M1 H&P: Thorax and Lungs

Devin Nickol, M.D.

I. Inspection

- Look at the shape of the thorax - symmetrical?


- Note respiratory rate


- Note respiratory rhythm and effort


II. Palpation

- Assess thoracic expansion


- Check for tactile vocal fremitus


- Is the trachea in the midline?


III. Percussion

- Percuss the lung fields anteriorly, posteriorly, and laterally


- Identify areas of:







- Measure diaphragmatic excursion


IV. Auscultation

- Use the stethoscope diaphragm


- Identify the type of breath sound






- Recognize abnormal breath sounds





- Check for egophony


- Check for whispered pectoriloquy