How to do a respiratory exam for an OSCE

When doing an exam for the osce, it is important to have a routine.
Here is one. In this routine the following will always be commented on.

The routine for resp

Wash hands
Introduce
Consent + Explanation
Explanation of talking to examiner (explaining this to the patient)
Pain

Observe from end of bed
Look around
Look at patient
Comfort
Well perfused
Alert
Orientated
Hands

Peripheral cyanosis
Tar staining
Clubbing
Palmar creases
Hypothenar wasting
Tender wrists

Arms
Pulse
Resp rate
CO2 retention flap
BP

Face
Conjuctival palor
Horner's syndrome
Central cyanosis

Neck
JVP
Trachea
Deviation
Cricosternal distance
Tracheal tug
(Come back and get your lymph nodes)

Chest
Inspect
Type of breathing
Paradoxical chest movements
Apex beat
Chest expansion
TVF
Percuss
Ascultate
Vocal resonance

Back
Check lymph nodes
Check for chest expansion
TVF
Percuss
Vocal resonance
Ascultate
Sacral oedema
Legs
Ankle oedema
To complete

O2 sats, temp, obs, sputum pot, PEFR

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