Chest Assessment
Read through the chart for past medical history and reasons for the present admission.
Is the present admission for some other cause other than cardiopulmonary or is this a re-admission for a long standing chronic condition ?
Read the psychosocial history
Look at the x-ray results :
Left Pneumothorax
CWP - Black Lung
Flail Chest
Cancer - Tumor In Right Lung
Read the pulmonary function
Chronic Obstructive Disease
Restrictive Lung Disease
Occupational Lung Disease
Read the blood gas report
Normal Blood Gas Values
Read the bacteriology lab report for any infective organisms
Gram Positive Bacteria :
Gram Negative Bacteria
Briefly review the reports by the various services :
Patient Evaluation
Do they use portable oxygen ?
Physical Exam
Chest measurements - bilateral excursion - rib flare ? - ant/post movement of the chest ?
Double cough ?
Patient’s color ?
Chest deformations ?
Rate & depth of respiration
Can the patient perform self-care ?
Can they walk in the room or out into the hall ?
Does the patient have pitting edema in the lower extremities ?
Patient Case Study # 1
Social History
Family lives in Flagstaff, Az.
Medical History
Medical Findings
Physical Therapy Exam
Oximetry - SaO2 - 86% on 2 L/min as per nasal cannula
Breathing - diaphragmatic
Fever - 102° F
Auscultation Of Thorax
Recommendations ?
Patient Case Study # 2
multiple abrasions and lacerations
Physical Therapy Order :
Medical History :
Physical Therapy Findings
Bronchovesicular breath sounds in the bilateral posterior and lateral basilar bronchopulmonary segments of the bilateral lower lobes
BP at rest = 150/92
Functional Mobility
Email: David.Arnall@NAU.EDU
Home Page: http://jan.ucc.nau.edu/~daa
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