Local physical examiantion

Question 1

Auscultation

Answer 1

listening to the sounds produced

within the body with stethoscope

Question 2

Local exam is never complete without….

Answer 2

examination of draining lymph nodes.

Question 3

Lymph node examination

Answer 3

Palpate with pads of
all four fingertips
 Examine both sides
simultaneously
 Use steady gentle pressure

Question 4

Where are the major lymph nodes located

Answer 4

The major lymph node
groups are located along
the anterior and posterior
aspects of the neck and on
the underside of the jaw

example cervical nodes- submental, submandibular,preauricular, supraclavicular

Question 5

what to look for in examination of skin

Answer 5

colour - pallor- iron deficiency, jaundice

pigmentation/localised (pregs) general (liver +renal)
texture- lesions, rashes 
warmth-use back of hand
hair distribution
turgor
moisture

Question 6

position of thyroid gland

Answer 6

2-3 cm below thyroid cartilage, so basically on cricoid and trachea

Question 7

Examination of thyroid

Answer 7

Stand behind the patient and
place the middle three fingers
of both hands along the
mid-line of the neck, just
below the chin

have the patient drink water

Question 8

what to remember when examining the abdomen

Answer 8

• quiet room - auscultation
• empty
• examine chest cos similar symptoms

Question 9

6 p’s

Answer 9

Paleness pain paralysis paraesthesia poikilothermia pulselessness

Question 10

how does the order go with the 6 p’s

Answer 10

start of with pain then as it progresses paresthesia then eventually parylsis

Question 11

endarterectomy

Answer 11

removal of plaque from artery