Hand to Toe Assessment Flashcards
1
Q
End of bed assessments
A
- colour
- work of breathing
- discomfort
- GCS
- weight
- unkempt
- age
2
Q
Hands
A
- colour
- temp
- cap refill
- tremors
- movement / dexterity
- anything there that shouldn’t be
- skin turgor
- sensation
- oedema
3
Q
Nails
A
- spooning
- Splinter haemorrhages
- clubbing
- beaus lines
- transverse white lines
4
Q
Palms
A
- palmar erythema
- janeways lesions
- Oslers nodes
- nicotine stains
5
Q
Wrists and arms
A
- colour
- temp
- rashes
- IVDU
- self harm/ tattoos
- oedema / swelling
6
Q
Pulses
A
- bilateral wrist and brachial
- rate and rhythm
- strength
- collapsing pulse
- blood pressures
7
Q
Neck
A
- Listen for carotid bruits
- palpate the carotid
- JVD
- swelling /rashes etc
- lymph nodes
- swollen thyroid
8
Q
Head and face
A
- pallor
- jaundice
- flushed
- spider nevi
9
Q
Eyes
A
- anemia
- jaundice
- xabthelasma
- corneal Arcus
- pupillary reaction
10
Q
Mouth and Lips
A
- dehydration
- ulcers
- dental hygiene
- cyanosis
- cracked lips
- angular stomatitis
11
Q
Legs
A
- heat
- redness
- swelling
- rashes
- hair loss / colour changes
- oedema
- sensation
- pulses
- cap refill
12
Q
Other obs
A
- 12 lead
- BM
- sats
- temperature
- standing BP
