You are on page 1of 96

Respiratory system

examination
Francesca Cainelli
Department of Internal Medicine
Learning objectives

 Describe the examination sequence of inspection, palpation, percussion and auscultation (and
contemplation).

 Describe how to calculate respiratory rate.

 Describe how to outline the lobes of the lung on the surface of the chest.

 Describe how to examine for expansion of the rib cage.

 Describe how to examine for movement of the diaphragm.

 Describe how to feel for the position of the trachea.

 Describe how to percuss the lungs.

 Describe the mechanism for the generation of lung sounds.

 Describe how to auscultate the lungs.


Chest deformities
• Kyphosis is an anterior curvature of the
spine
Kyphosis
Chest deformities
• Scoliosis is a lateral curvature of the spine
Scoliosis
Kyphoscoliosis
• Note the extent of any such deformities of
the thorax and enquire how this may be
significant in compromising the breathing
mechanics
Finger clubbing
The character of a patient’s
respiration

When the respiratory passages are


obstructed, the normal quiet respiratory
sound is replaced by more or less noising
breathing.

You might also like