Examinations Flashcards
Visual Acuity - Optic
Snellen Chart
Occulomotor, Trochlear and Abducens
Eye movements
Sensory Trigeminal
Light touch in each division
Motor Trigeminal
Clench teeth and feel bulk of masseter and open jaw against resistance
Trigeminal Reflexes
Jaw Jerk and Corneal
Facial
Range of facial expressions
Rinnes test
Tuning fork on mastoid process and then move away
Webers Test
Tuning fork on midline of forehead
Vestibular test
Turning test - Patient turns towards side of the lesion
Glossopharyngeal + Vagus
Gag reflex
Accessory Nerve
Shrug shoulders and turn head to one side against resistance
Hypoglossal
Protrude tongue - deviations towards side of lesion
Janeway Lesions, Oslers Nodes or Splinter Haemorrhages
Infective Endocarditis
Xanthoma
Hyperlipidaemia
Radial-Radial Delay
Aortic Coarctation
Collapsing Pulse
Aortic Regurg
Irregularly Irregular pulse
AF
Regularly Irregular pulse
Sinus arrhythmia
Corneal Arcus/ Xanthelasma
Hypercholesterolaemia
Angular stomatis
Inflammation of corners of mouth - Iron deficiency
Pectus Excavatum/Carinatum
Inward/outward sternum
Laterally displaced apex beat
Cardiomegaly
Heaves
Precordial impulse that can be palpated
Thrills
Palpable vibration caused by turbulent blood flow
Valve Auscultation Point
A = 2nd on the right sternal edge P = 2nd on the left sternal edge T = 5th on left sternal edge M = 5th midclavicular line
Barrell Cheste
COPD
Productive cough
Bronchiectasis, COPD, CF
Dry cough
Asthma, ILD
Wheeze
Expiratory - Asthma. COPD, Bronchiectasis
Stridor
Inspiratory - Upper airway obstruction
Pulsus Paradoxus
Pulse wave decreases with inspiration - Asthma, COPD
Fine tremor
Side effect of Beta-2 agonist
Flapping tremor
Co2 retention- T2 resp failure
Horners Syndrome
Ptosis, Contricted pupil, Anhidrosis, Enopthalmos
Dull percussion
Density - Consolidation, Fluid, Tumour, Collapse
Stony dullness
Pleural Effusion
Hyper-resonance
Pneumothorax
Coarse Crackles
Pneumonia, Bronchiectasis, Fluid overload
Fine crackles
Pulmonary fibrosis
Koilonychia
Spooning of nails - Chronic iron def
Leukonychia
Whitened nail bed - Hypoalbuminaemia
Palmar erythema
Liver disease
Dupuytrens Contracture
Thickening of palmar fascia - Excess Alcohol
Hepatic flap
Flapping when hand outstretched - hepatic encephalopathy
Petechiae
Low platelets - splenomegaly
Virchow’s Node
Gastric Malignancy
Spider Naevia
Chronic Liver disease
Gynaecomastia
Liver cirrhosis
Upward v Outward movement on AAA palpation
Pulsatile v Expansile
Shifting Dullness
Ascites
Tinkling bowel sounds
Obstruction
Absent
Peritonitis
Sweating
Hyperthyroidism
Dry skin
Hypothyroidism
Thyroid acropachy
Graves
Peripheral Tremor (Thyroid)
Graves
Tachy/Bradycardia
T = Hyper B= Hypo
Loss of outer 1/3 eyebrow
Hypothroidism
Exopthalmos (Thyroid)
Graves
Hyporeflexia (Thyroid)
Hypothyroidism
Pretibial Myxoedema
Graves
Proximal Myopathy (Thyroid)
Hyperthyroidism