Respiratory Examination – OSCE Guide (New release)

Hi there my name one of the finally our medical students could I just check your name and date of birth Please sure it’s James Alexander 33 December 1989 nice to meet you James today I’ve been asked to examine your chest this limbo of looking from the end of the bed Feeling different parts of the chest and then listening with the stethoscope at the end would that be okay, that sounds fine brilliant Have you any pain anywhere at all have you any questions about the exam? No okay? Okay, James. We can start the exam now, and I’m just going to start by having a look from the end of the bed James I’d like to start by looking at your hands if you could just bring them up in front of you, please Them over Fingernails together like this for me And again if you could just bring your arms out in front of you, I’m just going to assess the temperature of your arms Could bring your arms out in front of you like this and keep them there And cocky wrists back James and keep him there And relax, and I like to feel the pulse in your wrist Could you just turn your head to the left for me And bring your head back gentle now gonna. Have a look at your face nice. Okay. You could just look straight ahead for me And I’m now gonna pull down on your lower eyelid If you could just open your mouth for me I’ll lift your tongue to the roof of the mouth That’s great I’d now like to more closely inspect the chest You could just lift your right arm up for me And your left arm I’m now just going to feel the position of your windpipe. Let me know if it’s too uncomfortable You I’m now going to assess the expansion of the chest We’ll just involve me place my hands around the chest quite tightly then asking you to take a deep breath in Deep breath and out and in and out I Would now like to tap on the chest Gems are not gonna listen to the chest if you could just take some deep breaths in and out through your mouth This time James every time I place my stethoscope on the chest could you say ninety nine for me? 99 99 99 99 99 99 99 99 99 99 James if you could now sit forward for me, I’d like to examine for any glands in the neck I’m just going to more closely look at you back now Like before James I’d like to examine for chest expansion now So this will just involve me putting my hands tightly around the chest again and asking you to take a deep breath in Deep breath and out and in and out James I’m now gonna tap on your back if you could just fold your arms for me Gems are now gonna listen to your back if you could just keep your arms folded And breathe in and out through your mouth for me And now if you could say 99 for me 99 99 99 99 99 99 99 99 99 99 And I’m now just gonna press on your lower back You Let me know if you have any pain in your calves James that completes the examination, thank you very much, you can now get dressed In summary I spiritually exam on James a 27 year old male James had no peripheral stigmata of respiratory disease his pulse was regular, and he had a normal respiratory rate James had a normal and symmetrical percussion note on the front and back of the chest on auscultation James had normal vesicular breathing with no added sounds This was a normal respiratory exam to complete the respiratory exam I’d like to measure James’s oxygen saturations And also send off a sputum sample You

100 comments

  1. Learn clinical skills on the move and support us in producing more awesome videos with the Geeky Medics app: https://geekymedics.com/geeky-medics-app/ πŸ‘ΎπŸ’‰πŸŽ‰

  2. I love your videos! Thank you for the excellent quality production! -med student from Canada πŸ™‚

  3. Of all the videos i have seen on YouTube, you are doing amazing. Keep it up, and good luck for final year exam
    πŸ˜‚πŸ‘

  4. Excellent video! We were taught not to palpate the cervical lymph nodes both at the same time..Do one side and then the other to prevent vasovagal reflex…

  5. There is a LOT of going back and forth for the peripheries on this examination. I personally get them to cock their wrists back and let them stay there whilst i look for peripheral signs.

  6. Thank you Geeky Medics! Your videos are a lot better than Tally videos available on Youtube. I highly recommend watching these videos to osche
    Australian Medical Student WSU

  7. This is awesome, I have enjoyed and learnt something,yesterday I was taught about how to palpate,percuss and auscultate but didn't understand, thanks. Am am first year student doing nursing, from Zambia

  8. Hello I have to have this done soon. I have a blood clot on my lung. So on tablets for this year. Great film to see more info. I'm new to this. I got Ill last week. Many thanks πŸ‘β­

  9. Really awesome and helpful video, thank you very much. Just a small detail about the method of percussing, should not be only the pleximeter finger touching the patient's body?

  10. what is the importance of checking local temperature of the arms and forearms as a part of the respiratory examination?

  11. Just want to clarify… Shouldn't a lobar collapse cause decreased or absent vocal/tactile fremitus instead of increased as there would be an potential space/trapped air within the pleural space with wouldn't allow vibrations to travel as well?

    And why would a tumour also cause increased fremitus? Would this not cause a decrease in fremitus for a very similar reason?

    Love the video by the way just a little bit confused on this portion πŸ˜›

  12. I used to watch your videos always when I was in medical collage until now .. you did a great job with there new vids .. keep going

  13. I'm pretty sure that if you tell the patient that you just gonna observe them at the end of the bed ( for your physical assessment ) isn't a brilliant idea as an examiner because patients in real life is going to be more tense & anxious if you tell them that and it might affect the result of a correct assessment finding especially on the breathing pattern etc….

  14. now try to do all of the respiratory exam + secondary system in less than 5 minutes. (realistic time for Step 2 CS) LOLL

  15. Sorry for the stupid question, I'm from post-USSR contry. Why should we thank patients for examining them? We are doing this for them ,not for us, etc
    Thanks)

  16. A good 'semiology' technique has always been of great importance, even more in the old days before current sophisticated equipping, for a correct diagnosis. Easy to imagine why medical schools in third world countries (low in economical resources) consider it of extreme importance and are very demanding when training students in this field.

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