MRCP UK EXAMINATIONS

Detailed explanation-1: -Palpation. Palpation is used both as a screening technique and as a means to confirm a specific diagnosis. Light palpation over the entire thorax posteriorly, laterally, and anteriorly will aid in the identification of cutaneous and subcutaneous nodules and the site of previously unsuspected tenderness.

Detailed explanation-2: -The respiratory examination is normally performed according to Osler’s classic sequence of inspection, palpation, percussion, and auscultation (Table 35.2). All lobes of the lung should be systematically examined. The examiner should be aware of the surface projections of each of the five lobes (Figures 35.1 and 35.2).

Detailed explanation-3: –Advance the fingers around both sides of the chest as far as possible; -Ask the patient to breath in and out as normal. During inspiration the thumbs should move apart (Fig 4); during expiration the thumbs should return together (Fig 5); -Repeat the procedure to check the patient’s posterior chest.