2-3).

Student
Correctly
Completed
ANTERIOR CHEST (Patient Supine)
Inspection

22.

Observe:
a. skin condition.
b. deformities.
c. movement.

Palpation

23.

Palpate the chest wall for musculoskeletal development and tender areas.

24.

Assess respiratory excursion for range and symmetry of movement.

25.

Assess tactile (vocal) fremitus in the upper, middle, lower and lateral lung fields,
bilaterally.

Percussion

26.

Percuss upper, middle, lower and lateral lung fields, bilaterally.

Auscultation

27.

Auscultate upper, middle, lower and lateral lung fields, bilaterally.

28.

Elicit bronchophony (99) in upper, middle, lower and lateral lung fields.
Listen for:
a. duration.
b. pitch.
c. intensity.
d. type of sound.
e. adventitious sounds.

PRESENTATION

COMMUNICATION SKILLS

COMMENTS:

Rev. 6.25.10