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15 Cards in this Set
- Front
- Back
- 3rd side (hint)
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list the 17 categories of the exam
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-I introduction
-II general appearance -III vital signs -IV upper extremities -V head -VI eyes -VII ears -VIII nose -IX mouth and throat -X Neck -XI Chest/Back (start @ back) -XII chest wall -XIII cardiovascular -XIV abdomen -XV lower extremities -XVI neurologic -XVII genitalia |
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XIV upper extremities
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Focus Bold
#1-Palms #2-nails #3 skin #4 musculature #5 joints Range of motion: fingers, wrists, elbows, shoulders |
#1: erythema, moistness, tremors, thenar atrophy
#2 clubbing, cyanosis #3 color, lesions #4: symmetry, atrophy, involuntary movements, swelling, deformity, tenderness,, thickening, warmth |
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V head
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inspect: face/scalp
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shape, size, nits, rashes, lesions
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VI eyes
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-vision test pocket card
-#B. conjunctiva -#C. sclera -#D. spec pupils/test with light -Extraocular movements -fundoscopy |
-#B. color, lesions
#C. color, lesions #D. size, shape, quality, reaction |
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VII ears
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-#A. auricle: anterior/posterior
#B inspect canal with a scope #C. tympanic membrane with a scope #d Test Hearing (whisper test) |
-#a: deformities, lumps, skin lesions
-#B. cerumen , discharge, foreign bodies #C. color, landmarks, bulging, retraction, perforation |
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VII nose
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inspects with otoscope
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patency, septal deviation, lesions, discharge, blood
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IX mouth and throat
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-inspect with light
#1 lips #2 buccal mucosa #3 Teeth #4 gums #5 tongue (all sides) #6 palette #7 tonsils #8 pharynx #9 uvula |
#1 lips: cyanosis, lesions
#2 buccal mucosa: lesions, moist #3 Teeth: loose, missing, caries #4 gums: none #5 tongue (all sides): color, lesions, tremor #6 palette: lesions, deformities #7 tonsils: presence, size, color, exudate #8 pharynx: none #9 uvula: lesions, color, symmetrical movement of uvula |
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Neck
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-flexion
-extension -rotation -palpate lymph nodes -anterior cervical/posterior cervical/supraclavicular -inspects thyroid(bold) patient swallows posteriorly palpate thyroid -isthmus -lateral lobes |
inspect thyroid: goiter, nodules
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XI chest
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-posterior inspection (quiet/deep breathing) (bold)
-auscultate posterior lung fields bilaterally 3/1 Auscultate anterior lung field 3/1 |
-posterior inspection: rate, rhythm, depth, effort
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XII chest wall
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-palpate axillary nodes: four groups
-Central -sub scapular -lateral -pectoral |
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XIII cardiovascular
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-auscultate
-Apex -LSB -pulmonic (second ICS) -aortic -carotids (palpate then auscultate) |
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XIV abdomen
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-inspection (bold)
superficial-#4 quads deep #4 quads -bimanual liver edge palpation -bimanual spleen palpation |
-inspection:
scars, distention, symmetry, masses, pulsations, veins |
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XV lower extremities
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inspection:(bold)
#1 skin #2 musculature #3 joints #4 vessels ROM: -hip -knee -ankle -palpate pretibial area -palpate dorsalis pedis pulse -if absent: check posterior tibialis |
#1 skin: color, lesions
#2 musculature: symmetry #3 joints: swelling, deformity #4 varicosities |
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XVI Neurologic
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patient sits up:
-Fundoscopy (if not already checked) -extraocular movements (if not already checked) -wrinkled forehead -show teeth -protrude tongue -shoulder shrug against resistance - DTRs deep tendon reflexes: biceps / knees /ankles -Gait walk across a room (ataxia) |
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XVII genitalia
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(states)
both sexes: rectum exam as indicated female patient: breast/pelvic exam Male patient: penis/scrotum/hernia check |
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