Physical Examination

Hello Nurses,
I am curious. Do you palpate and percuss every patient that comes in? I am having difficulty with characteristics of percussion notes and their meanings. I am also having difficulty distinguishing the lung sounds, such as Crackles, Stridor etc. If you know any websites or techniques that can help me with adventitious sounds, I would appreciate it.
Personally, I don't percuss every pt, I was taught in school that this was more of an advanced assessment technique, that bedside nurses generally don't do.I do, however, palpate during every assessment.Below are some websites with audio lung/heart sounds, hthhttp://www.meddean.luc.edu/lumen/med...l-07july11.swfhttp://solutions.3m.com/wps/portal/3...t-lung-sounds/http://www.med.ucla.edu/wilkes/inex.htm

during my review for nclex, i watched videos that discusses different kinds of heart and lung sounds, the one by ed4nurses is what helped me the most. check it out on you tube.

I'm on a medical floor. I never ever percuss. I do palpate every abdomen in my assessment. I will palpate other areas as appropriate.