Physical Exam- general, mental, skin, hands and nails, head Flashcards
(25 cards)
1
Q
What to assess in General Survey
A
body habitus nutritional state presenting appearance hygiene (odors of breath and body) stated vs apparent age demeanor facial affect expression posture gait level of consciousness Apparent pain Signs of distress
2
Q
What to assess in Mental Status
A
Speech language mood thought content perceptions insight judgement orientation attention memory information vocabulary
3
Q
What is the order of the physical exam
A
General Survey Mental Status Measurements Skin Hand & Nails Head HEENT Neck and Nodes Chest Cardiovascular Peripheral vascular Abdomen Musckuloskeletal Neuro
4
Q
Skin exam inspection and palpation
A
color temperature texture turgor moisture mobility rashes lesions
5
Q
Inspection of lower extremity for peripheral vascular
A
temperature edema decreased hair growth lesions ulcerations varicosities
6
Q
? hand & nails
A
cyanosis clubbing nail bed deformities tremors erythema or palor of palmar creases
7
Q
? respirations
A
rate rhythm regularity depth effort
8
Q
? carotid inspection
A
rate rhythm quality contour waves thrills
9
Q
? skull
A
size
contour
10
Q
?scalp
A
scaliness
nevi
lesions
11
Q
? Hair
A
quality
distribution
pattern of loss
dandruff
12
Q
? face/nose/mouth
A
symmetry contours involuntary movements edema lesions masses expression
13
Q
Palpation hair and scalp
A
hair texture, quality, distribution scalp and skull deformities tenderness lesions scaliness lumps
14
Q
palpation TMJ
A
pain
crepitis
clicking
15
Q
? eyebrows
A
quantity
distribution
scaliness
16
Q
? eyelids
A
edema color lesions direction of eyelashes adequacy with which they close
17
Q
eyes, what to inspect?
A
eyebrows eyelids lacrimal gland and sac conjunctiva & sclera iris & pupils
18
Q
? lacrimal gland and sac?
A
swelling
19
Q
? Conjunctiva and sclera
A
color vascular pattern nodules swelling icterus conjuctival irritation pterygiums xanthelasmas iris lesions pupillary inequality nystagmus strabismus
20
Q
? Iris & Pupils
A
size
shape
symmetry
21
Q
CN II test
A
visual acuity
22
Q
CN III
A
Pupillary reflexes
23
Q
Pupillary reflexes
A
direct and consensual light reflexes
24
Q
EOM CN’s? and ?
A
CN III, IV, VI EOM paralysis discongugate gaze Nystagmus Lid lag
25
? fundoscopy of eyes
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red reflex
optic disc
retina
arterioles
viens
fovea
macula
vitreous
lens
opacities
disc cupping
vessel narrrowing
a-v nicking
papiledema
retinal exudates or hemorrhage
macular changes
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