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Chest examination.
Start ur examination with introduce ur self to the pt and take permision , explain examination,exposure all upper limb .
Start with inspection.
No scars no chest deformity chest looks symetrical ,ask pt to take deep breath and commnt equal chest movment and chest move with respiration,
Palpitaion.
Do ur chest expantion and do ur tactile focal fremitis .
Percussion.
Auscultation.
Now u have to comment on type of breathing and added sound.
Note
..If u put setescope and u hear ronchi so u comment
on type of breathing vsicular breathing with prolonged expirationn
.... if u hear crepitation so ur comment on type of brathing bronchial breathing.
From previouse we understand that only 2 added sounds u will hear
1- ronchi ur comment here
Deacrese in air entry bilateral and type of breathing vesicular breathing with prolonged expiration.
2- crepitation ur comment here
Decrease in air entry bil with bronchial breathing and crepitation in ( u mention the area where u heared the crepitation.
BY Clinical skills 44
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