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Phase 2b > Completion > Flashcards

Completion Flashcards

1
Q

How do you summarise a cardio exam?

A
  • hands symmetrically warm, CRT normal
  • no peripheral stigmata of CV disease
  • pulse was _bpm and normal rate and rhythm
  • assessment of JVP showed no abnormalities
  • no scars or chest wall abnormalities, apex beat palpable 5th int cos space in mid clav line
  • on palpation there were no heaves or thrills
  • on auscultation, 1st and 2nd heart sounds were present with no added sounds
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2
Q

How do you complete a cardio exam?

A
  • check for femoral pulses and radio-femoral delay
  • check blood pressure in both arms
  • check lying and standing BP in one arm
  • perform fundoscopy
  • 12 lead ECG
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3
Q

How do you summarise a resp exam?

A
  • pulse was _ bpm and of normal rate and rhythm, resp rate was …
  • hands were symmetrically warm
  • no evidence of tremor or asterixis
  • Closer inspection of chest: no scars or chest wall deformities
  • on palpation there was symmetrical chest expansion and no evidence of mediastinal shift
  • on percussion, all lung fields were resonant
  • on auscultation, vesicular breath sounds were present and there were no added sounds
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4
Q

How do you complete a resp exam?

A
  • take a sputum sample (check for volume, consistency, colour and odour)
  • assess peak flow
  • check O2 sats
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5
Q

How do you summarise a GI exam?

A
  • abdomen was soft and non-tender
  • no evidence of organomegaly
  • bowel sounds were present and normal
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6
Q

How do you complete a GI exam?

A

Examine:
- inguinal lymph nodes
- stool sample
- hernial orifices (femoral and inguinal)
- rectal examination
- urinalysis
- external genitalia(males)

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7
Q

How do you summarise a GALS exam?

A
  • normal appearance in gait, arms, legs and spine
  • full range of movement in all modalities tested
  • if any abnormalities found, perform a regional exam of the MSK system
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8
Q

How do you summarise a spine exam?

A
  • no abnormalities detected
  • normal gait
  • on palpation, no tenderness
  • full range of movement throughout the spine
  • special tests were -ve
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9
Q

How do you complete a spine exam?

A
  • full neuro exam of upper and lower limbs
  • hip and shoulder exam
  • in lower back pain, perform abdo and hip exam and consider rectal exam
  • examine peripheral pulses
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10
Q

How do you summarise a diabetic foot exam?

A
  • gait was normal
  • neurovascular assessment of both feet were normal
  • sensation was intact in both feet
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11
Q

How do you complete a diabetic foot exam?

A
  • bedside capillary blood glucose
  • ankle brachial pressure index
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12
Q

How do you summarise a thyroid exam?

A
  • pulse was _bpm and of normal rate and rhythm
  • no evidence of tremor
  • no evidence of thyroid eye disease
  • on palpation, no evidence of goitre or swelling
  • on percussion, no evidence of retrosternal goitre
  • on auscultation, no evidence of bruits
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13
Q

How do you complete a thyroid exam?

A
  • perform fundoscopy
  • conduct blood tests (T4 and TSH)
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14
Q

How do you summarise an upper limb neuro exam?

A
  • no abnormalities in posture, deformities, muscle wasting or fasciculations
  • pronator drift was -ve
  • tone was normal throughout
  • power was 5/5 in all muscle groups
  • reflexes were normal and present bilaterally
  • coordination was intact
  • sensation was normal in all modalities tested
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15
Q

How do you complete an upper limb neuro exam?

A
  • examine cranial nerves
  • carry out lower limb neurovascular exam
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16
Q

How do you summarise a hand exam?

A
  • On palpation, no tenderness
  • Full range of movement in all modalities tested
  • Sensation was intact
  • Special tests were –ve
17
Q

How do you complete a hand exam?

A
  • neurovascular exam of upper limbs
  • examination of elbow and shoulder joints
18
Q

How do you summarise cranial nerve exam?

A
  • on general inspection, they appeared well at rest
  • on examination of cranial nerves I-XII, there were no abnormalities detected
  • special tests were negative
19
Q

How do you summarise a knee exam?

A
  • Normal gait and joint appearance
  • On palpation, there was no tenderness
  • Full range of movement in all modalities tested
  • Special tests were –ve
20
Q

How do you complete a knee exam?

A
  • neurovascular exam of both lower limbs
  • examine hip and ankle
  • McMurray’s test if indicated
21
Q

How do you summarise a shoulder exam?

A
  • On palpation, no tenderness
  • normal shoulder joint appearance
  • Full range of movement in all modalities tested
  • Special tests were –ve
22
Q

How do you complete a shoulder exam?

A
  • neurovascular upper limb exam
  • examine cervical spine and elbow
23
Q

How do you summarise a hip exam?

A
  • Normal gait
  • Normal hip joint appearance
  • On palpation, there was no tenderness
  • no evidence of pelvic tilt or fixed flexion deformity
  • Full range of movement in all modalities tested
  • Special tests were –ve
24
Q

How do you complete a hip exam?

A
  • neurovascular exam of lower limbs
  • examine lumbar spine and knee joint
25
Q

How do you summarise a lower limb neuro exam?

A
  • There were no abnormalities in posture, deformities, muscle wasting or fasciculation’s detected
  • Gait was normal
  • Rombergs test was -ve
  • Tone was normal throughout
  • Power was 5/5 in all muscle groups bilaterally
  • Reflexes were normal and present at knee and ankles bilaterally
  • Plantars were downgoing bilaterally
    Coordination was intact
  • Sensation was normal in all modalities tested
26
Q

How do you complete a lower limb neuro exam

A
  • neurovascular exam of upper limbs
  • cranial nerves exam
27
Q

How do you summarise a cerebellar exam?

A
  • gait was normal
  • no evidence of nystagmus
  • assessment of limbs showed normal tone, reflexes and coordination
28
Q

How do you complete a cerebellar exam?

A
  • full neuro exam of cranial nerves and upper and lower limbs
29
Q

How do you summarise a varicose veins exam?

A
  • venous eczema and (size - 3x3cm) shallow/deep ulcer noted on (area)
  • several visible varicose veins
  • no evidence of phlebitis
  • pulses were normal throughout in both lower limbs
  • findings are consistent with peripheral venous disease
30
Q

How do you complete a varicose veins exam?

A
  • doppler ultrasound
  • venous duplex scanning
  • ABPI measurement
  • abdo exam
  • peripheral arterial exam
31
Q

How do you summarise a peripheral vascular exam?

A
  • No stigmata of peripheral arterial disease
  • Pulses were present bilaterally in upper and lower limbs and had normal rate, rhythm and character
  • The pulse was ___bpm
  • Abdominal aortic pulse was not palpable
  • Sensation of the lower limb was intact
  • Buerger’s test was negative
32
Q

How do you complete a peripheral vascular exam?

A
  • measure BP
  • measure ABPI
  • cardio exam

Phase 2b (17 decks)

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