History taking and Physical
Examination on Adult
PRAYUDI SANTOSO
Dept. of Internal Medicine, Pulmonary Division
School of Medicine Padjadjaran University
BANDUNG
PADJADJARAN UNIVERSITY
MEDICAL SCHOOL
CLINICAL SKILLS PROGRAM
RESPIRATORY SYSTEM
Syllabus and learning guide
Skill Laboratory Module
BLOCK
: Respiratory system
TOPIC
: Respiratory history taking and physical
examination in adults
I. GENERAL OBJECTIVE
After completing skill practice, the student will be able to
perform respiratory history taking and physical
examination.
II. SPECIFIC OBJECTIVE
At the end of skill practice, the student will be able to
perform the procedure of respiratory examinations
systematically including:
• History taking
• Systematic physical examination of respiratory system
by performing inspection, palpation, percussion and
auscultation
III. SYLLABUS DESCRIPTION
3.1 Sub Module Objective
After finishing skill practice of clinical examination, the
student will be able to perform history taking and
physical examination of respiratory disorders
3.2 Expected competencies
Student will be able to demonstrate the procedure of
history taking of respiratory disorders, student will be
able to demonstrate the procedure of physical
examination of:
- Locating Cervical lymph node
- Tracheal position
- Locating imaginary lines around the chest
- Shape and movement of the chest
- Tactile fremitus
- Chest Percussion
- Normal breath sounds
- Presence and absent of adventitious sounds
- Presence and absent of transmitted voice sounds
(bronchophony, egophony and whispered
pectoriloquy)
3.3. Method
a. Presentation
b. Demonstration
c. Coaching
d. Self practice: role-play
3.4 Laboratory facilities
a. Skills laboratory: table, chairs, and examination
couch
b. Trainers
c. Patient: Standardized patient
d. Student learning guide
e. Trainer’s guide
f. References