Jonathan Downham

examination structured examination heart lungs cardiovascular system murmurs heart sounds heart valves cardiac cardiac cycle cardiac physiology confusion older adult dementia delerium drug history clinical history taking clinical history history taking social history medical history history clinical cranial nerves neuro neurological assessment abdomen osce structured effusion respiratory system auscultation pulmonary percussion lobes pulmonary oedema respiratory pleural effusion inspection palpation x-ray pleura opacity bronchi trachea chest x ray bones x ray consolidation chest mediastinum chest x-ray ribs interpretation