Physical Examination of the Chest. RC 275. Chest Topography: Anterior Chest. Chest Topography: Lateral Chest. Chest Topography: Posterior Chest. Fissures:. Location of Lobes. Physical Exam Techniques. Observation Palpation Percussion Auscultation.
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A patient is recently diagnosed with RLL bronchogenic CA. As you enter the room, you see that the patient is on 4 LPM nasal cannula. He appears short of breath with tachypnea and shallow respirations. Chest excursion appears normal except in the RLL. Vocal fremitus is also absent in the RLL. Percussion reveals dullness in the RLL.
A 90 year old male is s/p CVA and has been hospitalized for two weeks. He has begun spiking a temp (101 f). Physical exam reveals an emaciated patient with audible gurgling, rapid shallow respirations, and O2 at 6 LPM via simple mask. There is also a suction machine set up for N-T suctioning. Vocal fremitus is increased in both bases and the trachea is midline.