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This form is used to conduct lung examinations for firefighters and police officers, including personal information, physical measurements, and examination results.
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How to fill out lung examination form

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How to fill out Lung Examination Form

01
Begin by entering the patient's full name at the top of the form.
02
Fill in the patient's date of birth and gender.
03
Provide the date of the examination.
04
Indicate the patient's medical history relevant to lung health (e.g., smoking status, previous lung conditions).
05
Document any current symptoms such as cough, shortness of breath, or chest pain.
06
Record findings from the physical examination, including lung sounds and respiratory rate.
07
Check any relevant tests conducted (e.g., spirometry results, imaging).
08
Include any medications the patient is currently taking.
09
Sign and date the form at the bottom.

Who needs Lung Examination Form?

01
Individuals with a history of respiratory illnesses or lung conditions.
02
Smokers or former smokers seeking routine check-ups.
03
Patients experiencing respiratory symptoms like persistent cough or shortness of breath.
04
Individuals preparing for certain surgeries or procedures requiring lung assessment.
05
Patients enrolled in a pulmonary rehabilitation program.
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No tenderness is appreciated upon palpation of the chest wall. The patient does not exhibit signs of respiratory distress. Lung sounds are clear in all lobes bilaterally without rales, ronchi, or wheezes. Resonance is normal upon percussion of all lung fields.
The physical examination of the chest consists of inspection, palpation, percussion, and auscultation. Although clinicians may skip the first 3 steps of the chest auscultation, a thorough lung examination can reveal important pertinent positives or negatives for further evaluation.
The pulmonary examination consists of inspection, palpation, percussion, and auscultation. The inspection process initiates and continues throughout the patient encounter.
The four steps of the respiratory exam are inspection, palpation, percussion, and auscultation of respiratory sounds, normally first carried out from the back of the chest.
The elements included are: an initial assessment, history taking, inspection, palpation, percussion, auscultation and further investigations. A prompt initial assessment allows immediate evaluation of severity of illness and appropriate treatment measures may warrant instigation at this point.
You'll sit on a chair with a soft clip on your nose. The clip makes sure you breathe only through your mouth. You'll place your lips tightly around a mouthpiece that's connected to a device called a spirometer. You'll be told to take a deep breath in and then blow it out into the mouthpiece as hard as you can.
A focused respiratory objective assessment includes interpretation of vital signs; inspection of the patient's breathing pattern, skin color, and respiratory status; palpation to identify abnormalities; and auscultation of lung sounds using a stethoscope.

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The Lung Examination Form is a document used to record the results of a medical examination focusing on the respiratory system, including lung function tests and assessments for respiratory diseases.
Individuals who have undergone a lung examination, typically required for certain industries, pilots, or those with respiratory health concerns, are required to file the Lung Examination Form.
To fill out the Lung Examination Form, you should provide personal information, details about your medical history, specific symptoms, results of lung function tests, and any other relevant health data as instructed.
The purpose of the Lung Examination Form is to assess and document lung health, assist in diagnosing respiratory conditions, and ensure compliance with occupational health regulations.
The information that must be reported includes personal details, medical history, current symptoms, results from lung function tests, exposure to respiratory hazards, and any pre-existing conditions related to lung health.
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