ASSESSMENT OF THE LUNGS

RISK FACTORS

RISK FACTORS

Age Smoking Exposure to chemicals Air pollution Family hx

MEDICAL HX

CV hx
EENT

Past Medical Hx

Inhalers Steroids ACE inhibitors

Allergies

Food Inhaled allergens Drugs

 Occupation

Occupational & Social

 Pets

Smoking

Family Hx
Cystic fibrosis Emphysema Infectious (TB) Atopic (asthma, hay fever & eczema)

Physical Assessment (I)

General
Respi. Distress Respi. Symptoms Wt. loss

Hands
Finger clubbing Cyanosis Tremor

 Face
Central cyanosis

Neck
Jugular vein pressure Goiter Lymphadenopathy

Chest
Breathing nature: Kussmauls, CheyneStokes

 Pectus carinatum

Pectus excavatum

 Barrel chest

Physical Assessment (Pa)

Tracheal deviation Chest expansion (N=4-5cm) Tactile vocal fremitus
Inc. = consolidation Dec. = effusion/collapse

Physical Assessment (Pe)

Hyperresonance
Pneumothorax

Dull
Collapse, consolidation, pleural effusion

Physical Assessment (A)

Rhonchi/wheeze
Expiratory

Stridor
Inspiratory

Rales/crackles
Pulmonary congestion

Bronchial breathing Pleural rub Whispering pectoriloquy

Agent Factors
Bacterial
TB, pneumonia, bronchitis

Viral
Colds, pharyngitis, influenza

Atypical bacteria rickettsia, chlamydia Hospital-acquired Foreign substance

Environmental Factors
same

THANK YOU!