Respiratory System

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Respiratory System

• Signs and Symptoms of Disease

• Dyspnoea
• Cough
• Chest Pain
• Wheezing
• Finger Clubbing
• Haemoptysis
• Cyanosis
• Physical Assessment

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Health History
Chief reason for seeking help

• Symptom Analysis
• P Precipitating factors
• Alleviating factors
• Q Quality / Quantity - Severity
• R Location / radiation
• S Associated signs / symptoms
• T Time of onset / nature / treatment tried
  
  

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• Risk factors
• Previous / Ongoing illnesses
• Functional aspect How it is interfering with
  the persons ability in usual work family
  activities
• Psychosocial aspect anxiety, family
  relationships, financial problems, emotional
  status

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Dyspnoea

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Breathing Pattern
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Cough

• Dry Irritant cough viral origin
• Cough sputum bronchitis
• Cough at night asthma, left heart failure
• Cough which worsens when supine post nasal drip
• Coughing after food - aspiration

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Sputum Production

• Thick , yellow,green,rust colour bacterial
  infection
• Pink tinged lung tumour
• Pink, profuse,frotty and swells up in throat -
  pulmonary oedema
• Foul smelling lung abcess

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Chest Pain

• IF PRESENT - often described like the stabbing
  of a knife and that it seems to catch on
  inspiration
• pain is felt at the site where the pathology is
  located
• Dull and aching in carcinoma

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Clubbing of fingers
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Haemoptysis
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Cyanosis
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Barrel Chest
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Funnel Chest Pectus Excavatum
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Scoliosis / Kyphosis
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Kyphosis
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Pigeon Chest Pectus Carniatum
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Tracheal Palpation
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Anterior Thorax
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Vertical Reference Points
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Lateral Reference Points
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Lobes of the lung
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Lobes of the lung
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Right Lobes of the lung
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Left lobes of the lungs
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Respiratory Excursion
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Palpation fo the anterior chest
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Palpation of the anterior chest
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Percussion of the anterior chest
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Palpation of the Posterior chest
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Tactile Fremitus
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Percussion of the Posterior Chest
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Anterior Thoracic Percussion
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Posterior Thoracic Percussion
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Diaphragmatic Excursion
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Auscultation of the Chest
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Normal Breath Sounds
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Summary

• Dyspnoea
• Cough
• Chest Pain
• Wheezing
• Finger Clubbing
• Haemoptysis
• Cyanosis
• Physical Assessment

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