Complete a physical assessment of the Respiratory

Complete a physical assessment of the Respiratory System on 55 year old patient with asthma, chronic dyspnea, and orthopnea who is using BiPAP at bedtime. Assess thoracic expansion by standing behind patient, placing thumbs on either side of spine at T9 and T10. Ask patient to take a deep breath. Note movement — should be symmetrical bilaterally. Percuss. Have the patient exhale completely and hold his breath. Air filled lungs sound hollow, low pitch and long in durations. Percuss for diaphragmatic excursion on each side of the posterior thorax. The sound will become dull at the diaphragm. Auscultate the chest posteriorly bilaterally.

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