Examination of Swellings Flashcards

1
Q

What is the pneumonic for describing swellings

A

ISPED PAST CHIMES

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2
Q

what does ISPED PAST CHIMES stand for?

A
(trans)illuminate
size
position
edge
depth
pulsation
ache
shape
tint
consistency
heat
indentation
movement
elicit fluctuation
surface
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3
Q

how do you determine whether a swelling transilluminates?

A

cold bright light source

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4
Q

how do you report size of swelling

A

in cm

2 dimensions

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5
Q

how do you report position of a swelling

A

where in body - simple as that, easy as

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6
Q

how do you describe the edge of a swelling?

A

smooth
regular
irregular

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7
Q

how do you describe the depth of a swelling?

A

superficial
deep
woah man, its not that deep. its actually kinda superficial

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8
Q

how do you describe swelling pulsation?

A

present or absent

complicated is this medicine thing

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9
Q

how do you describe swelling ache

A

tender or painful

or are they just a pussy? take a para and get on with it

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10
Q

how do you describe the shape of a swelling

A

describe it

get imaginative - how exciting

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11
Q

how to describe swelling tint

A

colour - whoever made this pneumonic was so extra

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12
Q

how to describe a swelling consistency

A
hard
firm
soft 
tense
think willy
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13
Q

how do you describe the heat of a swelling

A

touch it and see

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14
Q

how do you describe indentation of a swelling

A

if you poke it what happens - depression on pressure

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15
Q

how do you describe movement of swelling

A

if it moves on respiration or manipulation, say that

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16
Q

what does elicit fluctuation mean

A

theres fluid in there

17
Q

what could you say about the surface of a swelling?

A

smooth, regular, irregular - same as the edge but different kinda a bit, not really