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Examination of the pulmonary system requires optimal use of auditory, observational, tactile, auscultatory, and medical information. A significant part of this chapter will focus on the actual physical therapy examination process. Perturbation of initial examination findings with auditory, positional, or tactile maneuvers may yield information that could (1) direct further examination techniques, (2) direct treatment techniques, and (3) provide important prognostic information. The following section will review each of the examination techniques and the application of specific maneuvers that may help to direct and predict the effects of these techniques. A review of medical information and the specific tests and measures providing the most clinically useful information will also be presented.15 Much of this information and the approach used to examine a patient with pulmonary disease are outlined in Box 9-1. This information can be documented in the initial patient note presented in Appendix 1 of this chapter.

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Box 9-1 A Suggested Examination Approach to the Patient Designed to Determine the Disablement of Pulmonary Disorders and Direct and Predict Physical Therapy: A Patient Case Example

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