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Flashcards in Examinations checklist Deck (15)
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1

Respiratory Exam

intro-wash hands - check identity - consent
Generic Inspection bedside + Patient
Hand inspection
tremor and Asterixis
pulse & RR
JVP
Face: eyes and mouth
inspect chest
trachea
apex
chest expansion
tactile vocal fremitus
percuss
auscultate + cough
vocal resonance
END PEICES: cervical lymphnodes, peak flow, BP, sputum sample

2

Cardio Exam

intro-wash hands - check identity - consent
generic inspection bedside + patient
Hand inspection
Pulse + simultaneous pulse + brachial
Waterhammer pulse
carotid
JVP
face: eyes + mouth
inspect chest
palpate Z shape
auscultate 4 areas
left axilla
bell and roll on apex
carotids
sit forwards + diaphragm
lung bases
sacral oedema
flat- hepatomegaly + shifting dullness
Oedema
ENDPEICES: femoral pulses, standing lying BP, fundoscopy, 12 lead ECG

3

Neuro Arm exam

intro-wash hands - check identity - consent
generic inspection bedside + patient
Pronator drift
Tone
Power- shoulders, elbows, wrist, fingers thumb
Reflexes
Co-ordination
Sensation - light touch, vibration, proprioception, sterognosis and graphaesthesia
+finger nose with eyes closed.
END PEICES: pain, temperature,

4

Neuro Leg exam

intro-wash hands - check identity - consent
generic inspection bedside + patient
Gait Rombergs
Tone + ankle clonus
Power- hip, knee, foot + toeflexion,
Reflexes + babinski
Co-ordination
Sensation - light touch, vibration, proprioception,
END PEICES: pain, temperature,

5

Abdo exam

intro-wash hands - check identity - consent
generic inspection bedside + patient
Hand inspection + asterixsis
Pulse
forearms
JVP
face: eyes + mouth
lie flat + roll
palpate regions
hepatomegaly + splenomegaly
ballot
bladder
aorta
percuss: liver, spleen, blader, shifting dullness
auscultate abdomen
aortic bruit
leg oedema
ENDPEICES: Inguinal lymph/ Femoral pulses / Hernial orifices /Urine and stool sample / PR and genital exam

6

GALS exam

intro-wash hands - check identity - consent
? pain & stiffness, stairs, dressing undressing
Inspect
Gait
Flexion lumber spine, lateral flexion neck
hands behind head,
inspect hands, lateral squeeze,
fist, grip strength, finger opposition
bend knees
rotation hip
patellar tap
feet + squeeze

7

HIP

intro-wash hands - check identity - consent
generic inspection + trendelenbergs + gait
sitting leg length
palpate
flexion, abduction, aduction, internal external rotation
passive repeat
Thomas' test
prone extension
END PEICES: neuro-vascular knee and lumber spine

8

Knee Exam

intro-wash hands - check identity - consent
inspect + gait
palpate temp joint line in flexion and extension
flexion, extension
passive repeat
posterior sag
anterior draw
lateral and medial colleteral ligaments
END PEICES: neuro-vascular Hip and ankle. mc Murray

9

Spine Exam

intro-wash hands - check identity - consent
inspect
palpate,
percuss
flexion extension neck
lateral flexion
rotation
lumbar flexion
lateral lumbar flexion
extension
seated rotation
straight leg raise
END PEICES: chest expansion, neurological exam, shoulder/hip

10

Shoulder exam

intro-wash hands - check identity - consent
inspect
palpate- temp
joint line
muscle
screening hands behind head, hands behind back
rotation
extension flexion
abduction
passive repeat
rotator cuff- lift off/ resisted movements
scarf test
functional questions

11

Hand exam

intro-wash hands - check identity - consent
pillow
?pain/tingling
elbows
inspect
clubbing
temp
cap refil
squeeze
individual palpations
pulses
allens test
sensation
prayer and reverse prayer
grip
extend fingers
thumb movements
functional ?
pinch grip
precision grip pick up
grip strength
ok grip resistence
paper pull
wrist dorsiflexion
tinnells

12

Peripheral Vascular Exam

intro-wash hands - check identity - consent
inspection
radial pulse + comparison
ulnar + brachial pulses
allens test
carotid
face inspection
inspect abdomen.
AAA
inspect legs
palpate pulses
light touch toes
cap refil
beurgers
ausculatate carotids, Aorta, subclavian
END PEICES: femoral pulse + bruit, BP + ABPI, Doppler

13

Thyroid Exam

intro-wash hands - check identity - consent
inspection
hands
tremor
pulse
forearm
face - eyes from above and side
-eye movments + lid lag
inspect neck
water
tongue
feel trachea
feel thyroid
+water
+tongue
cervical lymph nodes
percuss sternum
auscultate goitre
ankle reflexes
pretibial myxoedema

14

Breast exam

intro-wash hands - check identity - consent
inspection
hands behind head
hands on hips
palpate
roll 4 quadrants, nipple and axillary tail
axilla lymphnodes
suprclavicular lymph

15

Diabetic foot exam

intro-wash hands - check identity - consent
inspection
shoes
inspect feet + web spaces
palpate
pulses + cap refill
sensation- vibration / light touch / pinprick / mono-filament / proprioception
ankle reflex