![]() About 90% of diagnostic information will be gained from patient history – therefore examination should only ever be used as a subsidiary! Never just dive in and examine someone without knowing the proper history first.The middle lobe of the lung can only be auscultated from the axilla and back of the patient.Always ask the patient to strip to the waist, even women! Check they feel comfortable, women may want to keep a bra on, and always explain what you are doing, so that they don’t think you are just having a grope!.You may also be asked to palpate the apex beat to see if it has been displaced.Practice lots so you know what normal is. Remember you are always comparing the two lungs. ![]() Make sure you get consent at the start of the examination, but then you don’t need to keep asking the patient again as you do the rest of the examination! You should still explain what you are going to do, but don’t keep asking them if its ok.Always examine the patient from their right.For a quick overview of the respiratory system exam, please see the Introduction to Respiratory Exam article General Instructions
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