Please examine this ladys cardiovascular and respiratory systems and present your findings as you go along. The respiratory examination involves an assessment of how a patients lungs are functioning. Ribs appearing horizontal at an angle greater than 45 degrees with the spinal column are frequently the result of an increased ratio between the anteroposterior transverse diameter barrel chest. Respiratory problems may be caused by disorders of other symptoms and so it may be appropriate to refer also to the separate cardiovascular history and examination and ear, nose and throat examination articles.
Briefly explain to the patient what the examination involves. Initial physical examination is a vital clue to the underlying disease, although the physical examination may be more useful in localizing the abnormality to a particular part of the respiratory system than in providing a definitive diagnosis. Examination of the head was normal, with no signs to suggest horners syndrome. Objective structured clinical examination nurse practitioners bc college of nursing professionals 3 introduction the clinical examination component of the registration process for nurse practitioners in british columbia is an objective structured clinical examination osce. This is a detailed explanation of the respiratory examination illustrating technique and patient interaction. Macleods clinical examination 14th edition pdf free download. Respiratory stations gastrointestinal stations endocrine stations neurology stations cranial nerve exam ear and eye exams musculoskeletal stations examination of a skin lesion.
Always examine the patient from their right make sure you get consent at the start of the examination, but then you dont need to keep asking the patient again as you do the rest of the examination. You are a junior doctor working on the general medical ward. Mar 03, 2020 for a quick overview of the respiratory system exam, please see the introduction to respiratory exam article. Respiratory examination osce guide old version youtube. An illustrated guide for respiratory system examination. Auscultation listening wstethescope technique stethescope ear pieces directed away from you, diaphragm engaged patient crosses arms, grasping opposite shoulders areas to auscult posteriorly lower lobes 68 places alternate r l as move down comparison ask. Nd daily productive cough for 3 months in 2 consecutive years with chronic excessive sputum production and dyspnea chronic bronchitis.
Jul 05, 20 this video demonstrates clinical examination techniques as described in macleods clinical examination. Respiratory examination checklist university of british. Cardio respiratory examination candidates instructions. Respiratory system history and examination patient.
Ive been asked by the doctor to do a respiratory examination on you today is that okay. I spend ages writing each station and updating the website. Respiratory osce station by jemima robinson st4 respiratory derriford hospital 2. This examination is performed on every patient that is admitted. Respiratory examination inspection palpation percussion auscultation 4. You are going to observe and participate in the clinical encounter of a 17. All exam pages have indepth pathology explanations to ensure a thorough understanding of topics. Respiratory exam checklist respiratory video script. Body habitus well vs unwell looking deptheffort breathing quality of voice hoarse, stridor, wheeze vital signs blood pressure.
Make sure you get consent at the start of the examination, but then you dont need to keep asking the patient again as you do the rest of the examination. Dec 23, 2015 respiratory problems may be caused by disorders of other symptoms and so it may be appropriate to refer also to the separate cardiovascular history and examination and ear, nose and throat examination articles. Significant hx of smoking, exposure to gases or particulates along with increasing age. Osce stations examination mbbs3 respiratory rotation c respiratory exam respiratory exam september 22. Checklist for respiratory examination undergraduate guide ones in black must do or comment on, ones in blue must comment on only if present or applicable to patient. Simple osce is designed to help students with their osce examinations, providing highquality markschemes. The hand and wrist examination, along with all other joint examinations, is commonly tested on in osces. To complete exam thank patient and cover them to complete my exam, i would like to see an observations chart and do a peak flow summarise and suggest further investigations you would do after a full history. Perfect revision for medical students, finals, osces and mrcp paces. On examination of the neck, the carotid pulse was normal, and the jugular venous pressure was not elevated 4 cm. Respiratory osce stations the medical textbook free. See the article the dos and donts of examining the respiratory system. Macleods examination of the respiratory system youtube. Mr chevnet has attended the outpatient department, complaining of a dry cough and shortness of breath.
To print or pdf mark sheets click the title to view and click on. Full text the full text of this article is available as a pdf. Louie examination osce items general inspection abcs distressed. A collection of respiratory osce guides, such as respiratory examination, with included video demonstrations. Respiratory examination archives oxford medical education. Respiratory examination osce guide new release youtube. Respiratory examination questions oxford medical education. Ear, nose and throat examination documentation clinical. Oscemppc, cp osce mppc measured respiratory rate at least 30 sec head, nose throat examined headhair osce performed inspection of nasal vaults hd performed inspection of oral cavity eyes osceinspected conjunctiva palpebral and bulbar checked pupillary response to light hd.
Integrated parts of a cardiovascular examination learn with flashcards, games, and more for free. Physical examination of the respiratory system sciencedirect. Respiratory study guide respiratory examination write up normal respiratory examination write up abnormal. Respiratory exam includes examination of the hands, face, neck, chest, back, lymph nodes and periphery. Rch staff may access the rch intranet by using the staff portal. It is one of the key clinical examinations of osce. Content in blue should be in back of your mind so say when you are practicing but not during exam unless seen on the patient in the exam.
Nov 30, 2011 full respiratory exam see also pdf resources. I will be accompanying you through examination of the respiratory system in a cooperative child. Inability to get air out, barrel chested, hypertrophic accessory respiratory muscles emphysema ae complains of worse than normal cough with sputum production and dyspnea. Ms mccarthy is a 70 yearold lady who has been admitted with shortness of breath and fatigue. Discussion of treatment options and informed consent obtain informed consent from a patient. Respiratory examination guide mrcpch clinical exam revision. This video produced by students at oxford university medical school demonstrates how to perform an examination of the respiratory system. Ring introduction hello and welcome to the respiratory module. Any paediatric osce will also be testing your communication skills with children, and your ability to adapt your examination to the childs understanding and. The four steps of the respiratory exam are inspection, palpation, percussion, and auscultation of the lungs.
Expect colored sputum as a result of an infection causing the exacerbation, but not required. Hand and wrist examination musculoskeletal osce skills. Chronic respiratory conditions can cause signs and stigmata that may be picked up in an osce examination. Youll be expected to pick up the relevant clinical signs using your examination skills. Like most examination, it is a systemic examination that looks for signs of respiratory compromise such as breathlessness, chest pain, haemoptysis or wheeze. For a quick overview of the respiratory system exam, please see the introduction to respiratory exam article. Osce examiner checklist developed by faculty members during the pgy 4 academic day 20152016 in family medicine residency program, phcchmc, qatar.
Respiratory exam detailed oxford medical education. The objective structured clinical examination osce. Pulse was regular at x beats per minute, and the respiratory rate was x breaths per minute. The textbook with access to the full set of videos is available at uk. This respiratory examination osce guide provides a step by step approach to examining the respiratory system, with an included video demonstration. The respiratory examination aims to pick up on any respiratory breathing pathology that may be causing a patients symptoms, such as shortness of breath, coughing, and wheezing. Sore throat this video format is designed to help you prepare for objective structured clinical examinations, or osces. Free revision guides, examination videos and common cases for the mrcpch clinical exam from the london school of paediatrics trainees committee. Applied examination objective structured clinical examination osce content outline expanded each osce scenario will address one of the following skills. Respiratory examination frequently appears in osces. Respiratory exam osce stations the medical textbook.
See the written guide alongside the video here this video provides a guide to respiratory. Body habitus well vs unwell looking deptheffort breathing quality of voice. Sep 22, 2015 osce stations examination mbbs3 respiratory rotation c respiratory exam respiratory exam september 22, 2015 examination mbbs3 respiratory rotation c print pdf. This examination will consist of me having a general inspection, then having a look at your hands mouth and chest and then having a listen to your chest. Respiratory examination and questions for medical student exams, finals, osces and mrcp paces. General examination before doing the examination of the respiratory system, a general examination relevant to the respiratory system should be carried out. See the written guide alongside the video here respiratoryexamination2 this video provides a guide to respiratory.
Respiratory osce station by jemima robinson st4 respiratory derriford hospital. Osce content outline american board of anesthesiology. A respiratory examination, or lung examination, is performed as part of a physical examination, in response to respiratory symptoms such as shortness of breath, cough, or chest pain, and is often carried out with a cardiac examination. Respiratory examination inspection palpation percussion auscultation.
You should ensure you are able to perform this confidently. Common conditions include chest infections, asthma and chronic obstructive pulmonary disease copd. This video provides a guide to respiratory examination, including realtime auscultation sounds of common pathology such as. A stepbystep guide to performing a respiratory examination in an osce setting, with an included video demonstration. Alright, now in this part of the article, you will be able to access the free pdf download of macleods clinical examination 14th edition pdf using our direct links mentioned at the end of this article. A systematic guide to physical diagnosis 7th edition degowins diagnostic examination 10th edition pdf clinical examination essentials degowins diagnostic examination 10th edition history and clinical examination at a glance 3rd edition clinical examination essentials. Respiratory examination clinical skills teaching and. The respiratory examination introduction introduce yourself wash hands briefly explain to the patient what the examination involves position the patient at 45 degrees general inspection respiratory distress pain cachetic the hand and arm tar staining clubbing radial pulse respiratory rate the neck and face. Introduce yourself to the patient and obtain informed consent. Feb 26, 2018 this video provides a guide to respiratory examination, including realtime auscultation sounds of common pathology such as.
Respiratory examination respiratory osce skills medistudents. Full text the full text of this article is available as a pdf 98k. This condition barrel chest is commonly the result of emphysema due to hyperinflation of the lungs. The cardiovascular examination introduction introduce yourself wash hands briefly explain to the patient what the examination involves general inspection evidence of distress or breathlessness the hands and arms nails and finger tips clubbing peripheral stigmata of infective endocarditis tar staining. Common respiratory examination exam questions for medical finals, osces and mrcp paces click on the the example questions below to reveal the answers. In osces you should simply indicate to the examiner that at this point you would like to. Please examine mr phillips respiratory system and comment on your findings. It is one of the key clinical examinations of osce finals. Osce mppc measured respiratory rate at least 30 sec head, nose throat. You are a junior doctor working on a general medical ward. Respiratory study guide respiratory examination write up normal respiratory examination. There are however thoughts that phrases such as toy boat or blue balloon which may be more appropriate. Developing a bank of osce stations before the stations are added to the bank they need to go clinical examination objective structured clinical examination.
On examination of the hands, there were no nail changes or observable tremors. Clinical examination of the respiratory system is carried out to assess the functional status of the respiratory tract and lungs. Print pdf if theres any errors just leave a comment and it will be fixed asap. Common respiratory examination exam questions for medical finals, osces and mrcp paces click on the the example questions below to reveal the answers question 1. Check the patient is not in any pain or discomfort and ensure heshe is positioned correctly, ideally with the chest fully exposed this may cause. To complete exam thank patient and cover them to complete my exam, i would like to see an observations chart and do a peak flow summarise and suggest further investigations you would do after a.