PE note per section Flashcards
(93 cards)
General Survey
body habitus nutritional state sexual development presenting appearance hygiene (odors body and breath) stated vs apparent age demeanor facial affect or expression posture gait level of conciousness apparent pain signs of distress
Mental status
Speech language mood thought content perceptions insight judgement orientation attention memory information and vocabulary
Pulse
unusually fast or slow
rhythm regular or irregular
respirations
observing rate
rhythm
depth
effort of breathing
skin
color temperature texture turgor mobility moisture rashes lesions
hands and nails
cyanosis clubbing nail deformities tremors erythema or pallor (palmar creases of the hands)
skull
general size
contour
scalp
scaliness
nei
lesions
hair
quantity
distribution
pattern of loss
dandruff
face, nose, mouth
symmetry contours involuntary movements edema lesions masses and expression pathognomonic facies?
TMJ
swelling
redness
palpate hair and scalp
hair texture quantity and distribution scalp and skull for deformities tenderness lesions scaliness lumps
TMJ
ROM
pain
crepitus
clicking
neck
symmetry
masses
scars
tracheal position
thyroid
movement of masses
masses
thyroid enlargement
trachea
deviation from midline
Cervical lymph nodes: locations
occipital posterior auricular preauricular posterior cervical superficial cervical suprclavicular deep cervical tonsillar submandibular submental
Cervical lymph nodes…note:
size shape mobility consistency lymphatic enlargement tenderness induration
thyroid
size shape consistency tenderness masses or nodules
eyebrows
quanitity
distribution
scaliness
eyelids
edema color lesions direction of eyelashes adequacy with which they close
lacrimal gland and sac
swelling
conjunctiva and sclera
color
vascular pattern
nodules
swelling
iris and pupils
size
shape
symmetry