First year Flashcards
(33 cards)
Points to be covered in a resp history
Cough Sputum Haemoptysis Chest pain Breathlessness Wheeze Hoarseness Recent travel Pets Night sweats (are they immunocompromised in any way?) Fever Anything changed recently?
Points to be covered in a cardio history
Chest pain Palpitations Syncope Pre-syncope SoB Ankle oedema/intermittent claudication Exercise tolerance Orthopnoea
General red flags
Blood loss
Weight loss
Fatigue
Specific red flags for a resp history
Hoarseness
+smoking
Specific red flags for a resp history
Hoarseness
+smoking
What do you look for in the hands in resp exam
Tar staining Finger clubbing Peripheral cyanosis Palmar erythema CO2 retention flap/ B agonist flap Thin skin/bruising on wrists
Tar staining is related to
smoking
Finger clubbing in resp
Abscess B Cancer Don't say COPD Emphysema Fibrosis
If percussion is resonant what does this mean?
normal finding
What do you say if nothing abnormal is heard during auscultation in a resp exam
Bilateral visceral breathing with no added breath sounds
What are you looking for in the face when carrying out a resp exam?
Jaundice of the sclera
Pallor of the conjunctiva
Plethoric appearance
Central cyanosis
Someone has low BP and fast pulse rate, what do you administer?
0.9% 500ml saline solution, after inserting two wide boar cannulas (grey/orange/brown) into either arm.
Things to ask in a GI history
Appetite Weight Heartburn Dysphagia Abdo pain Nausea Vomitting Bowel function Hematemesis Blood Ulcers
Where can the femoral pulse be located?
1/2 way between ASIS and pubic symphysis
What must you say you would also consider doing when carrying out a peripheral vascular exam?
I would also consider trying to find the femoral pulse.
At the end of an abdo exam, what must you say you would also consider examining if indicated?
Hernial orifice exam and PR.
Stages of a peripheral vascular exam.
Inspect legs and in between toes, also do cap refill.
Feel for the three pulses - popliteal, posterior tibia, and the dorsalis pedis.
SAY YOU WOULD ALSO LOOK FOR FEMORAL PULSE.
Stages of an oral exam.
Feel TMJ - ask patient to open and close.
Feel lymph nodes.
Patient to open mouth, stick tongue out, put it to roof of mouth, then using gauze pull to either side of mouth (flash light to see far back), then finally flatten tongue with stick.
REMEMBER TO COMMENT ON DENTITION.
What is angular stomatitis and Add to dictionary a sign of?
Iron deficiency anaemia
Leukoplakia in risk areas are a sign of?
Oral cancer.
Normal cap refill time
<2 secs
For GI , koilonychia is a sign of
iron deficiency anaemia
In GI, leukonychia is a sign of
Hypoalbunaemia
Finger clubbing in a GI exam is a sign of?
Chronic liver cirrhosis (it is however non-specific)
