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Scribe America Course Material > Course 4: Physical Exam > Flashcards

Course 4: Physical Exam Flashcards

(75 cards)

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1
Q

PERRL

A

Pupils equal, round, reactive to light

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2
Q

General/constitutional normal

A

Awake and alert. No acute distress

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3
Q

Eyes normal

A

PERRL (nt). EOMI

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4
Q

ENT normal

A

Moist mucous membranes (nt)

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5
Q

Neck normal

A

Supple (nt). No lymphadenopathy

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6
Q

Cardiovascular

A

Well perfused (nt). Regular rate. Regular rhythm. No murmurs, gallops, or rubs. Distal pulses intact

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7
Q

Respiratory normal

A

No respiratory distress (nt). Clear to auscultation bilaterally. No wheezes, rales, or rhonchi.

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8
Q

Gastrointestinal

A

Non-distended (nt). Soft. Non-tender. No guarding, rebound, or rigidity

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9
Q

Extremities

A

No edema (nt). Full ROM

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10
Q

Skin normal

A

Dry (nt). Warm. No petechiae. No purpura

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11
Q

Neuro normal

A

Awake, alert, and appropriate

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12
Q

Psych normal

A

Normal affect and behavior.

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13
Q

Head

A

Atraumatic. Normocephalic

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14
Q

Looking at the patient

A

General appearance, eyes, skin

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15
Q

Auscultating the heart

A

Heart rate and rhythm, murmur, rubs, gallops

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16
Q

Auscultating the lungs

A

Clear to auscultation bilaterally. No wheezes, rales, or rhonchi

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17
Q

Palpating the abdomen

A

Soft. Non-tender. Non-distended. No guarding, rebound, or rigidity

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18
Q

Examine the legs

A

No edema. Distal pulses intact. No tenderness

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19
Q

Examines the throat

A

Pharyngeal erythema or exudates

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20
Q

Examines the inner-ear

A

TM (ear-drum) erythema or bulging

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21
Q

Auscultates the abdomen

A

Hyperactive/hypoactive bowel sounds

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22
Q

Hyperactive bowel sounds

A

Diarrhea

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23
Q

Hypoactive bowel sounds

A

Constipation

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24
Q

Absence of bowel sounds

A

SBO

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25
Touches the wrists
Radial pulses
26
Squeezes the calf muscles
Calf tenderness
27
"Pounds" on the back
CVA tenderness
28
Atraumatic/Normocephalic abbrev.
(AT/NC)
29
Unequal pupils
Anisocria
30
EOMI
Extra ocular movements intact
31
Nosebleed
Epistaxis
32
Runny nose
Rhinorrhea
33
Collection of blood within the septum of the nose
Septa hematoma
34
Dry mucous membranes abbrev.
DMM
35
Pharyngeal erythema
Red throat that is inflamed or infected
36
What physical exam findings indicate strep throat?
Pharyngeal erythema, tonsillar exudate, tonsillar hypertrophy
37
Jugular venous distension abbrev.
JVD
38
Regular rate contradiction
Tachycardic, bradycardic
39
Regular rhythm contradiction
Irregularly irregular
40
Heart sounds normal contradiction
Murmurs, rubs, gallops, extra systole a
41
Normal perfusion #
2+ (easily palpable)
42
Abnormally rapid breathing
Tachypnea
43
NAD
No Acute Distress
44
TM
Tympanic membrane
45
RRR
Regular rate and rhythm
46
TTP
Thrombotic thrombocytopenic purpura
47
CVA tenderness
Costo-vertebral angle tenderness
48
A and O
Alerted and oriented
49
SI/HI
Suicidal or homicidal ideation
50
Scleral icterus
Liver failure
51
Fluorescein uptake
Corneal abrasion
52
Bulging and erythematous TM
Infection
53
Dry mucous membranes
Dehydration
54
Tonsillar exudate
Strep throat, pharyngitis
55
JVD
CHF
56
Wheezing
Asthma
57
McBurney's point tenderness
Appendicitis
58
Murphy's sign
Gallbladder
59
Guaiac positive (Heme +)
Blood in stool
60
Urticaria
Hives
61
Wrist pulses are fine
Radial rate, regular rhythm
62
Heal pulses are fine
Posterior tibialis rate, regular rhythm
63
Top of foot pulses are fine
Dorsal pedis, regular rhythm
64
Neck pulses are fine
Carotid pedis rate, regular rhythm
65
Pelvis region
Femoral rate, regular rhythm
66
RUQ:
Gall bladder
67
LUQ
Pancreas, kidneys
68
RLQ
Appendix, ovary, uterus
69
LLQ
Colon, ovary, uterus
70
Physician is checking for __________ when they hold their stethoscope to both sides of the patient's neck
Carotid bruit
71
What does pale conjunctive indicate?
Anemia
72
Scleral icterus
Yellowing of the eyes. Indicates liver failure
73
Medical term for a nostril
Naris
74
What does dry mucous membranes indicate?
Dehydration
75
What does irregularly irregular rhythm indicate
A-fib

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