Additional Steps in Examinations

Question 1

ISHRUG

Answer 1

I- inguinal lymph nodes
S- stool sample
H- hernial orifices
R- rectal exam
U- urine test
G- genital exam

Question 2

Further investigations for a resp exam

Answer 2

Check O2 sats
Check vital signs
Take a sputum sample
Perform peak flow assessment eg for asthma
Request a CXR if abnormalities upon examination
Take an ABG if indicated
Perform a full cardiovascular exam

Question 3

Further investigations for a cardiovascular exam

Answer 3

Measure BP
Peripheral vascular exam
12 Lead ECG
Urine dipstick
Fundoscopy
Check femoral pulses

Question 4

Further investigations for a thyroid exam

Answer 4

Thyroid function test
ECG
Further imaging eg USS of neck

Question 5

Further investigations for cranial nerve exam

Answer 5

Full neurological exam including upper and lower limbs
Neuroimaging eg MRI
Formal hearing assessment if indicated

Question 6

Further investigations for peripheral vascular exam

Answer 6

Measure BP
Cardiovascular exam
ABPI
Upper and Lower limb neurological examination

Question 7

Further investigations for cerebellar exam

Answer 7

Full neurological examination including cranial nerves, upper and lower limbs
Neuroimaging
Hearing assessment if indicated

Question 8

Further investigations for MSK exams

Answer 8

Exam of joint proximal and distal to joint examined eg in knee exam, would also examine hip and foot
Imaging of the affected joint
Blood tests