Full sequence: several maneuvers combined into one smooth exam
Full Sequence
Respiratory Exam: Full Sequence
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Video coming soon
This video shows one approach to combining several maneuvers of the respiratory exam into a smooth, logical sequence, ordered by patient positioning and gowning. Each maneuver's technique, findings, and evidence are on its own page, linked below.
Maneuvers in This Sequence
🎬Video coming soon
Bronchophony
aka Vocal resonance
Rule in:HPleural Effusion, IEAtelectasis, IEPneumonia
Rule out:SHPleural Effusion, IEAtelectasis, IEPneumonia
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Chest and Respiratory Inspection
Rule in:VHMitral Valve Prolapse, HPleural Effusion, HReduced Left Ventricular Ejection Fraction +11 more
Rule out:HRespiratory Neuromuscular Weakness, SHChronic Obstructive Pulmonary Disease, SHPleural Effusion +12 more
🎬Video coming soon
Chest Percussion
Rule in:HChronic Obstructive Pulmonary Disease, HPleural Effusion, SHCardiomegaly +10 more
Rule out:VHCardiomegaly, NHChronic Obstructive Pulmonary Disease, ICLeft Ventricular Dilation +10 more
🎬Video coming soon
Chest Wall Palpation
Rule in:HPleural Effusion, NHAcute Coronary Syndrome, NHPulmonary Embolism +1 more
Rule out:SHAcute Coronary Syndrome, SHPleural Effusion, NHPulmonary Embolism +1 more
🎬Video coming soon
Egophony
Rule in:HPneumonia, IEAtelectasis, IEPleural Effusion
Rule out:NHPneumonia, IEAtelectasis, IEPleural Effusion
🎬Video coming soon
Hand Inspection
Rule in:HHepatopulmonary Syndrome, HHypoxemia, SHCrohn Disease +17 more
Rule out:SHHepatopulmonary Syndrome, SHOsteoarthritis, MHAnemia +17 more
🎬Video coming soon
Lung Auscultation
Rule in:VHChronic Obstructive Pulmonary Disease, VHPneumothorax, HMainstem Bronchus Intubation +29 more
Rule out:VHChronic Obstructive Pulmonary Disease, HPleural Effusion, SHInterstitial Lung Disease +28 more
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Oxygen Saturation
aka Pulse oximetry
Rule in:HMortality, SHPneumonia, MHCardiac Tamponade +8 more
Rule out:ICCardiac Tamponade, NHHepatopulmonary Syndrome, NHMortality +8 more
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Pulsus Paradoxus
aka Paradoxical pulse
Rule in:SHAsthma Exacerbation, SHCardiac Tamponade, IEChronic Obstructive Pulmonary Disease Exacerbation +2 more
Rule out:VHCardiac Tamponade, SHAsthma Exacerbation, IEChronic Obstructive Pulmonary Disease Exacerbation +2 more
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Respiratory Rate
Rule in:HReduced Left Ventricular Ejection Fraction, SHCardiopulmonary Arrest, SHPneumonia +10 more
Rule out:MHCardiopulmonary Arrest, MHPulmonary Embolism, NHPneumonia +10 more
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Schamroth Sign
aka Schamroth window test
Rule in:HDigital Clubbing
Rule out:HDigital Clubbing
🎬Video coming soon
Tactile Fremitus
aka Vocal fremitus
Rule in:HPleural Effusion, IEAtelectasis, IEChronic Obstructive Pulmonary Disease +3 more
Rule out:SHPleural Effusion, IEAtelectasis, IEChronic Obstructive Pulmonary Disease +3 more
🎬Video coming soon
Whispered Pectoriloquy
Rule in:IEPneumonia
Rule out:IEPneumonia