CARDIO RESPIRATORY ASSESSMENT
CARDIO-RESPIRATORY ASSESSSMENT
CARDIO-RESPIRATORY ASSESSSMENT
Before starting any treatment for a patient with a chest condition, the Physiotherapist should carry out an Assessment.
Before starting any treatment for a patient with a chest condition, the Physiotherapist should carry out an Assessment.
[I] GENERAL ASSESSMENT
[I] GENERAL ASSESSMENT
§ MEDICAL NOTES
§ MEDICAL NOTES
Name ---- Age ---- Sex ---- Occupation ----
Name ---- Age ---- Sex ---- Occupation ----
§ SOCIAL HISTORY
§ SOCIAL HISTORY
Married / Unmarried ---- Hobbies -----
Married / Unmarried ---- Hobbies -----
§ FAMILY HISTORY
§ FAMILY HISTORY
Allergy ---- Hay fever---- Skin problems----
Allergy ---- Hay fever---- Skin problems----
§ MEDICAL HISTORY
§ MEDICAL HISTORY
Ø PAST
Ø PAST
§ Operations
§ Operations
§ Accidents
§ Accidents
§ Rheumatic fever
§ Rheumatic fever
§ Pulmonary TB
§ Pulmonary TB
Ø PRESENT
Ø PRESENT
§ Current Medications
§ Current Medications
[II] SPECIFIC ASSESSMENT
[II] SPECIFIC ASSESSMENT
§ Dyspnea [ ]
§ Dyspnea [ ]
§ Orthopnoea [ ]
§ Orthopnoea [ ]
§ Wheeze [ ]
§ Wheeze [ ]
§ Cough [ ]
§ Cough [ ]
§ Sputum [ ]
§ Sputum [ ]
§ Pain [ ]
§ Pain [ ]
[III] CHEST ASSESSMENT
[III] CHEST ASSESSMENT
§ Deformities
§ Deformities
Ø Congenital
Ø Congenital
§ Pectus Carinatum
§ Pectus Carinatum
§ Pectus Excavatum
§ Pectus Excavatum
Ø Acquired
Ø Acquired
§ Scoliosis
§ Scoliosis
§ Kyphosis
§ Kyphosis
§ Barrel Chest
§ Barrel Chest
§ Skeletal Mobility
§ Skeletal Mobility
Ø Cervical Spine Mobility
Ø Cervical Spine Mobility
Ø Thoracic Spine Mobility
Ø Thoracic Spine Mobility
Ø Shoulder girdle Mobility
Ø Shoulder girdle Mobility
§ Respiratory Muscles
§ Respiratory Muscles
Ø Primary
Ø Primary
Ø Accessory
Ø Accessory
§ Respiratory Pattern
§ Respiratory Pattern
Ø Upper costal
Ø Upper costal
Ø Lower costal
Ø Lower costal
Ø Thoracic
Ø Thoracic
Ø Abdominal
Ø Abdominal
[IV] OTHER ASSESSMENT
[IV] OTHER ASSESSMENT
Ø Anemia [ ]
Ø Anemia [ ]
Ø Cyanosis [ ]
Ø Cyanosis [ ]
Ø Clubbing [ ]
Ø Clubbing [ ]
Ø Edema [ ]
Ø Edema [ ]
Ø Auscultation [ ]
Ø Auscultation [ ]
[V] MEDICAL INVESTIGATIONS
[V] MEDICAL INVESTIGATIONS
§ Vital signs:
§ Vital signs:
Ø BP
Ø BP
Ø Temperature
Ø Temperature
Ø Pulse
Ø Pulse
Ø Respiration
Ø Respiration
§ X-Ray Chest
§ X-Ray Chest
§ Pulmonary Function Test
§ Pulmonary Function Test
§ Blood Analysis:
§ Blood Analysis:
§ WBC
§ WBC
§ Hemoglobin
§ Hemoglobin
§ Platelet
§ Platelet
§ Prothrombin Time
§ Prothrombin Time
§ Sodium
§ Sodium
§ Potassium
§ Potassium
§ Urea
§ Urea
§ Creatinine
§ Creatinine
§ Blood Gases (pa o2 / pa co2)
§ Blood Gases (pa o2 / pa co2)
PLEXIMETRY (PERCUSSION)
PLEXIMETRY (PERCUSSION)
It consists of setting up vibrations in the chest wall by means of a sharp tap.
It consists of setting up vibrations in the chest wall by means of a sharp tap.
METHOD
METHOD
The middle finger of left hand [pleximeter] is placed in close contact with chest wall in the intercostals space.
The middle finger of left hand [pleximeter] is placed in close contact with chest wall in the intercostals space.
A firm sharp tap is then made by middle finger of right hand [plexor].
A firm sharp tap is then made by middle finger of right hand [plexor].
NOTE
NOTE
1: All areas of chest are percussed (Front / Back / Both Axillae).
1: All areas of chest are percussed (Front / Back / Both Axillae).
2: The Essence of percussion is to compare the “note” with the corresponding part of chest on opposite side.
2: The Essence of percussion is to compare the “note” with the corresponding part of chest on opposite side.