Physical Exam- general, mental, skin, hands and nails, head Flashcards Preview

Clinical Assessment > Physical Exam- general, mental, skin, hands and nails, head > Flashcards

Flashcards in Physical Exam- general, mental, skin, hands and nails, head Deck (25):
1

What to assess in General Survey

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

What to assess in Mental Status

Speech
language
mood
thought content
perceptions
insight
judgement
orientation
attention
memory
information
vocabulary

3

What is the order of the physical exam

General Survey
Mental Status
Measurements
Skin
Hand & Nails
Head
HEENT
Neck and Nodes
Chest
Cardiovascular
Peripheral vascular
Abdomen
Musckuloskeletal
Neuro

4

Skin exam inspection and palpation

color
temperature
texture
turgor
moisture
mobility
rashes
lesions

5

Inspection of lower extremity for peripheral vascular

temperature
edema
decreased hair growth
lesions
ulcerations
varicosities

6

? hand & nails

cyanosis
clubbing
nail bed deformities
tremors
erythema or palor of palmar creases

7

? respirations

rate
rhythm
regularity
depth
effort

8

? carotid inspection

rate
rhythm
quality
contour
waves
thrills

9

? skull

size
contour

10

?scalp

scaliness
nevi
lesions

11

? Hair

quality
distribution
pattern of loss
dandruff

12

? face/nose/mouth

symmetry
contours
involuntary movements
edema
lesions
masses
expression

13

Palpation hair and scalp

hair texture, quality, distribution
scalp and skull deformities
tenderness
lesions
scaliness lumps

14

palpation TMJ

pain
crepitis
clicking

15

? eyebrows

quantity
distribution
scaliness

16

? eyelids

edema
color
lesions
direction of eyelashes
adequacy with which they close

17

eyes, what to inspect?

eyebrows
eyelids
lacrimal gland and sac
conjunctiva & sclera
iris & pupils

18

? lacrimal gland and sac?

swelling

19

? Conjunctiva and sclera

color
vascular pattern
nodules
swelling
icterus
conjuctival irritation
pterygiums
xanthelasmas
iris lesions
pupillary inequality
nystagmus
strabismus

20

? Iris & Pupils

size
shape
symmetry

21

CN II test

visual acuity

22

CN III

Pupillary reflexes

23

Pupillary reflexes

direct and consensual light reflexes

24

EOM CN's? and ?

CN III, IV, VI
EOM paralysis
discongugate gaze
Nystagmus
Lid lag

25

? fundoscopy of eyes

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