Easy to miss Flashcards
What things are easy to miss in a cardio exam
Temp of hands, cap refill CLUBBING Carotid pulses JVP Hepatojugular reflex Apex Beat Pedal oedema
What things do you do in the neck in cardio
Carotid and JVP only
What things are easy to miss in a resp exam
Hand temperature Fine and flapping tremor JVP (+hepato) Trachea tactile vocal fremitus 99 whilst auscultating Calves for DVT
What things do you do in the neck in resp
JVP
Trachea position
Lymph Nodes
What can you ask them to do so that you can listen to the back of their lungs better
Cross arms across front
What are the easy things to miss in an abdominal exam
Fine and flapping tremor Clubbing Inspect axilla Murphys sign Aorta Shifting dullness
What things do you do in the neck in abdominal
Lymph nodes (Virchows)
What things are easy to miss upper limb neuro
Pronator drift Tone Finger to finger test Thumb to each finger tip Stereogenesis, graphaesthesia, 2 point discrimination
What is acanthosis nigricans
Darkened creases especially in arm pits. Sign of insulin resistance
Order of eye things in cranial nerve exam
Visual acuity Visual fields Visual inattention Accomodation Pupillary light reflexes Swinging light test
What is the swinging light test testing for
Relative afferent pupillary defect
What extra eye tests don’t you do in osce
Fundoscopy
Colour vision
How to test trigeminal
Sensation
Temporalis and masseter bulk
Jaw open against resistance
How to test hypoglossal
Tongue power
Tongue out
Tongue at rest
Where is C4
Shoulder
Where is C5
Lateral bicep
Where is C6
Lateral forearm
Where is C7
Index finger
Where is C8
Medial forearm
Where is T1
Medial bicep
Where is L1
Where is L2
Lateral upper thigh
Where is L3
Knee
Where is L4
Medial lower leg
