ABSTRACT
Physical examination of the patient with respiratory disease begins at first contact. The apparent degree of difficulty breathing, ease of speech, rapidity of movement, speed walk ing, cough, audible wheezing, and general appearance of vigor or ill health are often evident as the patient enters the examination room. In some instances, a diagnosis of respiratory disease can be made about a stranger across a room or riding on a bus. These clues to the nature of a pulmonary disorder should not be ignored but rather focus and direct the traditional quartet of inspection, palpation, percussion, and auscultation.
