[𝐏𝐞𝐦𝐞𝐫𝐢𝐤𝐬𝐚𝐚𝐧 𝐏𝐞𝐫𝐧𝐚𝐩𝐚𝐬𝐚𝐧 - 𝐕𝐢𝐝𝐞𝐨 𝐎𝐒𝐂𝐄 | 𝐇𝐌𝐊𝐔 𝐌𝐒𝐄 𝐅𝐊 𝐔𝐍𝐔𝐃]

Summary

In this medical consultation video, Dr. Lakswana conducts a breathing examination for the patient, Wulsan, to assess his respiratory function. The process involves several steps, including inspection of the chest for movement, palpation to check for symmetry, and monitoring the patient's breathing rate and patterns. The final results show a normal respiratory rate of 18 breaths per minute with regular rhythm and no use of accessory muscles. The doctor advises the patient to avoid air pollution and smoking. The session concludes with the patient having no further questions and being informed of the results.

Takeaways

• 😀 The patient introduces themselves as Bagus Agung Arya Laksmana Dewa, with a specific ID number.
• 😀 The doctor introduces themselves as Dr. Lakswana and verifies the patient's information, confirming the purpose of the visit is a respiratory examination.
• 😀 The doctor asks the patient to remove their shirt to perform a thorough examination of their chest movement during breathing.
• 😀 The doctor follows a six-step handwashing procedure before beginning the physical examination to ensure hygiene.
• 😀 The patient is asked to lie down to make it easier to observe their respiratory movements.
• 😀 The doctor observes the patient's breathing from all sides (right, left, front, and back) for a comprehensive assessment.
• 😀 The doctor palpates the patient's chest to compare both sides of the chest for any asymmetry or abnormal movement during breathing.
• 😀 The doctor evaluates the patient's inspiration and expiration by observing chest movements, focusing on the expansion and contraction of the rib cage.
• 😀 The doctor checks if the patient uses accessory muscles (e.g., neck muscles) to assist in breathing.
• 😀 The doctor counts the patient's breaths for one minute and determines that the patient's breathing rate is normal at 18 breaths per minute with a regular rhythm.
• 😀 The doctor advises the patient to avoid air pollution and smoking, but no further health concerns are noted based on the examination.

Q & A

What is the purpose of the patient's visit in the script?

The patient, Bagus Agung Arya Laksmana Dewa, visits the clinic for a respiratory examination to assess his breathing.

What is the role of Dr. Lakswana in this script?

Dr. Lakswana is the attending physician who is responsible for conducting the respiratory examination of the patient and providing medical guidance.

Why does Dr. Lakswana ask the patient to remove his shirt?

Dr. Lakswana asks the patient to remove his shirt so that he can properly observe and assess the chest movements during breathing from various angles (front, sides, and back).

What is palpation, and why is it performed during the examination?

Palpation is a physical examination technique where the doctor gently presses on the chest to assess for any asymmetry, unusual movement, or abnormalities in the chest during breathing.

How does Dr. Lakswana assess the patient's breathing cycle?

Dr. Lakswana assesses the patient's breathing cycle by evaluating the chest’s movements during inspiration and expiration, measuring changes in the size of the chest (antero-posterior and lateral), and checking for the use of accessory muscles.

What is the normal respiratory rate for a healthy adult, as shown in the script?

The normal respiratory rate for the patient, as observed in the script, is 18 breaths per minute, which is within the normal range for adults.

What does the presence of accessory muscles during breathing indicate?

The use of accessory muscles, especially around the neck, may indicate difficulty in breathing or respiratory distress, but the patient in the script did not show this symptom.

What advice does Dr. Lakswana give to the patient regarding his health?

Dr. Lakswana advises the patient to avoid exposure to air pollution and smoking to maintain good respiratory health.

What is the final conclusion of the respiratory examination?

The final conclusion of the respiratory examination is that the patient has a normal breathing rate and pattern, with no signs of respiratory issues, such as the use of accessory muscles or irregular breathing rhythms.

What should the patient do after the examination is concluded?

After the examination, the patient is advised to follow the doctor's recommendations, particularly avoiding pollution and smoking, and he is free to leave the clinic after the consultation.