Physical examination of the chest 郑翠霞
Physical examination of the chest 郑翠霞
Significance General condition comprehension Confirm history information Specific sign collection for the diagnosis of certain disease infers certain accessory examines Grossly preclude some certain disorders Contribute a relation between the physician and the patient
Significance • General condition comprehension • Confirm history information • Specific sign collection for the diagnosis of certain disease & infers certain accessory examines • Grossly preclude some certain disorders • Contribute a relation between the physician and the patient
Mention of conduction Exposure /warmth / lighting /easy air Inspection, palpation, percussion, auscultation Anterior-lateral-posterior Top-base Comparison: top to base/ left to right
Mention of Conduction •Exposure / warmth / lighting /easy air • Inspection, palpation, percussion, auscultation •Anterior-lateral-posterior Top- base •Comparison: top to base/ left to right
Bone landmark suprasternal notch(胸骨上切迹) clavicle(锁骨) Manubrium sterni(胸骨柄) Sternal angl e(胸骨角) Louis angle suprabdominal angle(腹上角) xiphoid process(剑突) Ribs interspaces scapula(肩胛骨) spinous process棘突 costolspinal angle(肋脊角)
Bone landmark • suprasternal notch(胸骨上切迹) • clavicle（锁骨） • Manubrium sterni(胸骨柄) • Sternal angle(胸骨角) Louis angle • suprabdominal angle(腹上角) • xiphoid process(剑突) • Ribs & interspaces • scapula(肩胛骨) • spinous process(棘突) • costolspinal angle(肋脊角)
Suprot'ernot tch Monwbfym of sternum Clavicle Manubriosternal Fr! nereo"dlse自 UnctIon second intercostal Tr roche sternum Costochondral junchen Midsternal line Contol margin Antorior guillory lin Coatal ongle Midclavicular line
Vertebre prominens Trachea Scppnalez pinots proce d16 gle of copula copor M idsp no e
Vertical lines Anterial middle line(前正中线) Mid- clavicular lines(锁骨中线) Spinal line(后正中线) axillary lines(anterial, middle, posterior) (腋前、中、后线) Scapular lines(肩胛线)
Vertical lines • Anteriol middle line(前正中线） • Mid-clavicular lines（锁骨中线） • Spinal line（后正中线） • axillary lines (anteriol,middle, posteriol) （腋前、中、后线） • Scapular lines（肩胛线）
Anterior axillary line Posterior illary li Midaxillary line Figure 8-1.(C)Anatomy of the chest wall
Natural fossa anatomic region Axillary fossa Supraclavicular fossa Suprasternal fossa Infraclavicular fossa Suprascapular region Infrascapular region Interscapular region
Natural fossa & anatomic region • Axillary fossa • Supraclavicular fossa • Suprasternal fossa • Infraclavicular fossa • Suprascapular region • Infrascapular region • Interscapular region
The boundary of lung pleura Lung apex Upper boundary of the lung Outer boundary Inner boundary Lower boundary Midclavicular line 6th interspace Midaxillary line 8th interspace Inferior line 10th interspace
The boundary of lung & pleura • Lung apex • Upper boundary of the lung • Outer boundary • Inner boundary • Lower boundary: Midclavicular line 6th interspace Midaxillary line 8th interspace Inferior line 10th interspace