C.叩诊 10.叩诊锁骨上窝， 11.叩诊后胸部； 12.叩诊肺下界（肩胛下线）； 13.肩胛下线叩诊肺下界移动度： 14.叩诊前、侧胸部； D.听诊 15.听诊锁骨上窝； 16.听诊前、侧胸部； 17.听诊后胸部； 18.检查有无胸膜摩擦音； 19.检查听觉语音
C．叩诊 10．叩诊锁骨上窝， 11．叩诊后胸部； 12．叩诊肺下界(肩胛下线)； 13. 肩胛下线叩诊肺下界移动度： 14．叩诊前、侧胸部； D．听诊 15．听诊锁骨上窝； 16．听诊前、侧胸部； 17．听诊后胸部； 18．检查有无胸膜摩擦音； 19．检查听觉语音
A.Review 1.Review skeletal landmarks. 2.topographic description of location for any positive physical findings:normal or abnormal. B.Methods 3.Examiner should stand facing the patient and observe the shape and symmetry of the chest. 4.Measure respiratory rate. 5.palpate trachea and evluate position of the trachea. 6.palpate for tenderness
A．Review 1．Review skeleta1 1andmarks． 2．topographic description of location for any positive physical findings：normal or abnormal． B．Methods 3． Examiner should stand facing the patient and observe the shape and symmetry of the chest. 4． Measure respiratory rate． 5． palpate trachea and ev1uate position of the trachea． 6． palpate for tenderness．
7.Breasts. 8.Evaluate posterior chest excursion. 9.Evaluate Anterior Chest excursion. 10.Palpate for pleural friction rubs. 11.Check for tactile fremitus. 12.Percuss supraclavicutar fosiae. 13.Percuss the posterior chest. 14.Percuss the lower margin of the lungs. 15.Percuss to detect diaPhragmatic movement at scapular lines. 16.Percuss the anterior and lateral chest
7.Breasts． 8.Evaluate posterior chest excursion． 9.EvaIuate Anterior Chest excursion． 10.Palpate for pleural friction rubs． 11.Check for tactile fremitus． 12.Percuss supraclavicutar fosiae． 13.Percuss the posterior chest． 14.Percuss the lower margin of the lungs． 15.Percuss to detect diaPhragmatic movement at scapular lines． 16.Percuss the anterior and lateral chest．
Mention of Conduction Exposure/warmth/lighting /easy air o Inspection,palpation,percussion, auscultation Anterior-lateral-posterior Top-base Comparison:top to base/left to right
lExposure/warmth/lighting /easy air l Inspection, palpation, percussion, auscultation lAnterior-lateral-posterior Top- base lComparison: top to base/ left to right
Bone landmark suprasternal notch(胸骨上切迹) o clavicle(锁骨) ● Manubrium sterni(胸骨柄) ● Sternal angle((胸骨角)Louis angle 0 suprabdominal angle(腹上角) ● xiphoid process(剑突) Ribs interspaces scapula(肩胛骨) spinous process(棘突) costolspinal angle(肋脊角)
l suprasternal notch(胸骨上切迹) l clavicle（锁骨） l Manubrium sterni(胸骨柄) l Sternal angle(胸骨角) Louis angle l suprabdominal angle(腹上角) l xiphoid process(剑突) l Ribs & interspaces l scapula(肩胛骨) l spinous process(棘突) l costolspinal angle(肋脊角)