Inspection
- shape / symmetry
- scars / irradiation
- respiratory movement
Palpation
- tenderness / lumps / subcutaneous emphysema (AB)
- chest movement
- vocal fremitus
Percussion
Auscultation
- breath sounds ± added sounds
- vocal resonance
Other
- JVP
- liver
- legs
- ENT
- temperature
- CXR
- FET (forced expiratory time) ≤ 3 seconds
Respiratory Examination – undressed to waist / sit over edge of bed:
Environment / general impression
- respiratory distress
- cyanosis
- wheeze, stridor, hoarseness
cough / sputum
hands
- wasting, weakness, tremor
- clubbing (HPO)
- nicotine staining
- ∗Pulse
- ∗Nodes
face
- Horner’s syndrome
- central cyanosis (tongue)
- signs of URTI, dental caries
- JVP
- trachea
