1
Q
Questions to ask:
A
Sputum- amount, color, odor
2
Q
Relevant exam
A
Resp
3
Q
Resp
A
- Assess for Respiratory distress Posterior thorax - Inspect - Palpate - Percuss - Asculatate
Anterior thorax
- Inspect
- Palpate
- Percuss
- Ascultate
4
Q
If pneumonia is suspected
A
- egophony
- bronchophony
- whispered pectoriloquy
5
Q
Additional system
A
- ascultate S1 and S2 sound
- assess the oropharynx/inspect septum and nasal passages
6
Q
ROS:
A
fever, headaches, nigh sweats, chest pain, weight loss, SOB
7
Q
Plan
A
CBC Chest CT Sputum culture ECG Bronchoscopy
8
Q
Differentials
A
- Asthma
- COPD
- Pneumonia
- Lung cancer
- Tuberculosis
- Pulmonary edema
- Common cold
9
Q
Common cold
A
- cough
- fever
- sick contact
10
Q
Asthma
A
- mucoid productive cough
- wheezing (worse with cold air)
- intermittent
- SOB
11
Q
COPD
A
- productive cough
- 3 months for 2 years
- smoking
- edema/cyanosis
- barrel chest
12
Q
Pneumonia
A
- pleuritic chest pain
- fever
- chills
- cough with YELLOW sputum
- smoker
13
Q
Lung cancer
A
- worsening cough long term
- SOB
- weight loss
- fatigue
- smoker
14
Q
Turberculosis
A
- worsening cough long term
- night fever and chills
- weight loss
- unprotected sex
- recent contact
15
Q
Pulmonary edema
A
- cough with pink frothy sputum
- cold clammy skin
- SOB worse when lying down
- worsening SOB
OCEX/OCSE
flashcards
Decks in class (6)
# Cards
