HTT Exam Flashcards
(28 cards)
Intro
Wash hands
Greet Patient
Introduce self as Student Doctor
Extras
Examine from R side of table
Draping
“Normal and healthy”
Skin/ Hair/ Nails
Verbalize looking at UE and LE
Scalp/ Hair
Nails
Clubbing at Eye level
Eyes
Lids and Lashes
Conjunctiva/Sclera (pt pull down)
PERRL
Ophthalmoscopic Exam
Ophthalmoscopic Exam
Dimmed lights in room R eye to R eye 15 deg from midline Hand to stabilize and support Red Reflex Blood vessel Follow to optic disc
Ears
External (including behind)
Tympanic Membrane BILATERALLY
Weber or Rinne Test
Nose
Speculum in nose BILATERALLY
Head Exam
Scalp/ Hair Eyes Ears Nose Mouth
Prior to head exam
Skin
Nails
Oral Exam
Oral Cavity (light and tongue blade)
Posterior Pharynx- Make pt say AHHH
TMJ- open and close jaw
Oral Exam
Oral Cavity (light and tongue blade)
Posterior Pharynx- Make pt say AHHH
TMJ- open and close jaw
Order flow of HTT Exam
Visible skin Nails Scalp/ Hair Eyes Nose Mouth Neck Cardiac Lungs
Order flow of HTT Exam (18)
Visible skin Nails Scalp/ Hair Eyes Nose Mouth Cranial Nerves Neck Cardiac Lungs Axilla Abd Some Lower Extremity Upper Extremity Reflexes Remaining Lower Extremity Standing structural Cerebellar Spinal ROM
Neck Exam
Lymph Nodes
Thyroid (water, move trachea to palp each lobe)
Neck Exam
Lymph Nodes
Thyroid (water, move trachea to palp each lobe)
ROM
Strength
Cardiac Exam
Auscultate Aortic Post (2-3 space, R)
Auscultate Pulmonic Post (2-3 space, L)
Auscultate Tricuspid Post (5 space, L border)
Auscultate Mitral Post (5 space, L midclav)
Palpate Apical Impulse/ PMI
*ALL ON SKIN
Carotid Bruits (VERBALIZE BELL, hold breath)
Lung Exam
Percuss on skin (BILAT: 3 posterior, 1 lateral)
Auscultate on skin (BILAT: 2 each side, side 2 side)
Costovertebral Tenderness (BILATERAL)
Axilla Exam
Lymph nodes
Anterior, Posterior
Apical and Brachial
*only one side needed
Abdominal Exam
Inspect (say 2 things: no areas of discoloration or obvious distention) Auscultate Bowel Sounds (4 quadrants) Palpate (4 quads, shallow to deep) Palpate Liver McBurney's Point (appendix) Murphy's Sign (gallbladder)
Cranial Nerve Exam
1- olfactory
2- visual acuity
3,4,6- EOM (H)
5- Motor and sensory (3 areas of face, temporalis/ master)
7- 2 per hemisphere (raise brows, close eyes tight, smile, puff out cheeks)
8- close eyes, finger rub
9, 10- tongue out, say ah, swallow (uvula midline, palate raises)
11- shrug shoulders, turn head (against resistance)
12- tongue out, side to side
Upper Extremities
Sensory Light touch (eyes closed, 2 points) Sensory Vibratory (bony prominence) Sensory Proprioception (eyes closed, up/down/neutral) Radial Pulse Shoulder (1 strength, 2 ROM) Elbow (1 strength, 2 ROM) Wrist (1 strength, 2 ROM) Hand (1 strength, 2 ROM)
Testing Reflexes (7 total)
Biceps Brachioradialis Triceps Patellar Achilles *only unilateral required *Babinski and Clonus in after abd LE exam
Lower Extremity after abdominal exam
Pitting edema (BILATERAL) Dorsalis Pedis Pulse (BILATERAL) Ankle (1 strength, 2 ROM) Foot (1 strength, 2 ROM) Babinski Reflex (unilateral) Test for Clonus (unilateral) *last 2 unilateral Sit up for hip strength
Standing Structural Exam Requirements
Either:
- palpate for scoliosis
- HTT landmarks
