Respiratory stuff coming when I get round to it.
A good website for respiratory examination with videos. Happily not American, made by UK medical students for medical students.
http://geekymedics.com/osce/respiratory-examination-2/
LUNG LOBES
I think these are most easily understood on Xrays, which show all the ribs too. Plus you will be looking at these for the rest of your life!
RESPIRATORY SOUNDS – CLICK (then another click) TO PLAY
EXAMINATION OF NECK LYMPH GLANDS
Examine in a Z-shape, starting at the point of the chin. Students always seem a bit vague about their location, and this picture might help.
CHEST EXPANSION TEST
Some students never seem to quite get this, and I don’t get why not.
All you are doing is working out if the chest expands fully and equally. An easy way to do this is to put your hands on either side of the chest and see if they move apart on inspiration. That’s it.
It’s easier if you put your thumbs out, nearly touching – more or less like pointers.
So obviously the thumbs don’t sit on the chest, but the fingers do: here is a picture of what I mean. Look at the arrow – thumbs off the chest wall:
