Examination of the Lungs - Clinical Examination

A thorough examination of the lungs involves inspection, percussion, palpitation, and auscultation. The examination usually begins with the back, with percussion and auscultation starting lateral to the upper spine and then moving down, alternating between the left and the right side for comparison. The right middle lobe is best assessed from the front. Abnormalities on one side of the lung, e.g., dullness to percussion, increased tactile fremitus, or dry crackles, should always be compared to the other side to confirm the finding.

Video Index:
0:08 - Inspection of the throax
0:41 - Percussion of the throax
1:49 - Respiratory mobility of the lungs
2:13 - Dullness to percussion and pleural effusion
2:42 - Respiratory expansion of the throax
3:08 - Tactile fremitus
3:43 - Bronchophony
4:05 - Auscultation of the lungs
5:33 - Auscultation of the upper airways

Subscribe to AMBOSS YouTube for the latest clinical examination videos, medical student interviews, study tips and tricks, and live webinars!

#ExaminationOfTheLungs #AMBOSSMed #USMLE #Step2CS

[amirali-bvoh]

In min 1:03
“auscultation produces a dull sound “ should have said percussion

[alexvikendi]

Thanks a lot doc, most informative video everyone should see

[silk.spectre]

I find it interesting that the doctor auscultates starting at the apex of the lungs instead of the base. We were taught that this should never be done because some abnormal sounds only occur in the lower lobes and then go away with deep breaths. Otherwise, great video.

[billyaloga]

Thank you. But please allow some time for us to appreciate the sounds

[pfabbsong]

Great but please make more easy examination methode