lily111
Forum Senior
Topics: 25
Posts: 75
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if i want to examine the anterior chest wall for respiratory check , can i do heart too , instead of examining the posterior chest then again anterior for heart exam? please answer , my exam in few days.
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| egomez2001
Forum Guru
Topics: 51
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I would say yes..., if it´s not a CV or Lung case, I would do it that way.
GL
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| lily111
Forum Senior
Topics: 25
Posts: 75
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oh i mean for a cvs or respiratory cases, what's the difference
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| muzammil
Forum Guru
Topics: 16
Posts: 664
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i wud complete my anterior chest exam first and then move to the back in this way u ask the pt to sit up or lie down once it causes less discomfort to pt and saves time too.
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| egomez2001
Forum Guru
Topics: 51
Posts: 930
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The way I do it:
Respiratory Case: SP sitting-lower gown anterior portion-listen to lung apices then move to back and do inspection-palpation-percussion-auscultation. Then do CV exam with SP sitting.
CV Case: SP sitting-anterior lung auscultation then back (if necessary). Then CV exam with SP sitting and then lying down at this point with SP lying down u can do abd if necessary.
Other than CV or Resp cases: SP sitting anterior lung auscultation and then CV also sitting.
This works for me, this way I focus on 1 system at a time instead of jumping from 1 to another and helps not to forget stuff.
Do whatever works best for u, try this or Muzammil suggestion and then stick with the metod
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| lily111
Forum Senior
Topics: 25
Posts: 75
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EGOMEZ , DO YOU THINK THEY WILL ACCEPT PALPATING AND PERCUSSING ON ONLY ONE SIDE OF THE CHEST( BACK OR ANTERIOR) ON A RESPIRATORY CASE??
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| egomez2001
Forum Guru
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u r right Lily, I´m sorry..., thank u for ur "KIND" response...
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| egomez2001
Forum Guru
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Should do full lung exam on back also
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| lily111
Forum Senior
Topics: 25
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egomez, hold on , isn't the anterior chest examined for respiration while pt is lying and the back while sitting. the cvs on another hand is tested anteriorly while patient sitting and lying,i don't think we should check respiration for anterior chest while pt is sitting.corrct me if i'm wrong.
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| egomez2001
Forum Guru
Topics: 51
Posts: 930
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Check this post:
http://www.prep4usmle.com/forum/comments.php?id=2...
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| egomez2001
Forum Guru
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Posts: 930
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Ok Lily how this sounds:
Respiratory case: Sitting-posterior lung exam then lying-anterior lung exam and cv exam. Then abd if necessary.
CV case: Sitting-posterior lung exam, anterior lung exam, cv then lying-cv 2nd part. Or if u don´t want to do anterior lung while sitting do: Sitting-posterior lung exam, cv then lying-anterior lung exam and cv 2nd part. Then Abd if necessary.
Post ur method.
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| lily111
Forum Senior
Topics: 25
Posts: 75
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i like that egomez, thanx.both are time saving , the only problem is that i'm not sure if they accept us doing respiratory-heart-respiratory again
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| lily111
Forum Senior
Topics: 25
Posts: 75
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if only we can do anterior chest respiratory check while pt is sitting we won't have a problem , just do complete respiratory back and front while sitting then heart while sitting too and then lying for heart
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| lily111
Forum Senior
Topics: 25
Posts: 75
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do you have any resource where they say we can examine the anterior chest for respiratory check while pt is sitting?
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| egomez2001
Forum Guru
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Posts: 930
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Agree with you Lily
Bates (book) mentions that´s better to do ant lung exam lying but you can do it with patient sitting if he´s having SOB or uncomfortable. So I guess we can go ahead and do it that way and also it would be in the cv case so lung exam would not be as relevant as cv exam.
When is your test Lily?
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| lily111
Forum Senior
Topics: 25
Posts: 75
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well, so are you planning to examine chest anetriorly?
mine in houston , next tuesday
can you answer my question about the lachman and drawer test posted earlier.thanx again
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| lily111
Forum Senior
Topics: 25
Posts: 75
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anteriorly
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| chemamr
Forum Hero
Topics: 703
Posts: 4,462
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good luck guys
___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
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| egomez2001
Forum Guru
Topics: 51
Posts: 930
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Yes Lily I´m doing it the way I posted it
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| egomez2001
Forum Guru
Topics: 51
Posts: 930
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Thanks Chema
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