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Scribe Training > Course 2: Pathophysiology Physical Exam > Flashcards

Course 2: Pathophysiology Physical Exam Flashcards

1
Q

Congestive Heart Failure (CHF): Physical Exam? (2)

A

Rales (crackles) in lungs, jugular vein distention (JVD) in neck

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2
Q

Atrial Fibrillation (A-Fib): Physical Exam? (2)

A

Irregularly irregular rhythm, tachycardia

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3
Q

Pneumonia (PNA): Physical Exam?

A

Rhonchi

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4
Q

Pneumothorax (PTX): Physical Exam?

A

Absent breath sounds unilaterally

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5
Q

Chronic Obstructive Pulmonary Disease (COPD): Physical Exam? (3)

A

Decreased breath sounds, wheezes, rales

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6
Q

Reactive Airway Disease (RAD): Physical Exam?

A

Wheezes (inspiratory or expiratory)

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7
Q

Ischemic CVA: Physical Exam? (4)

A

Neurological deficits: hemiparesis (weakness of left or right side), unilateral paresthesias (abnormal sensations), aphasia (difficulty with speech), visual field deficits

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8
Q

Hemorrhagic CVA (Brain Bleed): Physical Exam?

A

Unilateral neurological deficits

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9
Q

Meningitis- Bacterial v Viral: Physical Exam? (2)

A

Meningismus (headache, neck pain), nuchal rigidity (cannot flex neck forward due to rigidity of neck muscles)

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10
Q

Spinal Cord Injury: Physical Exam? (5)

A

Midline bony tenderness, deformities or step-offs (bones should be aligned, but not), bilateral extremity weakness, numbness, decreased rectal tone

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11
Q

Seizure (Sz): Physical Exam? (2)

A

Somnolent (sleepy), confused (postictal – after sz)

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12
Q

Bells Palsy: Physical Exam?

A

Unilateral weakness of the upper and lower face

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13
Q

Vertigo (Room Spinning): Physical Exam?

A

Horizontal nystagmus, positive Romberg, positive dix-hallpike test

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14
Q

Small Bowel Obstruction (SBO): Physical Exam? (6)

A

Abdominal tenderness, guarding, rebound, abnormal bowel sounds, abdominal distension, tympany

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15
Q

Gallstones (Cholelithiasis, Cholecystitis): PE?

A

RUQ tenderness, Murphy’s sign

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16
Q

Gastointestinal Bleed (GI Bleed): PE? (4)

A

Pale conjunctiva, pallor, tachycardia

Rectal exam: grossly bloody stool

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17
Q

Pancreatitis: PE?

A

Epigastric tenderness

18
Q

Gastroesophageal Reflux Disease (GERD): PE?

A

Epigastric tenderness

19
Q

Urinary Tract Infection (UTI): PE?

A

Suprapubic tenderness

20
Q

Pyelonephritis: PE?

A

Costo-vertebral angle tenderness

21
Q

Kidney Stone (Nephrolithiasis): PE?

A

CVA tenderness

22
Q

Ovarian Torsion: PE? (2)

A

Adnexal tenderness (right or left). Tenderness in the RLQ or LLQ

23
Q

Testicular Torsion: PE? (2)

A

Testicular tenderness and swelling (right or left)

24
Q

Upper Respiratory Infection (URI): PE? (3)

A

Rhinorrhea, boggy turbinates, pharyngeal erythema

25
Q

Streptococcal Pharyngitis (Strep Throat): PE? (3)

A 
Pharyngeal erythema
Tonsillar hypertrophy (enlargement)
Tonsillar exudates (pus)
26
Q

Otitis Media (Middle Ear Infection): PE? (4)

A

Erythema, effusion, dullness, or bulging of the TM

27
Q

Conjunctivitis (Pink Eye): PE? (3)

A

Conjunctival injection (redness), edema, and exudates

28
Q

Epistaxis (Nosebleed): PE?

A

Anterior, posterior, or septal source (of the bleeding)

29
Q

Musculoskeletal Back Pain: PE? (2)

A

Paraspinal tenderness, positive straight leg raise (pos SLR diagnoses Sciatica; back pain that radiates down the legs)

30
Q

Extremity Injury: PE? (3)

A

Distal CSMT intact (circulation, sensory, motor, tendon) – do they have good sensation/movement/blood flow
No tendon or ligament laxity
ROM limited secondary to pain

31
Q

Aortic Dissection: PE? (2)

A

Unequal brachial or radial pulses, hypotension

32
Q

Abdominal Aortic Aneurysm (AAA): PE? (4)

A

Midline pulsatile abdominal mass, abdominal bruit, unequal femoral pulses, hypotension

33
Q

Deep Vein Thrombosis (DVT): PE? (3)

A

Calf tenderness, cords, homan’s sign

34
Q

Abscess (Cellulitis with Fluctuance): PE? (3)

A

Fluctuance (pus-pocket), induration, purulent drainage

35
Q

Cellulitis: PE? (4)

A

Erythema, edema, increased warmth (calor), induration

36
Q

Rash: PE? (7)

A

Urticaria (hives or wheals), macules (flat), papules (raised bumps), vesicles (small blisters), blanching (not dangerous), petechaie (dangerous rash), purpura (dangerous rash)

37
Q

Allergic Reaction: PE? (3)

A

Edema, facial angioedema, urticaria (hives, wheals)

38
Q

Diabetic Ketoacidosis (DKA): PE? (3)

A

Ketotic order (fruity), dry mucous membranes (dehydration), tachypnea

39
Q

Psychological Disorder: PE? (4)

A

Flat affect, SI, HI, tangential or pressured speech

40
Q

Trauma: PE?

A

Glasgow Coma Scale (GCS)

41
Q

Appendicitis (APPY): Physical Exam?

A

McBurney’s point tenderness, RLQ tenderness, peritoneal signs: guarding, rebound, rigidity

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