Write about Chest Exam here.

1. Visual Survey
• General appearance (cachexia, superior vena cava obstruction, systemic sclerosis, lupus pernio, kyphoscoliosis, ankylosing spondylitis)
2. Dyspnoea
3. Lip pursing
4. Cyanosis
5. Accessory muscles
6. Indrawing
• intercostal muscles
• supraclavicular fossae
• lower ribs)
7. Chest wall
• upward movement
• asymmetry, scars, radiotherapy stigmata
8. Clubbing
• tobacco staining
• coal dust tattoos
• rheumatoid deformity
• systemic sclerosis
9. Pulse
• Flapping tremor
10. Venous pressure
11. Trachea
• Deviation
• Tracheal Tug
• Notch-cricoid distance
12. Lymphadenopathy
13. Apex beat
14. Asymmetry
15. Expansion
16. Percussion
• Clavicles, axillae
17. Tactile vocal fremitus
18. Breath sounds
19. Vocal resonance
20. Repeat 14-19 on back of chest and feel for lymph nodes in the neck