1. Respiratory System Week 2 Clinical Skills Year 2 2010

2. Respiratory symptoms Recap

3. Respiratory symptoms What are they?

4. Respiratory symptoms Cough Sputum Haemoptysis Wheeze Hoarseness Chest pain Dyspnoea

5. Respiratory Examination Look Feel Tap Listen

6. Examination of the chest LOOK Inspection: Shape, symmetry, movement, scars

7. Examination of the chest Inspection: Shape, symmetry, movement, scars FEEL Palpation:Trachea, chest expansion, tactile vocal fremitus

8. Examination of the chest Inspection: Shape, symmetry, movement, scars Palpation:Trachea, chest expansion tactile vocal fremitus TAP Percussion:Resonant, hyper-resonant dull, stony dull, cardiac dullness, liver dullness,

9. Examination of the chest Inspection: Shape, symmetry, movement, scars Palpation:Trachea, chest expansion, tactile vocal fremitus Percussion:Resonant, hyper-resonant dull, stony dull, cardiac dullness, liver dullness, LISTEN Auscultation:Air entry BS vesicular or bronchial Added – wheeze, creps, rub, etc

10. Any questions?

11. Examination of the chest Please watch video Start at examination of chest – for about 10 mins

12. Todays Activities Clinical Skills Examination of the Chest Oxygen guidance and administration Consultation Method Process of consultation Consultation Simulation ACTC Simulated outpatient consultation

13. The Four Week Cycle Week 1234 1Consult Methods Clinical Skills Consult Sim ACTC Clinical Skills Group 2Clinical Skills Consult Methods Clinical Skills Consult Sim ACTC 3 Clinical Skills Consult Methods Clinical Skills 4 Consult Sim ACTC Clinical Skills Consult Methods