Lakhasly

Mrs V came for screening test.Percussion

Resonance dominate over lung fields bilaterally upon percussion.Palpation

Symmetric chest expansion bilaterally with mild increased fremitus on the right side but anteriorly fremitus symmetric bilaterally.No lumps, masses or tenderness noted upon palpation of chest wall.Auscultation

Anterior and posterior bronchovesicular and vesicular breath sounds equal.Lips and nailbeds pink, free of pallor and cyanosis consistent with genetic background.Diaphragmatic excursion 5cm bilaterally and parallel.She had chest radiography in but was normal and Inspection

Mrs V atraumatic in appearance.Thorax cage symmetric with no deformity.Lateral left and right sides has clear sounds bilaterally upon auscultation.She has had occasional cold/flu 5 years ago but was subsided.She completed all activities without change in breathing.No cough, shortness of breath, wheezing, chest pain with breathing.She has never exposed to fumes or irritants.No use of accessory muscles.No lesions on skin noted.Position relaxed and upright with arms at sides.No family history of respiratory disease.No history of allergy to any kind.She has never smoked.She lives and works in smoke- free environments.Never has TB skin test.She is well alert and oriented.

Mrs V came for screening test. She has no problem with breathing. She has had occasional cold/flu 5 years ago but was subsided. She completed all activities without change in breathing. She slept well at night. No family history of respiratory disease. No cough, shortness of breath, wheezing, chest pain with breathing. No history of allergy to any kind. She has never smoked. She lives and works in smoke- free environments. She has never exposed to fumes or irritants. Never has TB skin test. She had chest radiography in but was normal and Inspection

Mrs V atraumatic in appearance. Thorax cage symmetric with no deformity. Breathing effort even with respiration of 20 per minute regular deep. No use of accessory muscles. Skin color light pink and face with even tone. Lips and nailbeds pink, free of pallor and cyanosis consistent with genetic background. No lesions on skin noted. Position relaxed and upright with arms at sides. She is well alert and oriented.

Palpation

Symmetric chest expansion bilaterally with mild increased fremitus on the right side but anteriorly fremitus symmetric bilaterally. Lips pink and moist. No lumps, masses or tenderness noted upon palpation of chest wall.

Percussion

Resonance dominate over lung fields bilaterally upon percussion. Diaphragmatic excursion 5cm bilaterally and parallel.

Auscultation

Anterior and posterior bronchovesicular and vesicular breath sounds equal. Lateral left and right sides has clear sounds bilaterally upon auscultation. No adventitious sounds present.