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  • 3 2 1 0 Remarks: Rating Scale For Examination of Chest and Lungs

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    christine porras
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    This document provides a rating scale for examining a patient's chest and lungs. It lists 36 specific examination techniques divided into categories such as establishing rapport, identifying landmarks, inspection, palpation, percussion, and auscultation. For each technique, the student is rated on a scale of 0 to 3 based on whether they completed it correctly, incompletely, or incorrectly/incompletely. The full examination includes inspecting for deformities, retractions, and movement impairments; palpating for tender areas, abnormalities, and chest expansion; percussing areas to identify dullness and resonance; and auscultating in a ladder pattern during inhalation and exhalation.

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    Chest&Lungs 2020

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    This document provides a rating scale for examining a patient's chest and lungs. It lists 36 specific examination techniques divided into categories such as establishing rapport, identifying landmarks, inspection, palpation, percussion, and auscultation. For each technique, the student is rated on a scale of 0 to 3 based on whether they completed it correctly, incompletely, or incorrectly/incompletely. The full examination includes inspecting for deformities, retractions, and movement impairments; palpating for tender areas, abnormalities, and chest expansion; percussing areas to identify dullness and resonance; and auscultating in a ladder pattern during inhalation and exhalation.

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    © All Rights Reserved
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    4 views2 pages

    3 2 1 0 Remarks: Rating Scale For Examination of Chest and Lungs

    Uploaded by

    christine porras
    This document provides a rating scale for examining a patient's chest and lungs. It lists 36 specific examination techniques divided into categories such as establishing rapport, identifying landmarks, inspection, palpation, percussion, and auscultation. For each technique, the student is rated on a scale of 0 to 3 based on whether they completed it correctly, incompletely, or incorrectly/incompletely. The full examination includes inspecting for deformities, retractions, and movement impairments; palpating for tender areas, abnormalities, and chest expansion; percussing areas to identify dullness and resonance; and auscultating in a ladder pattern during inhalation and exhalation.

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    of 2

    Davao Medical School Foundation, Inc

    ARTS AND SCIENCE OF MEDICINE 2

    RATING SCALE FOR EXAMINATION OF CHEST AND LUNGS

    Name of Student: _____________________________________________ Date: __________


    Legend: 3 points = Done COMPLETELY and CORRECTLY
    2 points = Done CORRECTLY but INCOMPLETE
    1 point = Done INCORRECTLY and INCOMPLETE
    0 point= NOT DONE

    A. ESTABLISHING RAPPORT 3 2 1 0 REMARKS

    1. Washes hands before and after


    the examination.
    2. Greets the patient politely
    3. Introduces Self
    4. Asks the patient’s NAME, AGE,
    CIVIL STATUS, OCCUPATION,
    ADDRESS
    5. Explains the
    examination/procedure
    6. Asks the patient’s consent
    B. IDENTIFY THE DIFFERENT LANDMARKS/ AREAS OF THE CHEST
    ANTERIOR CHEST
    7. Head of the Sternum
    8. Sternal angle
    9. Body of the sternum
    10. Xiphoid Process
    11. Midsternal line
    12. Midclavicular line
    13. Anterior Axillary line
    14. Supraclavicular area
    POSTERIOR CHEST
    15. Scapula
    16. Scapular line
    17. Vertebral line
    18. Posterior axillary line
    19. Midaxillary line
    C. EXAMINATION OF CHEST AND LUNGS
    INSPECTION
    20. Makes a brief careful overall
    visual sweep of the entire body.
    Inspects the chest taking note of the
    following:
    21. Deformities / Asymmetry
    22. Abnormal retractions
    Impaired respiratory movement
    (lagging/ delay) on one side
    PALPATION
    Palpates the following:
    23. Tender areas
    24. Assess any observed
    abnormalities (mass/ sinus
    tracts)
    25. Test for chest expansion
    26. Feel for Tactile fremitus
    27. Palpate and compare symmetric
    areas
    PERCUSSION
    28. Able to do percussion from
    interscapular areas to lung
    bases
    29. Able to enumerate conditions
    where dullness, resonant,
    hyperresonant will be
    percussed.
    AUSCULTATION
    30. Instructs the patient to inhale
    and exhale
    31. Auscultates in correct ladder
    pattern (see diagnosis in Bates)

    32. Auscultates in one full inspiration


    & expiration.
    SUMMARY
    33. Explains the result of the
    examination
    34. Advises the patient
    35. Asks the patient for further
    clarifications
    36. Thanks the patient

    Name and Signature of Preceptor__________________________________

    Date__________

    Updated and Revised by: Dr. Gladys Ogatis-Sermon

    Compiled by: Dr. Claire Frances Miyake

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