TERM
“Can you take your gown down?”
I’m going to start with the posterior thorax.
First I’m inspecting for rate and rhythm of
respiration and general respiratory effort.
TERM
“Now take a deep breath in and hold it in.”
Then it should be resonate again, and i will percuss
down until I hit dullness. The distance between the
exhale and inhale should be about 3-5cm and I’m
going to check that it’s equal bilaterally.
TERM
I then move onto the hips, checking
, hip adduction and abduction, knee flexion, internal
and external rotation of the hip. I’ll rotate the
ankles. All of this is done bilaterally.
TERM
Now I’m going to check the axillary lymph nodes.
“Just hang your arm like a doll.”
I’m feeling the pectoral, the subscapular, the deep
central and following the lateral chain to the
epitrochlear. I’m going to do this bilaterally. I
expect the same finding as with the cervical lymph
nodes.
TERM
I’m now going to assess her light touch sensation
(cotton ball)
“Tell me when you feel it touch you.”
, I can now say that her spinothalamic tract is in
tact.
TERM
Now using the diaphragm of the stethoscope I’m
going to ascultate her lung fields in the same 7 spots
that I percussed,
listening for bronchovesicular and vesicular lung
sounds through the lung fields noting any
adventitious breaths. I would have my patient take
a full inhale and exhale at each of these spots
through her mouth, but I’m just going to show the
spots.
TERM
Now I’m going to inspect the auricles for
, legions, especially behind and on top, this is a
common site for skin cancer.
TERM
Now I’m going to percuss in 7 paired spots on the
back,
looking for resonance throughout the lung field.
TERM
“Resist me when I push and pull” (elbows)
“Spread your fingers and dont let me push them
together. Grip my two fingers as hard as you can.
Resist me when I push on your quad. Resist when I
push and pull on your calves and then feet.”
I can now say I can grade her strength 5/5
bilaterally.
“Can you take your gown down?”
I’m going to start with the posterior thorax.
First I’m inspecting for rate and rhythm of
respiration and general respiratory effort.
TERM
“Now take a deep breath in and hold it in.”
Then it should be resonate again, and i will percuss
down until I hit dullness. The distance between the
exhale and inhale should be about 3-5cm and I’m
going to check that it’s equal bilaterally.
TERM
I then move onto the hips, checking
, hip adduction and abduction, knee flexion, internal
and external rotation of the hip. I’ll rotate the
ankles. All of this is done bilaterally.
TERM
Now I’m going to check the axillary lymph nodes.
“Just hang your arm like a doll.”
I’m feeling the pectoral, the subscapular, the deep
central and following the lateral chain to the
epitrochlear. I’m going to do this bilaterally. I
expect the same finding as with the cervical lymph
nodes.
TERM
I’m now going to assess her light touch sensation
(cotton ball)
“Tell me when you feel it touch you.”
, I can now say that her spinothalamic tract is in
tact.
TERM
Now using the diaphragm of the stethoscope I’m
going to ascultate her lung fields in the same 7 spots
that I percussed,
listening for bronchovesicular and vesicular lung
sounds through the lung fields noting any
adventitious breaths. I would have my patient take
a full inhale and exhale at each of these spots
through her mouth, but I’m just going to show the
spots.
TERM
Now I’m going to inspect the auricles for
, legions, especially behind and on top, this is a
common site for skin cancer.
TERM
Now I’m going to percuss in 7 paired spots on the
back,
looking for resonance throughout the lung field.
TERM
“Resist me when I push and pull” (elbows)
“Spread your fingers and dont let me push them
together. Grip my two fingers as hard as you can.
Resist me when I push on your quad. Resist when I
push and pull on your calves and then feet.”
I can now say I can grade her strength 5/5
bilaterally.
