上海交通大学：《诊断学》课程PPT教学课件（英语版）Chapter 25 Physical examination of the chest

Physical examination of the chest 郑翠霞

Physical examination of the chest 郑翠霞

Significance General condition comprehension Confirm history information Specific sign collection for the diagnosis of certain disease infers certain accessory examines Grossly preclude some certain disorders Contribute a relation between the physician and the patient

Significance • General condition comprehension • Confirm history information • Specific sign collection for the diagnosis of certain disease & infers certain accessory examines • Grossly preclude some certain disorders • Contribute a relation between the physician and the patient

Mention of conduction Exposure /warmth / lighting /easy air Inspection, palpation, percussion, auscultation Anterior-lateral-posterior Top-base Comparison: top to base/ left to right

Mention of Conduction •Exposure / warmth / lighting /easy air • Inspection, palpation, percussion, auscultation •Anterior-lateral-posterior Top- base •Comparison: top to base/ left to right

Bone landmark suprasternal notch(胸骨上切迹) clavicle(锁骨) Manubrium sterni(胸骨柄) Sternal angl e(胸骨角) Louis angle suprabdominal angle(腹上角) xiphoid process(剑突) Ribs interspaces scapula(肩胛骨) spinous process棘突 costolspinal angle(肋脊角)

Bone landmark • suprasternal notch(胸骨上切迹) • clavicle（锁骨） • Manubrium sterni(胸骨柄) • Sternal angle(胸骨角) Louis angle • suprabdominal angle(腹上角) • xiphoid process(剑突) • Ribs & interspaces • scapula(肩胛骨) • spinous process(棘突) • costolspinal angle(肋脊角)

Suprot'ernot tch Monwbfym of sternum Clavicle Manubriosternal Fr! nereo"dlse自 UnctIon second intercostal Tr roche sternum Costochondral junchen Midsternal line Contol margin Antorior guillory lin Coatal ongle Midclavicular line

Vertebre prominens Trachea Scppnalez pinots proce d16 gle of copula copor M idsp no e

Vertical lines Anterial middle line(前正中线) Mid- clavicular lines(锁骨中线) Spinal line(后正中线) axillary lines(anterial, middle, posterior) (腋前、中、后线) Scapular lines(肩胛线)

Vertical lines • Anteriol middle line(前正中线） • Mid-clavicular lines（锁骨中线） • Spinal line（后正中线） • axillary lines (anteriol,middle, posteriol) （腋前、中、后线） • Scapular lines（肩胛线）

Anterior axillary line Posterior illary li Midaxillary line Figure 8-1.(C)Anatomy of the chest wall

Natural fossa anatomic region Axillary fossa Supraclavicular fossa Suprasternal fossa Infraclavicular fossa Suprascapular region Infrascapular region Interscapular region

Natural fossa & anatomic region • Axillary fossa • Supraclavicular fossa • Suprasternal fossa • Infraclavicular fossa • Suprascapular region • Infrascapular region • Interscapular region

The boundary of lung pleura Lung apex Upper boundary of the lung Outer boundary Inner boundary Lower boundary Midclavicular line 6th interspace Midaxillary line 8th interspace Inferior line 10th interspace

The boundary of lung & pleura • Lung apex • Upper boundary of the lung • Outer boundary • Inner boundary • Lower boundary: Midclavicular line 6th interspace Midaxillary line 8th interspace Inferior line 10th interspace