Clinical workshops Flashcards
arc light
works as a otoscope ,othalmoscope ,
what is an ear examination
otoscopy
PQRSTU methods
Provocative - what makes your pain worse ?
Palliative - what makes your pain feel better ?
Quality - what does the pain feel like ?
Quantity - how bad is your pain ?
Region - where do you feel the pain?
Radiation - do you feel the pain elsewhere
Severity - how would you rate the pain on a scale of one to 10
Timing - when did the pain start ? what where u doing when it started ? is it constant ?
Treatment - have you taken anything to help relieve the pain ?
Understanding - what do you think is causing the pain ?
Melanoma management
use the weighted 7 point checklist :
(major features of the lesion)
change in size
change in shape
irregular colour
(minor features of the lesion)
largest diameter 7mm or more
inflammation
oozing
change in sensation
information to consider when looking at moles that are possibly melanoma
history
-how long the lesion has been present for
-change in size
-change in colour
-change in shape
- symptoms for example itching or bleeding
Examination
-location
-size
-elevation (flat , palpable , nodular)
description (irregular margins , irregular pigmentation , if ulceration is present
-palpable lymph nodes
subjective data
personal data
HPI
past medical history
family history
social history
medication history
allergy history
objective data
physical examination
investigations - lab , scan
objective data
physical examination
investigations - lab , scan
general exam
general appearance
vital signs
upper and lower limbs
head and neck
local examination
inspection
palpitation
percussion
auscultation
vital signs
heart rate
respiratory rate
temperature
blood pressure
oxygen saturation
level of consciousness
vital signs - temperature
tympanic -37.7
oral -37
rectal -37.7
temporal -37
axillary- 36.3
where do u read heart beat in wrist
on the radial artery
pulse
number of times the heart beats in 1 minute
respiration
number of times a patient breaths in 1 minute
dyspnea
difficult or laboured breathing
apnea
absence of respirations
tachypnea
rapid respiratory rate above 25 rpm
bradypnea
slow respiratory rate usually below 10 rpm
orthopnea
severe dyspnea in which breathing is very difficult in any position other than sitting erect or standing
systolic / diastolic
systolic is when the left ventricle is contracting
top or first number
diastolic pressure is when the heart is at rest
it is the bottom or second number
AVPU
level of consciousness rating
alert
verbal
pain
unresponsive
bradycardia
<60 bpm
tachycardia
a pulse of >100bpm
SOCRATES
site
onset
character
radiation
alleviating factors
timing
exacerbating factors
severity
MJTHREAD Ca
myocardial infarction
jaundice
tuberculosis
hypertension
rheumatic fever
epilepsy
asthma
diabetes
stroke
cancer
WIPER
wash hands
introduce yourself to the patient and seek consent
position the patient correctly
expose the patient as needed
right side of the bed
