COPD Physical Exam OSCE Prep
Автор: Evan Graham
Загружено: 2020-11-23
Просмотров: 4134
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Chronic obstructive pulmonary disease physical exam summary- Royal College Review:
1. Appearance: Pink puffer (1° emphysema) – thin, non- cyanotic at rest with prominent use of accessory muscles
Blue bloater (1° bronchitis) – heavy & cyanotic
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Smell of cigarettes, yellow stains on nails
2.Vitals- Tachycardia – may be irregular (MAT, AF)
Tachypnea
Hypoxemia
, pulsus paradoxus
3. Inspection- Barrel chest, Harrisons groove, tripod
4. Percussion- Right upper anterior chest, cardiac silhouette
5. Palpation- laryngeal height, subxyphoid cardiac impulse, Hoover's sign
6. Auscultate- Wheeze ronchi
7. Special test- forced expiratory time, match test
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