1] Review Of Systems And Physical Screening Exam Flashcards
Purpose of the review of systems
Identify characteristics of associated signs and symptoms
The systematic review utilizes what?
Physical assessment for diseases of each system
General health checklist
9 things
Fever/chills Appetite Fatigue Weight loss/gain Vitals Insomnia Irritable Voice changes Falls/dizzy
What is a constitutional disease
Disease that affects the entire body rather than a specific part
Red flag for fever, chills or sweating
More than 99.5 degrees or more than 2.3 deg higher than their normal
Red flag for tiredness when
Impedes ability to perform normal ADL and IADL and it lasts for more than 2 weeks
What kind of symptom is malaise?
Constitutional
Malaise is defined as?
Discomfort, uneasiness or indisposition often indicates infection; feeling that something isnt right
Paraesthesia is ?
Numbness
Unusual neuro symptoms for MSK patients (3)
Severe sensory change
Bilateral extremity deficits
Gait/balance issues
3 things you are screening for during a physical exam
Signs and Sx that mimic the disease condition
Conditions that impact NMS conditions
Occult disease
5 vital signs
HR BP RR Temperature Pain
Additional vital signs
Level of consciousness
Level of physical activity
Walking speed = 6th vital sign
Normal BMI
18.5 - 24.9
Less than 15 BMI
Very Severe underweight
15 - 15.9 BMI
Severe underweight
16 - 18.4 BMI
Underweight
25 - 29.9 BMI
Overweight
30 - 34.9 BMI
Obesity class I
35 - 39.9 BMI
Obesity class II
More than 40 BMI
Obesity class III
Cut off waist circumference for women and men
Women = 35 inches Men = 40 inches
Finger clubbing is a sign of?
Oxygen deprivation and possibly cancer
Edema is defined as
Excess fluid in tissues
Malignant melanoma ABCDE characteristics
A = asymmetrical shape B = border irregular C = color changes D = diameter E = evolving
Small, purplish, hemorrhagic spots on the skin that appear in certain severe fevers and are indicative of great prostration, as in typhus. They may be due to an abnormality of the blood-clotting mechanism.
Petechiae
A bruise is aka
Ecchymosis
Size of abnormal lymph nodes
More than 1 cm big
Lymph node vs trigger point
With a lymph node, when you contract, it wont change
LUQ contents
Spleen Stomach Pancreas L kidney and adrenal gland L ureter Transverse colon Small intestine
RUQ contents
Liver Gallbladder Ascending and transverse colon Duodenum Pancreas Small intestine R kidney and adrenal gland R ureter
LLQ contents
Left: kidney, ureter, ovary, spermatic cord,
Sigmoid colon
RLQ contents
Appendix
Ascending colon
R: kidney, ureter, ovary, spermatic cord
Dull sounds of abdominal percussion
Solid organ
Feces
Mass
Tympanic sounds of abdominal percussion
Hollow organ
Gas
Rebound tenderness is?
Increased Sx when you let off palpation
Appendicitis
- rebound tenderness
RLQ
+ pain on withdrawal
Special tests: appendicitis
Rovsings sign
LLQ
+ pain at RLQ
Pinch an inch test for appendicitis
McBurney’s point
+ pain with release
What is Murphy’s sign
For cholecystitis; you hook fingers under lower R costal border, ask them to take a deep breath in; palpate liver
AAA has mortality rate of?
90%
Signs of AAA
Pulsatilla mass
Abdominal bruit
Femoral bruit
Femoral pulse deficit
Risk factors for AAA
More than 60 years old
HTN
Smoking
Family history
Normal width of palpable pulse
2-3 cm or 1 inch
Do not palpate for AAA where and why
Below umbilicus b/c thats where aortic bifurcation is
Special test for kidneys
Murphys percussion test for rib tenderness
Kidneys are around what region
T12 - L3
