中国医科大学：《诊断学》课程教学课件（PPT讲稿）Physical Examination in Respiratory System

Physical Examination in Respiratory System 3kas4k,形.D

Physical Examination in Respiratory System Zhao Li, M.D

Anterior imaginary lines and landmarks Suprasternalfossa Supraclavicular fossa Infraclavicular fossa Sternal line Parasternalline Anterior midline Midclavicular line epigastric angle

Anterior imaginary lines and landmarks epigastric angle Infraclavicular fossa Anterior midline Suprasternal fossa Supraclavicular fossa Sternal line Parasternal line Midclavicular line

Lateral imaginary lines Posterior axillary line Anterior axillary line Midaxillary line (RMAL

Lateral imaginary lines Anterior axillary line Midaxillary line Posterior axillary line

Posterior imaginary lines and landmarks Suprascapular region Interscapular region Infrascapular region Scapular line Posterior midline

Posterior imaginary lines and landmarks Scapular line Posterior midline Infrascapular region Interscapular region Suprascapular region

Anterior view of lobes RUL r RML

Anterior view of lobes

Posterior view of lobes RUL LUL LLL RLL

Posterior view of lobes

Right lateral view of lobes RUL 4th Rib RLL RML 6th Rib

Right lateral view of lobes

Left lateral view of lobes LUL LLL 6th Rib

Left lateral view of lobes

Thoracic deformity Kyphosis

Thoracic deformity Pectus excavatum Barrel chest Kyphosis

Inspection 1. Respiratory movement Abdominal breathing:male adult and child Thoracic breathing:female adult Respiratory rate:16-18 f/min ■ Tachypnea:>20 f/min ■ Bradypnea:<12 f/min Shallow and fast respiratory muscular paralysis,elevated intraabdominal pressure,pneumonia,pleurisy Deep and fast Agitation,intension Deep and slow Severe metabolic acidosis(Kussmaul's breathing)

Inspection 1. Respiratory movement ◼ Abdominal breathing: male adult and child ◼ Thoracic breathing: female adult 2. Respiratory rate: 16-18 f/min ◼ Tachypnea: >20 f/min ◼ Bradypnea: <12 f/min ◼ Shallow and fast  respiratory muscular paralysis, elevated intraabdominal pressure, pneumonia, pleurisy ◼ Deep and fast  Agitation, intension ◼ Deep and slow  Severe metabolic acidosis (Kussmaul’s breathing)