Examinations checklist Flashcards
Respiratory Exam
intro-wash hands - check identity - consent Generic Inspection bedside + Patient Hand inspection tremor and Asterixis pulse & RR JVP Face: eyes and mouth inspect chest trachea apex chest expansion tactile vocal fremitus percuss auscultate + cough vocal resonance END PEICES: cervical lymphnodes, peak flow, BP, sputum sample
Cardio Exam
intro-wash hands - check identity - consent generic inspection bedside + patient Hand inspection Pulse + simultaneous pulse + brachial Waterhammer pulse carotid JVP face: eyes + mouth inspect chest palpate Z shape auscultate 4 areas left axilla bell and roll on apex carotids sit forwards + diaphragm lung bases sacral oedema flat- hepatomegaly + shifting dullness Oedema ENDPEICES: femoral pulses, standing lying BP, fundoscopy, 12 lead ECG
Neuro Arm exam
intro-wash hands - check identity - consent
generic inspection bedside + patient
Pronator drift
Tone
Power- shoulders, elbows, wrist, fingers thumb
Reflexes
Co-ordination
Sensation - light touch, vibration, proprioception, sterognosis and graphaesthesia
+finger nose with eyes closed.
END PEICES: pain, temperature,
Neuro Leg exam
intro-wash hands - check identity - consent generic inspection bedside + patient Gait Rombergs Tone + ankle clonus Power- hip, knee, foot + toeflexion, Reflexes + babinski Co-ordination Sensation - light touch, vibration, proprioception, END PEICES: pain, temperature,
Abdo exam
intro-wash hands - check identity - consent generic inspection bedside + patient Hand inspection + asterixsis Pulse forearms JVP face: eyes + mouth lie flat + roll palpate regions hepatomegaly + splenomegaly ballot bladder aorta percuss: liver, spleen, blader, shifting dullness auscultate abdomen aortic bruit leg oedema ENDPEICES: Inguinal lymph/ Femoral pulses / Hernial orifices /Urine and stool sample / PR and genital exam
GALS exam
intro-wash hands - check identity - consent ? pain & stiffness, stairs, dressing undressing Inspect Gait Flexion lumber spine, lateral flexion neck hands behind head, inspect hands, lateral squeeze, fist, grip strength, finger opposition bend knees rotation hip patellar tap feet + squeeze
HIP
intro-wash hands - check identity - consent
generic inspection + trendelenbergs + gait
sitting leg length
palpate
flexion, abduction, aduction, internal external rotation
passive repeat
Thomas’ test
prone extension
END PEICES: neuro-vascular knee and lumber spine
Knee Exam
intro-wash hands - check identity - consent
inspect + gait
palpate temp joint line in flexion and extension
flexion, extension
passive repeat
posterior sag
anterior draw
lateral and medial colleteral ligaments
END PEICES: neuro-vascular Hip and ankle. mc Murray
Spine Exam
intro-wash hands - check identity - consent inspect palpate, percuss flexion extension neck lateral flexion rotation lumbar flexion lateral lumbar flexion extension seated rotation straight leg raise END PEICES: chest expansion, neurological exam, shoulder/hip
Shoulder exam
intro-wash hands - check identity - consent inspect palpate- temp joint line muscle screening hands behind head, hands behind back rotation extension flexion abduction passive repeat rotator cuff- lift off/ resisted movements scarf test functional questions
Hand exam
intro-wash hands - check identity - consent pillow ?pain/tingling elbows inspect clubbing temp cap refil squeeze individual palpations pulses allens test sensation prayer and reverse prayer grip extend fingers thumb movements functional ? pinch grip precision grip pick up grip strength ok grip resistence paper pull wrist dorsiflexion tinnells
Peripheral Vascular Exam
intro-wash hands - check identity - consent inspection radial pulse + comparison ulnar + brachial pulses allens test carotid face inspection inspect abdomen. AAA inspect legs palpate pulses light touch toes cap refil beurgers ausculatate carotids, Aorta, subclavian END PEICES: femoral pulse + bruit, BP + ABPI, Doppler
Thyroid Exam
intro-wash hands - check identity - consent inspection hands tremor pulse forearm face - eyes from above and side -eye movments + lid lag inspect neck water tongue feel trachea feel thyroid \+water \+tongue cervical lymph nodes percuss sternum auscultate goitre ankle reflexes pretibial myxoedema
Breast exam
intro-wash hands - check identity - consent inspection hands behind head hands on hips palpate roll 4 quadrants, nipple and axillary tail axilla lymphnodes suprclavicular lymph
Diabetic foot exam
intro-wash hands - check identity - consent inspection shoes inspect feet + web spaces palpate pulses + cap refill sensation- vibration / light touch / pinprick / mono-filament / proprioception ankle reflex
