Respiratory Examination | OSCE Guide (Latest) | UKMLA | CPSA

Geeky Medics2 minutes read

Andrew, a medical student, performs a thorough chest examination on James, including assessing his hands, arms, face, eyes, chest, neck, and back, checking for pain in the calves, and planning further tests. The examination reveals a normal respiratory exam with no abnormalities detected, leading Andrew to plan oxygen saturation measurements and a sputum sample collection.

Insights

  • Andrew, the medical student, performs a thorough chest examination on James, including checking his pulse, chest expansion, and listening to his chest while instructing him to say "ninety nine," ultimately finding no abnormalities.
  • Following the exam, Andrew plans to measure James' oxygen saturations and send a sputum sample, indicating a proactive approach to further investigation and potential diagnosis.

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Recent questions

  • How does a medical student conduct a chest examination?

    By assessing hands, arms, face, eyes, chest, pulse, chest expansion, tapping, and listening to the chest while instructing the patient to say "ninety nine."

  • What are the steps involved in a respiratory exam?

    The steps include examining the neck, back, lower back, checking for calf pain, measuring oxygen saturations, and sending off a sputum sample.

  • What does a normal respiratory exam entail?

    A normal respiratory exam involves no abnormalities detected during the assessment of hands, arms, face, eyes, chest, pulse, chest expansion, tapping, and listening to the chest.

  • What is the purpose of instructing a patient to say "ninety nine" during a chest examination?

    Instructing the patient to say "ninety nine" helps the examiner listen to the chest while using a stethoscope to detect any abnormalities in the respiratory system.

  • How does a medical student check for pain in the calves during an examination?

    A medical student checks for pain in the calves by palpating them to assess for any discomfort or tenderness, which can be indicative of certain medical conditions.

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Summary

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Medical student conducts thorough chest examination

  • The medical student, Andrew, introduces himself to James and proceeds to conduct a chest examination, starting with an assessment of James' hands, arms, face, eyes, and chest.
  • During the examination, Andrew checks James' pulse, inspects his face and eyes, assesses chest expansion, taps on the chest, and listens to James' chest while instructing him to say "ninety nine" each time the stethoscope is placed.
  • Andrew continues the examination by examining James' neck, back, and lower back, checking for any pain in the calves, and concludes that James had a normal respiratory exam with no abnormalities detected. He plans to measure James' oxygen saturations and send off a sputum sample.
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