OSCE Checklist: Respiratory Examination
Introduction
1 Wash your hands and don PPE if appropriate
2 Introduce yourself to the patient including your name and role
3 Confirm the patient's name and date of birth
Briefly explain what the examination will involve using patient-friendly
4
language
5 Gain consent to proceed with the examination
Postion yorself and the patient ( e.g Adjust the head of the bed to a 45°
6
angle)
7 Adequately expose the patient
8 Ask if the patient has any pain before proceeding
General inspection
Inspect for clinical signs suggestive of underlying pathology (e.g.
9 cyanosis, shortness of
breath, cough, wheeze, stridor, pallor, oedema, cachexia)
Look for objects or equipment on or around the patient (e.g. oxygen
10 delivery devices,
sputum pot, walking aids, medical equipment)
11 Inspect the hands (colour, tar staining, finger clubbing)
Inspection of the chest ( Starting from Anterior chest to
posterior)
12 Assess sign of respiratory distress
13 Inspect for scars and chest wall deformities
14 Assess the respiratory rate
15 Inspect chest expansion( chest lag)
Plapation of the chest
16 Assess tracheal position
17 Assess chest tenderness position
18 Assess chest expansion
19 Assess tactile vocal fremitus
Percussion of the chest
20 Percuss the chest
Auscultation of the chest
21 Ask the patient to breathe deeply in and out through their mouth
Auscultate all appropriate chest wall locations using the diaphragm of
22
the stethoscope
Posterior chest
Introduction
1 Wash your hands and don PPE if appropriate
2 Introduce yourself to the patient including your name and role
3 Confirm the patient's name and date of birth
Briefly explain what the examination will involve using patient-friendly
4
language
5 Gain consent to proceed with the examination
Postion yorself and the patient ( e.g Adjust the head of the bed to a 45°
6
angle)
7 Adequately expose the patient
8 Ask if the patient has any pain before proceeding
General inspection
Inspect for clinical signs suggestive of underlying pathology (e.g.
9 cyanosis, shortness of
breath, cough, wheeze, stridor, pallor, oedema, cachexia)
Look for objects or equipment on or around the patient (e.g. oxygen
10 delivery devices,
sputum pot, walking aids, medical equipment)
11 Inspect the hands (colour, tar staining, finger clubbing)
Inspection of the chest ( Starting from Anterior chest to
posterior)
12 Assess sign of respiratory distress
13 Inspect for scars and chest wall deformities
14 Assess the respiratory rate
15 Inspect chest expansion( chest lag)
Plapation of the chest
16 Assess tracheal position
17 Assess chest tenderness position
18 Assess chest expansion
19 Assess tactile vocal fremitus
Percussion of the chest
20 Percuss the chest
Auscultation of the chest
21 Ask the patient to breathe deeply in and out through their mouth
Auscultate all appropriate chest wall locations using the diaphragm of
22
the stethoscope
Posterior chest
