Upon completion of the study of this module, the student should be able to:
- Perform physical
examination of the heart, lungs and peripheral pulses.
to learning lab be able to:
- Identify and describe the chest landmarks
and underlying structures.
- Demonstrate the elements included in inspection
of the interior and posterior thorax: AP diameter, respiratory rate, rhythm and
- Define terms used in percussion of the thorax.
Demonstrate auscultation of the lungs, identifying the various areas of lung assessment.
Discuss the three classifications of normal breath sounds heard during auscultation
and their anatomical location: bronchial, bronchovesicular, vesicular.
the following adventitious or abnormal sounds: crackles, rhonchi, wheeze.
Discuss the anatomy of the heart and
the complete cardiac cycle.
the anatomic landmarks for assessment
of the heart: precordium, aortic area, pulmonic area, tricuspid area, Erbs
point, mitral area, PMI-apical pulse
- Discuss inspection and palpation
of the areas above.
- Discuss the production of S-1, S-2 heart sounds and
demonstrate auscultation of these sounds.
- Define the extra heart sounds,
S-3, S-4, snaps, clicks and murmurs.
- Define the terms
related to cardiovascular assessment.
- Identify and assess the peripheral
pulses: temporal, carotid, radial, brachial,
femoral, popliteal, dorsalis pedis and posterior tibial.
| || Review
Read: Harkreader edition 3- Chapter 6 and Chapter 8 (141-172) as needed.
Review: Anatomy textbook of choice. Pay particular attention
to the lungs, heart, and vascular system.
Review prior to lab:Webpage version Powerpoint on Thorax (Closely follows notes physical assessment)
Use the heart and
lung teaching mannequin in the skills lab.
Resources: you do not have to see or hear any particular ones. You may go to the
library to use them. Please let your instructors know if you have any problems.
Physical Examination Putting It all Together; videocassette (37 minutes); WB 205
P5788 1991 Lecture on the basics of the physical exam with examples of techniques
Breath Sounds; WF 141 A846 1988; Video recording (30 minutes) Identifies abnormal
breath sounds, and discusses their physiological cause. This tape has examples
of lung diseases. You may use your own discretion about listening to all of it.
Try to be able to recognize the normal sounds and the basic abnormal sounds.
Heart Sounds; Video recording (30 minutes), WG 141.5 A9 A846 1988 Identifies normal
and abnormal heart sounds and shows what causes them physiologically.
Sounds and murmurs, a practical guide; WG 18 E68h 1991; 1 sound cassette (60 minutes)
Presents the information necessary to understand and recognize normal heart sounds
and the most common abnormal sounds. Tape was made with a heart sound simulator
using studio-recording equipment.
More complex sounds
Bring to lab:
and Mastery Check-off
Review module objectives
and check for knowledge gaps.
quiz - "Physical Assessment"