CEC Sesion 4

Question 1

Abdominal Basic Exam

Answer 1

Obtain subjective data
Inspect abdomen for contour (flat, scaphoid, distended, rounded)
Auscultation abdomen in 4 quadrants for bowel sounds
Palpate lightly overall all 4 quadrants for tenderness, masses

Question 2

Abdominal Basic Exam Subjective Questions

Answer 2

Any stomach pain?
How many bowel movements?
When was your las bowel movement?

Question 3

Abdominal Focused Exam

Answer 3

Auscultation: in 3 areas in each of the 4 quadrants (listened for 20-30 seconds)
Percussion: 12 areas as before
Palpation: 12 areas as before

Question 4

HEENT Basic Exam

Answer 4

Subjective questions

Assess oral mucosa for moisture, color, lesion using universal precautions (lips, baccalaureate mucosa, gums)

Inspection of teeth for number, color, restoration, alignment

Inspect external eye structures (conjunctiva, sclera, cornea) for moisture and discharge using universal precautions

Assess gross hearing ability

Question 5

HEENT Basic Exam Subjective Questions

Answer 5

Any changes in vision?
Any issues with hearing?
Any pain in eyes or ears?

Question 6

HEENT Focused Exam

Answer 6

Inspection (eyes): eyes for symmetry, corneal light reflex, convergence, accommodation

Inspection (ears): external structures (auricle, tragus , mastoid) using universal precautions, whisper test

Inspection (nose): nasal membranes, each nostril for latency

Inspection (head): frontal, maxillary sinuses, cranium/ scalp for symmetry, shape, masses, lesions, tenderness using universal precautions

Inspection (anterior and posterior lymph nodes): occipital, post-auricular, preauricular, submandibular (submaxillary), submental, anterior cervical chain, posterior cervical chain, supraclaviular using universal precautions

Palpation (nose) using universal precautions

Palpation (head): frontal, maxillary sinuses, cranium/ scalp for symmetry, shape, masses, lesions, tenderness using universal precautions