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Clinical Methods Final > the physical exam > Flashcards

Flashcards in the physical exam Deck (31):
1

what info. is considered subjective?

history chief complaint review of systems

2

what info is considered objective?

physical exam findings lab results

3

what are the 7 attributes of a symptom?

CLORIDE character or quality location onset radiation intensity duration exacerbation or alleviation

4

what should you do at the beginning of the exam

wash your hands clean your stethescope

5

what are the 4 cardinal techniques of examination

inspection palpatation percussion auscultation

6

what are instrumental ADLs ?

using telephone, shopping managing money

7

what does an asterisk mean in ROS (Review Of Systems)?

there is some positive response to a question

8

In the physical exam, what is the "plexor"? the "pleximeter"?

plexor - striking finger pleximeter - finger against chest, abdomen, back

9

How to calculate BMI?

weight (kg)/height (m^2)

10

What are the BMI ranges?

25 is overweight >30 is obese

11

how would you assess the peripheral vascular system?

palpate fermoral pulses palpate inguinal lymph nodes inspect for lower extremity edema, discoloration, vericose veins, or ulcers

12

what labs are in a complete blood count (CBC)?

White blood cell Red blood cell Hemoglobin Hematocrit Mean corpuscular volume (MCV) Platelet count

13

Normal values for WBC

4,500 - 10,000 cell/mL

14

Normal values for RBC

4 - 5.5 x 10^6

15

Normal values for Hemoglobin

12 - 16.5 g/dL

16

Normal values for Hematocrit

36 - 50 %

17

Normal values for MCV

80 - 100

18

Normal values for platelet

100,000 - 450,000 plt

19

What labs are in a CMP (complete metabolic panel)

Na K Cl Mag Ca HCO3 BUN Creatinine (Cr) Glucose Phosphate albumin Total Bilirubin Alkaline phosphate AST/ALT

20

Normal values for Na

135 - 147 (mEq/L)

21

Normal values for K

3.5 - 5.2 (mEq/L)

22

Normal values for Cl

95 - 107 (mEq/L)

23

Normal values for Mag

1.6 - 2.4 (mEq/L)

24

Normal values for Ca

8.8 - 10.3 (mEq/L)

25

Normal values for HCO3

23 - 29 (mEq/L)

26

Normal values for BUN

7 - 20 mg/dL

27

Normal values for Cr

0.5 - 1.4 mg/dl

28

normal values for glucose

60 - 110 mg/dL

29

What labs are used to determine clotting tendancy of blood?

PT 10 - 14 s PTT (intrinsic pathway) 25-39 s INR = PT test / PT normal 0.8 - 1.2

30

what is being tested in a pregnancy test?

hcG (made by placenta) norm 0-5 ml (not pregnant)

31

Draw a fishbone diagram

A image thumb