Name:___________________________

INITIAL SURVEY
1. Clients Positioning
2. Use of accessory
muscles

3. RR (rate, rhythm, depth

4. Color

5. Deformities or
asymmetry
Inspect posterior
thorax form posterior
and laterl views
Anterior thorax

6. Identify tender areas

and masses

7. Chest expansion

8. Palpate for Tactile

Fremitus

9. Palpate Tactile Fremitus

on correct points

NORMAL
Relaxed posture, able to support self, arms
are comfortable at sides or lap
There is no use of accessory muscles during
inspiration
No nasal flaring
Breathes quietly and regularly about 10-20
breaths/min
No audible wheezing
Nail beds are pinkish
Skin color is uniform without pallor or
cyanosis
INSPECTION
Spinous process is straight at midline
Lateral diameter is wider than anteroposterior diameter
Bilateral movement on both sides during
respiration
Wider shoulders, narrower at the waist
No retractions/bulging of interspace
PALPATION
No masses, tenderness, bruises, and
inflammation assessed
No depressions or bulges
Trachea is in midline
Symmetrical expansion and contraction of the
rib cage
Symmetrical vibrations on both lungs
Felt more on interscapular area

PERCUSSION
10. Identify percussion
Flat over scapula and spine
tones and the area where Dullness visceral organs
it is heard
Resonance over lung fields
11. Percussion using the
ladder pattern

12. Auscultate for

posterior
breath sounds,
adventitious sounds, and
voice sounds

AUSCULTATION
Vesicular over most lung fields
Bronchovesicular 1st and 2nd interspaces
anteriorly and between scapula
Bronchial over the manubrium

Section:_______________

ABNORMAL

Name:___________________________

Section:_______________

Instruction: Complete the table by listing down abnormal findings on each

assessment techniques/areas of THORAX and LUNGS. This serves as handout for our
next lecture day.