Final Check Off Flashcards
Order of final check-off
Skin
Head
Neck
Thorax and Lungs
Cardiovascular/Peripheral Vascular
Abdomen
Musculoskeletal
Neurological
Breast
Genitalia Male and Female
Skin Section
Skin Color and lesions
Palpate skin
Hair
Nails
Skin Section: Skin Color and lesions
Appropriate for ethnicity, no pallor or cyanosis and no lesions
Skin Section: Palpate skin
Assess w/ back of hand
Check for warmth
Turgor (<3 sec) and mobility (rises with ease)
Skin Section: Hair
Inspect and palpate head and scalp with gloves:
Color
Texture (Fine, straight, curly)
Contour (even/uneven)
Lesions (no scaling, flacks, lice/nits)
Skin Section: Nails
Inspect and palpate upper and lower extremities
Shape (round/flat)
Contour (smooth/ridges)
Consistency (uniform vs brittle)
Color (pink)
Identify nail angle (<160, no clubbing)
Test for capillary refill (<3 sec)
Head section
Size and shape
Eyes
Ears
Nose/sinuses
Mouth and Throat
Head Section: Size and Shape
Normocephalic and facial structures is symmetric
Head Section: Eyes
Distance vision at 10 ft with Snellen chart
Near Vision with Rosenbaum chart
Visual Confrontation (tested from behind with fingers in periphery)
Extra-ocular Muscle Function (6 point cardinal positions) “EOM in tact, no nystagmus)
Eye structure: Eyebrows symmetric, lid smooth, sclera white, conjunctiva pink, cornia clear, no lesions or drainage
Test pupillary light reflex with pen light both eyes testing for individual constriction and bilateral/simultaneous constriction
Test accommodation with focus
State PERLA “Pupils Equal Round Reactive to Light and Accommodating”
Head Section: Ears
Palpate w/ gloves the Pinna, Targus, and Mastoid process for symmetry and no pain
Test hearing w/ whispered voice test bilaterally 1-2 feet from each ear
Head Section: Nose/Sinuses
Palpate w/ gloves nose (mid-line, symmetric, no pain), bilateral frontal and maxillary sinuses (non-tender
Verifies patency of nares by occluding one nostral at a time and sniffing
Inspects internal nares w/ penlight to sensure midline non deviated no redness or polyps
Head Section: Mouth and throat
Inspect structures of the mouth w/ penlight checking lips (pink, moist), gums (pink), teeth (intact and clean), tongue (pink, moist, and smooth), and mucous membrane (pink and moist)
Inspect Throat w/ penlight for hard and soft palate (intact, oropharynx (pink), uvula (midline and rises with phonation), and tonsils either present or absent with or without redness
Neck
Palpates bilateral cervical lymphodes for lymphadenopathy or round, mobile, and non-tender. Trachea is midline
Thorax and lungs
Identifies Rate, Rythm, and quality (count 30 sec X 2, regular and even, unlabored)
Inspect anterior and posterior chest for symmetry and transverse ratio (1:2)
Auscultate anterior chest (5 positions) posterior chest (7 positions) Lateral chest (2 positions)
Identify chest sounds (clear)
Identify presence or absences of adventitious breath sounds (non present)
Cardiovascular/Peripheral Vascular
Have PT lie down with pillow under their knees:
Inspect bilateral JVD
Inspect precordium (no lifts or pulsations)
Identify hr rate Count 30 sec X2 and rythm regular/irregular or radial pulse
Palpate bilateral peripheral pulses:
Carotid
Brachial
Radial
Femoral
Popliteal
Posterior tibial
Dorsalis pedis
Grade 2+=normal, equal and bilateral
Auscultate Anterior chest
(Aortic area) RSB 2nd ICS (S2>S1)
(Pulmonic area) LSB 2nd ICS (S2>S1)
(Erbs point) 3rd ICS (S2=S1)
(Tricuspid area) 4th ICS (S1>S2)
(Mitral area) 5th ICS (S1>S2)
Auscultate Apical pulse (mitral area) Identify BPM and rythm for 1 min
Auscultate bilateral carotid arteries (use bell of stethoscope) one side at a time while holding breath “no Bruit”
