This document outlines the process for clinically examining the respiratory system. It involves general examination of the patient including vital signs and checks for cyanosis, jaundice, or edema. Examination of the chest includes inspection of size and movements, palpation of the chest wall and organs, and auscultation of breath sounds, vocal resonance, and additional sounds in different areas of both lungs. Specific areas of the lungs are examined through percussion and listening.

1. CLINICAL EXAMINATION OF THE
RESPIRATORY SYSTEM
• Name : age: sex:
• Occupation: address:
• GENERAL EXAMINATION:
• Body built/nourishment:
• Anaemia: vital signs:PR
• RR
• T 0
• BP
•
• Cyanosis:
• Jaundice:
• Clubbing:
• Edema:
• Lymph node enlargement:

2. EXAMINATION OF THE CHEST
• INSPECTION:
• Size and shape of chest:
• Position of trachea:
• Apical impulse:
• Movement of chest wall:
• Respiratory movements
• rate:
• Rhythm:
• Types of respiration:

3. • PALPATION
• Position of trachea:
• Apex beat:
• Movement of chest wall:
• Expansion of chest wall:
• Vocal fremitus:

4. • VOCAL FREMITUS
AREA RIGHT LUNG LEFT LUNG
Supra clavicular
Infra clavicular
Mammary
Infra Mammary
Supra scapular
Infra scapular
Inter scapular
Axillary
Infra Axillary

5. • PERCUSSION
AREA RIGHT LUNG LEFT LUNG
Supra clavicular
Infra clavicular
Mammary
Infra Mammary
Supra scapular
Infra scapular
Inter scapular
Axillary
Infra Axillary

6. • AUSCULTATION : (i)BREATH SOUND
AREA RIGHT LUNG LEFT LUNG
Supra scapular
Infra scapular
Mammary
Infra Mammary
Supra clavicular
Infra clavicular
Inter scapular
Axillary
Infra Axillary

7. • (ii)VOCAL RESONANCE
AREA RIGHT LUNG LEFT LUNG
Supra clavicular
Infra clavicular
Mammary
Infra Mammary
Supra scapular
Infra scapular
Inter scapular
Axillary
Infra Axillary

8. • (iii)Added breath sounds
• OBSERVATION: