A site for medical students - Practical,Theory,Osce Notes

Examination of the Respiratory System

Inspection ot upper Respiratory tract
Examination of Oral cavity
  • Oral hygiene
  • Dental caries
  • Oral thrush
  • Tonsils.
Examination of Nose
  • Deviated nasal septum
  • Nasal polyps may be seen in- Wegener's granulomatosis, allergic asthma, ABPAS ,cystic fibrosis.
Examination of Pharynx
  • Postnasal drip
  • Lymphoma deposits.
Inspection of Lower Respiratory Tract
All the findings in the clinical examination should be compared on both sides in the following areas:
  • Supraclavicular area
  • lnfraclavicular area
  • Mammary region
  • Axillary region
  • Infraaxillary region
  • Suprascapular region
  • Interscapular region
  • Infrascapular region.
Assessment of Respiratory System
Physical Examination

  • posture, shape, movement, dimensions of chest,flared nostrils, use of accessory muscles, skin color, and rate, depth, & rhythm of respiration


  • respiratory excursion, masses, tenderness


  • flat, dull, resonant, hyperresonant sounds


  • breath sounds, voice sounds, crackles, wheezes