Respiratory Examination – OSCE Guide (New release)

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Hi there my name one of the finally our medical students could I just check your name and date of birth Please sure it’s James Alexander 33 December 1989 nice to meet you James today I’ve been asked to examine your chest this limbo of looking from the end of the bed Feeling different parts of the chest and then listening with the stethoscope at the end would that be okay, that sounds fine brilliant Have you any pain anywhere at all have you any questions about the exam? No okay? Okay, James. We can start the exam now, and I’m just going to start by having a look from the end of the bed James I’d like to start by looking at your hands if you could just bring them up in front of you, please Them over Fingernails together like this for me And again if you could just bring your arms out in front of you, I’m just going to assess the temperature of your arms Could bring your arms out in front of you like this and keep them there And cocky wrists back James and keep him there And relax, and I like to feel the pulse in your wrist Could you just turn your head to the left for me And bring your head back gentle now gonna. Have a look at your face nice. Okay. You could just look straight ahead for me And I’m now gonna pull down on your lower eyelid If you could just open your mouth for me I’ll lift your tongue to the roof of the mouth That’s great I’d now like to more closely inspect the chest You could just lift your right arm up for me And your left arm I’m now just going to feel the position of your windpipe. Let me know if it’s too uncomfortable You I’m now going to assess the expansion of the chest We’ll just involve me place my hands around the chest quite tightly then asking you to take a deep breath in Deep breath and out and in and out I Would now like to tap on the chest Gems are not gonna listen to the chest if you could just take some deep breaths in and out through your mouth This time James every time I place my stethoscope on the chest could you say ninety nine for me? 99 99 99 99 99 99 99 99 99 99 James if you could now sit forward for me, I’d like to examine for any glands in the neck I’m just going to more closely look at you back now Like before James I’d like to examine for chest expansion now So this will just involve me putting my hands tightly around the chest again and asking you to take a deep breath in Deep breath and out and in and out James I’m now gonna tap on your back if you could just fold your arms for me Gems are now gonna listen to your back if you could just keep your arms folded And breathe in and out through your mouth for me And now if you could say 99 for me 99 99 99 99 99 99 99 99 99 99 And I’m now just gonna press on your lower back You Let me know if you have any pain in your calves James that completes the examination, thank you very much, you can now get dressed In summary I spiritually exam on James a 27 year old male James had no peripheral stigmata of respiratory disease his pulse was regular, and he had a normal respiratory rate James had a normal and symmetrical percussion note on the front and back of the chest on auscultation James had normal vesicular breathing with no added sounds This was a normal respiratory exam to complete the respiratory exam I’d like to measure James’s oxygen saturations And also send off a sputum sample You

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