Physical Examination in Respiratory System 3kas4k,形.D
Physical Examination in Respiratory System Zhao Li, M.D
Anterior imaginary lines and landmarks Suprasternalfossa Supraclavicular fossa Infraclavicular fossa Sternal line Parasternalline Anterior midline Midclavicular line epigastric angle
Anterior imaginary lines and landmarks epigastric angle Infraclavicular fossa Anterior midline Suprasternal fossa Supraclavicular fossa Sternal line Parasternal line Midclavicular line
Lateral imaginary lines Posterior axillary line Anterior axillary line Midaxillary line (RMAL
Lateral imaginary lines Anterior axillary line Midaxillary line Posterior axillary line
Posterior imaginary lines and landmarks Suprascapular region Interscapular region Infrascapular region Scapular line Posterior midline
Posterior imaginary lines and landmarks Scapular line Posterior midline Infrascapular region Interscapular region Suprascapular region
Anterior view of lobes RUL r RML
Anterior view of lobes
Posterior view of lobes RUL LUL LLL RLL
Posterior view of lobes
Right lateral view of lobes RUL 4th Rib RLL RML 6th Rib
Right lateral view of lobes
Left lateral view of lobes LUL LLL 6th Rib
Left lateral view of lobes
Thoracic deformity Kyphosis
Thoracic deformity Pectus excavatum Barrel chest Kyphosis
Inspection 1. Respiratory movement Abdominal breathing:male adult and child Thoracic breathing:female adult Respiratory rate:16-18 f/min ■ Tachypnea:>20 f/min ■ Bradypnea:<12 f/min Shallow and fast respiratory muscular paralysis,elevated intraabdominal pressure,pneumonia,pleurisy Deep and fast Agitation,intension Deep and slow Severe metabolic acidosis(Kussmaul's breathing)
Inspection 1. Respiratory movement ◼ Abdominal breathing: male adult and child ◼ Thoracic breathing: female adult 2. Respiratory rate: 16-18 f/min ◼ Tachypnea: >20 f/min ◼ Bradypnea: <12 f/min ◼ Shallow and fast respiratory muscular paralysis, elevated intraabdominal pressure, pneumonia, pleurisy ◼ Deep and fast Agitation, intension ◼ Deep and slow Severe metabolic acidosis (Kussmaul’s breathing)