POM M6 HISTORY MOST COMON CHIEF COMPLAINTS Dyspnea Cough Chest pains Wheezing Hemoptysis

o o

Flaring of ala nasi Perioral cyanosis

THORAX o Congenital deformities PECTUS CARINATUM Pigeons chest

PECTUS EXCAVATUM Depression of chest

HISTORY OF PRESENT ILLNESS Duration o How long has the symptom been present

Skeletal deformities KYPHOSIS

o o o

Barrel chest emphysema Check for symmetry Intercostals retractions

Character Onset o Timing PALPATION

Accompanying signs and symptoms Aggravating conditions/relieving conditions

Swelling Tenderness Fremitus o o Palpable vibrations Tactile and vocal (auscultation)

PAST MEDICAL HISTORY Previous hospitalization Past and current medications Immunizations

Symmetry

FAMILY HISTORY Illness in immediate family Congenital disorders o Autoimmune diseases (asthma)

PERCUSSION at the intercostal spaces normal lungs resonant consolidated lungs dull hyperaeration hyperresonant

PERSONAL/SOCIAL HISTORY Smoking history Occupation Place of residence Diet History of drug use

AUSCULTATION PATHOLOGIC AUSCULTATORY SOUNDS o CRACKLES Pneumonia Caused by movement in medium and small airways

REVIEW OF SYSTEMS o INSPECTION

WHEEZES Asthma Narrowing of airways

NOSE

RONCHI Pneumonia, asthma, pulmonary congestions Movement of fluid/secretions in larger airways

-Rosette Go 090110