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17 Cards in this Set
- Front
- Back
Name the first 11 parts of the physical Exam. (Hint: includes two position changes)
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1. Introduction (1-3))
2. Position change: patient sits facing examiner (4) 3. Vital measurements (5-7) 4. Head (8-10) 5. Eyes (11-18) 6. Ears (10-21 7. Nose (22-23) 8. Throat and Mouth (24-33) 9. Neck (34-40) 10. Position change: examiner moves behind patient (41) before thyroid exam 11. Back & Lungs (43-50) |
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Name the 3 parts of the introduction
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1. introduce self
2. wash hands 3. observe general appearance, skin, nutritional status, hygiene and comfort level (1-3) |
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Name the 3 parts of the vital signs.
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BP
Radial Pulse Respiration (5-8) |
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Name the 3 parts of the Head exam
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Inspect hair and scalp
Palpate cranium Inspect facial symmetry (8-10) |
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Name the 8 parts of the Eye Exam
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Lids & Palpebral fisure (CN II)- inspect lid for drooping, infection, swelling crusting, masses.... ask patient to close eyes to inspect P. Fisure (do lids approximate?)
conjuctiva - Inspect for inflammation, pallor, pigmentation, swelling masses, hemorrhage) Sclera and cornea - inspect for sclerea:hyperemia, discoloration.. cornea: clear Extra Ocular movement (CN III, IV, VI) - Test Visual fields to confrontation - Test Visual acuity - Test Pupils (PERRLA) & Cornea - inspect Opthalmoscopic Exam: (Funduscopic exam) - cup:disc (11-18) |
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Name the 3 parts of the Ears Exam
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External Ear -inspect
Otoscope: auditory canal & tympanic membrane - Inspect Hear test (19-21) |
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Name the 2 parts of the Nose Exam
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Septum - inspect
Turbinates & Mucosa inspecdt |
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Name the 10 parts of the Throat and Mouth Exam
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Lips - Inspect for color, swelling, ulcers
buccal mucosa - Inspect lesions or color changes, inflammation gums & teeth - Inspect gums: stippled, pink and firm... Inspect teeth carries malocclusion tongue & tongue protrusion - Inspect masses or ulcerations, protrusion (CN XII) Hard & Soft Palate - Inspect - intact, ulcerations, masses Hard & Soft Palate - elevation with pronation... uvula stays midline (CN IX and X) tonsils & tonsilar fossae - Inspect for enlargement, exudate Pharynx - Inspect infection Facial Muscles: show teeth wrinkle forehead Jaw clench - test (24-33) |
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Name the 9 part of the Neck exam (including position change)
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Neck & Jugular veins - Inspect for venous distention
Neck ROM (flexion, extension, rotation Shoulder shrug test (CN XI) Trachea - palpate Carotids - Asucultate Carotid Pulses - Palpate Lymph nodes: anterior cervical, posterior, submandibular - palpate Postion change: move behind patient suprclavicular lymph nodes Thyroid |
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Name the 10 parts of teh Back and Lungs Exam
(Including the position change) |
Shape of back - Inspect
Spine - Inspect Spine, for tenderness - palplate Chest Excursion - evaluluate Posterior Fremitus - palpate Posterior lung fields - percuss Apices - Auscultate Posterior lung fields - auscultate Postion Change: Patient lies -Examiner on right side Auxillary nodes |
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Name the Last 9 parts of the physical exam
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13. Heart and lungs
14. Abdomin 15. Lower extremities 16. Position change: patient sits up 17. Upper extremities 18. Mental status exam 19. Neuromuscular exam 20. Position change: patient stands up 21. Wash hands |
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Name the 5 parts of the Heart and Lung exam
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Precordium (Point of Maximal Impulse -PMI, Symmetry) - inspect
Precordium (PMI, heaves, thrills) - palpate Base - (aortic and pulmonary areas) - auscultate Left Sternal border & apex - auscultate anterior lung fields - auscultate (53-57) |
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Name the 10 parts of the abdominal exam
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abdominal shape and scars - inspect
Bowel sounds, aorta, renal arteries -Auscultate Liver and spleen - percuss Four Abdominal quadrants - light palpation Four Abdominal quadrants - deep palpation Liver - palpate Spleen - palpate Aorta - Palpate Inguinal nodes - palpate (speak only) Femoral arteries - palpate (speak only) (58-67) |
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Name the 9 parts of the Lower Extremities exam
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Thighs and legs - inspect
Knees and Feet - inspect Calves for tenderness - palpate Ankles for edema - inspect Ankles for edema - palplate Dorsalis pedis pulses - palplate Posterior Tibial Pulses - palpate Hips and knees ROM test Hips and Knees - Strength Test (68-76) |
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Name the 4 parts of teh Upper Extremities Exam
(Include postion change) |
Position change: patient sits up
Hands and Nails - inspect Arms and shoulders - inspect Shoulders, elbows, wrists, hands ROM Test Shoulders, elbows, wrists, hands - Strength Test |
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Name the 3 parts of the Mental status Exam
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Assess orientation to Person, Place and Time
Assess short term memory Assess ability to calculate (82-84) |
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Name the 18 parts of the neuromuscular exam
(including conclusion) |
Bicep reflex test
Triceps reflex test Brachioradialis reflex Vibration sense in hands - test Postion sense in hands - Test Knee reflex - test Ankle reflex - test Plantar reflex - test Finger to nose - corrdination test (both sides) Heel to shin - corrdination test Vibration sense in toes - test Position sense in toes - test Touch sensation on fingers and toes Pain sensation on fingers and toes Gait test Observe posture Spine ROM test Wash hands |