This Respiratory Examination Explained Clinical Skills Deep Dive video looks at the details of the examination of a respiratory patient, highlighting what is being checked for during special tests and examination findings
In this video, we demonstrate how to perform a clinical examination of the RESPIRATORY SYSTEM for your medical school Clinical Skills OSCE. As the resp exam is sure a core skill when it comes to examining patients, students should assume that a respiratory assessment is a high yield station for any clinical exams or clinical assessments.
For a passing grade in your Clinical Skills OSCE, for resp examination follow the approach of:
Inspection
Palpation
Percussion
Auscultation
HOWEVER, a respiratory examination OSCE station does not just involve auscultating the lungs, this video also demonstrates some of the specialised examination techniques required in examining patients such as tactile vocal resonance, and checking the JVP which may be seen to be elevated in pulmonary hypertension. There are many parts of the respiratory exam, that overlap with the cardiac exam, thus these shared parts could be considered essential for any chest examination and always included as core medical school revision for clinical skills or OSCE prep
Coughs, colds and general concerns about the chest are a common reason for patients to see a doctor, and in any speciality is probably the most commonly performed patient examination
This video has two other respiratory system focused videos associated with it:
• Taking a Respiratory History Clinic... How to take a respiratory history
• How to do the Respiratory Examination... Understanding the techniques of the respiratory examination
Performed by Dr James Gill
Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations the aim is the effectively identify medically relevant signs.
However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination a recognised standard textbook for clinical skills.
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