Summary of Respiratory Examination | OSCE Guide (Latest) | UKMLA | CPSA | PLAB 2

Summary of Main Ideas, Concepts, and Lessons

The video is a guide on conducting a respiratory examination, presented by a final-year medical student named Andrew. The examination is demonstrated through a simulated patient interaction, providing a clear step-by-step methodology. The main points covered in the video include:

• Introduction to the Examination:
  • The examiner introduces themselves and verifies the patient's identity.
  • Explains the process of the respiratory examination to the patient.
• Initial Assessment:
  • Observes the patient's hands and assesses temperature.
  • Checks the pulse and examines the face and eyes.
• Chest Examination:
  • Inspects the chest by feeling the position of the windpipe.
  • Assesses chest expansion through a deep breathing exercise.
  • Taps on the chest to check for any abnormalities.
• Auscultation:
  • Listens to the chest with a stethoscope while the patient breathes deeply and says "ninety-nine" to assess lung sounds.
• Neck and Back Examination:
  • Checks for any glands in the neck.
  • Reassesses chest expansion and listens to the back.
• Completion of Examination:
  • The examiner summarizes the findings, noting that the patient shows no signs of respiratory disease.
  • Suggests measuring oxygen saturation and sending off a sputum sample for further analysis.

Methodology/Instructions

• Patient Interaction:
  • Verify patient identity (name and date of birth).
  • Explain the procedure and obtain consent.
• Physical Examination Steps:
  • Hand Inspection:
    • Ask the patient to show their hands, turn them over, and bring fingernails together.
  • Temperature and Pulse Check:
    • Assess temperature by feeling the arms and check the wrist pulse.
  • Face and Eye Examination:
    • Inspect the face and pull down the lower eyelid; ask the patient to open their mouth and lift their tongue.
  • Chest Inspection:
    • Ask the patient to lift their arms and check the windpipe position.
    • Assess chest expansion by placing hands around the chest and asking for deep breaths.
  • Percussion:
    • Tap on the chest to evaluate sound quality.
  • Auscultation:
    • Listen to the chest while the patient breathes deeply and repeats "ninety-nine."
  • Neck Examination:
    • Check for any swollen glands.
  • Back Examination:
    • Assess chest expansion again and listen to the back.
    • Press on the lower back and inquire about any pain in the calves.
• Final Steps:
  • Summarize findings and suggest additional tests (oxygen saturation and sputum sample).

Speakers/Sources Featured

• Andrew: Final year medical student and examiner.
• James Alexander: Simulated patient.

Notable Quotes

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Category

Educational

Video