Wasting of the intrinsic muscles may also be palpated, what is it a sign of?
Next: check for
And then: check
check for:
and
a bounding pulse indicates
check also for:
Next:
Inspect eyes for:
Inspect lips and tongue for:
Next:
Inspect for:
And?
Next (palpation)
Next: (palpation)
Next palpation contd:
(may also then perform tacticle vocal fremitus) Otherwise, next:
all areas, including axillae, clavicles and supraclavicular areas: resonant (hyperexpanded/pneumothorax), dull(consolidation/liver), stony dull (effusion)
Then,
Listen for breath sounds which may be:
or
and added sounds such as:
wheeze: inspiratory/expiratory, polyphonic/monophonic. Crackles: early vs late/pan-inspiratory, fine vs coarse
or
Next: test for
increased with consolidation
Finally, repeat chest expansion, percussion,ausculation and vocal resonance from the back, Thank the patient, offer to help them put their clothes back on and wash your hands! Comp
and
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