The Pulmonary Exam and Lung Sounds - Comprehensive Guide

Dive deep into the core aspects of the pulmonary examination in this comprehensive 31-minute video. Learn to perform a thorough lung exam on primary care patients or those being admitted to the hospital for non-lung related issues. Explore abnormal respiratory patterns, signs of respiratory distress, barrel chest, and clubbing. Master lung auscultation techniques, including the identification of crackles, wheezes, and rhonchi. The video covers inspection of respiratory patterns, anatomy review for auscultation, demonstration of lung auscultation techniques, and interpretation of breath sounds and adventitious sounds. Conclude with valuable clinical pearls and guidance on documenting lung exams. Enhance your physical examination skills with evidence-based information from reputable medical sources, preparing you for OSCEs and clinical practice.

Syllabus

@ Introduction
@ Inspection of the respiratory pattern
@ Remainder of inspection e.g. resp. distress, barrel chest, clubbing
@ Review of lung anatomy for auscultation
@ Demonstration of lung auscultation
@ Lung Auscultation - breath sounds
@ Lung Auscultation - adventitious sounds e.g. crackles, wheezing
@ Concluding clinical pearls & documentation of the lung exam
Hooker EA, O’Brien DJ, Danzl DF, Barefoot JAC, Brown JE. Respiratory rates in emergency department patients. J Emerg Med. 1989;9–132.
McFadden JP, Price RC, Eastwood HD, Briggs RS. Raised respiratory rate in elderly patients: a valuable physical sign. Br Med J. 1982;26–627.
McGee SR. Cheyne-Stokes breathing and reduced ejection fraction. Am J Med. 2013;16–540.
de Mattos WL, Signori LGH, Borges FK, Bergamin JA, Machado V. Accuracy of clinical examination findings in the diagnosis of COPD. J Bras Pneumol. 2009;4–408.
Pierce JA, Ebert RV. The barrel deformity of the chest, the senile lung and obstructive pulmonary emphysema. Am J Med. 1958;–22.
Golub RM. Validity and Reliability of the Schamroth Sign for the Diagnosis of Clubbing. JAMA. 2010;39-161.
Holleman DR, Simel DL. Does the Clinical Examination Predict Airflow Limitation? JAMA. 1995;23-319.
Piinla P, Sovijarvi ARA. Crackles: recording, analysis and clinical significance. Eur Respir J. 1995;39-2148.
Wang CS, et al. Does This Dyspneic Patient in the Emergency Department Have Congestive Heart Failure? JAMA. 2005; 244-1956.