THORAX-LUNG EXAM

INSPEKSI ANTERIOR POSTERIOR

Static RR : 38x/min, Hyper RR : 38 x/min, Hyper

pigment (-), spider nevi pigment
(-), Pectoral Muscle atrophy (-), spider nevi (-),
(-), Hemithoraks D=S, ICS Hemithoraks D=S,
Normal, Diameter AP < LL ICS Normal, Diameter AP <
LL

Dynamic Hemitoraks retraction D=S, Hemitoraks retraction D=S,

abdominothorakal breathing, abdominothorakal breathing
(-), muscle retraction of (-), muscle retraction of
breathing (-), breathing(-),
retraction ICS (-) retraction ICS (-)

Palpation Palpable pain(-), tumor (-), Palpable pain (-), tumor (-),
Arcus costae angle < 900, Arcus costae angle < 900,
enlargement of ICS (-), enlargement of ICS (-), Stem
Stem fremitus decrease fremitus decrease

Percussion dullnes dullnes

Auskultation Vesicular (+), Whezzing (-), Vesicular (+), Whezzing (-),

Ronchi at basal (+) Ronchi at basal (+)

Interpretation - Tachypnue
- Decrease sterm fremitus in both lung
- Ronchi at basal in both lung

CARDIAC EXAMINATION

• Inspection : Ictus cordis isnt seen

• Palpation : thrill (-), epigastric pulse (-), parasternal pulse (-), sternal lift (-)

• Percussion : dull sound

- Upper borderline of heart: ICS II left sternal line
- Waist of heart : ICS III left parasternal line
- Lower right borderline of heart : ICS V right sternal line
- Lower left borderline of heart : ICS VI 1 cm lateral from left mid clavicle
line

• Auscultation

 Aortal valve : S1 murmur & S2 standard, additional sound (-)

  Pulmonary valve : S1 murmur & S2 standard, additional sound (-)

 Tricuspid valve : S1 murmur & S2 standard, additional sound (-)

 Mitral valve : S1 & S2 murmur, additional sound (-)

• INTERPRETATION :

Cardiomegaly