Clinical examination Flashcards
Explain the SOAP model
Subjective - history Objective - examination Assessment - clinical - individual - contextual Plan
Name the 4 components to examination
Inspection
Palpation
Percussion
Auscultation
Which side do we examine patients from?
Right side
Name vital signs
BP Pulse rate + character RR Temperature Pain scale GCS Oxygen sats
Name sites for head examination
Hair colour Hair texture Scalp Face colour Face expression Facial rash Face neurology
Name sites for eye examination
Appearance Sclerae Infection Movements Fundoscopy
Name sites for ENT examination
Ears Nose Throat Teeth Tongue Oral cavity
Name sites for neck examination
Alignment Vertebra Muscles LN Thyroid gland
Name sites for thorax examination
Skin
Shape of chest
Breasts
Discuss the CVS examination
General appearance Finger tips Radial pulse Feet pulse Carotid pulse Inspect for visible pulsations, vibrations or thrills in the neck and chest Heart - palpation - percussion - auscultation
Discuss the respiratory examination
Inspect shape, size and symmetry Chest movement Access mm involvement Thorax palpation Tracheal palpation Percussion Auscultation
Which organs are in the right hypochondrium?
Liver
Gallbladder
Which organs are in the epigastrium?
Stomach
Pancreas
Liver
Which organs are in the left hypochondrium?
Spleen
Which orgas are in the left flank?
Kidney
Descending colon
Which organs are in the left iliac fossa?
Sigmoid colon
Ovary
Fallopian tube
Which organs are in the suprapubic area?
Bladder
Uterus
Hernias
Which organs are in the right iliac fossa?
Caeceum
Appendix
Ovary
Fallopian tube
Which organs are in the right flank?
Ascending colon
Kidney
Which organs are in the central abdomen?
Small intestine
Abdominal aorta
Hernias
What does ODIPARA in the main complaint history taking stand for?
Onset Duration Intensity Precipitating Associated symptoms Reliving factors Aggravating factors
How is Glasgow Coma Scale assessed?
Eye opening - spontaneously 4 - to speech 3 - to pain 2 - none 1 Verbal response - orientated 5 - confused 4 - inappropriate 3 - incomprehensible 2 - none 1 Motor - obeys commands 6 - localize to pain 5 - withdraw from pain - flexion to pain - extension to pain - none
Intepret the Glasgow Coma Score
14-15 = mild 9-13 = moderate 3-8 = severe
