final osce Flashcards
1 - ipc (2)
- hh
- gloves
2 - intro (2)
- name
- role
3 - collab + consent (3)
- process: ab + mh assess > steth use, touching ab area, asking qs
- right to refuse
- permission to continue
4 - pt profile (4)
- name
- age
- dob
- emerg contact name + number
5 - reason for care (1)
- pt own statement
- pqrs
6 - pqrst (2)
- pt own statement
- assc sx > bloat, cramp, wt loss
7 - past hhx + screen (8)
- chron illness
- hosp
- surg hx
- commun disease > hep
- meds
- allergies
- nutrition
- obs hx
8 - fam hhx (5)
- bowel habits
- smoking > past, ct, amount
- alc > amount, frq
- drugs
- rel fam hx
9 - review of sys (3 sys, 2 qs)
- gu
- mental
- gi
10 - inspect (13)
- FLAT BED
- BED RAISED TO HIP
- PT VOIDED????
- contour
- symmetry
- umbilicus
- pigment + texture
- piercings
- masses + nodules
- vis peristalsis
- vis pulsations
- resp mvt
- rect ab muscle
11 - auscultate (2)
- bowel sounds
- vasc sounds
12 - percuss (3)
- quads
- liver
- spleen
13 - palpation (4)
- light
- deep
- liver
- aorta
14 - speshal test (6)
- rebound/blumberg: append
- rovsing: append
- iliopsoas: append
- kidney percuss: kidney inflamm
- murphy: liver
- RAISE HEAD
meds
- rx
- otc
- herbal
- DOSE + FRQ
allergies
- med
- food
- env
- RXN??
nutrition (1 q, 2 options)
- food intol
- 24h diet recall
obs hx (1 q, 3 options)
- menstrual cycle > regular + lmp
- past/current preg
- abortion
rel fam hx (3ex)
- colon cancer
- crohns
- ibs
gu rev sys - 2 req (4 options)
- frequency (more than normal)
- burning
- urgency
- foul smell
mh rev sys (2 req, 3 options)
- fatigue
- anxiety
- excess sleep
gi (2 req, 6 options)
- n+v
- diarrhea
- constipation
- cramps
- food intol
- wt loss
insp umbilicus (2)
- position
- inversion
insp pigment + texture (5)
- uniform
- redness
- jaundice
- smooth
- scars/striae
insp rect ab muscle (2)
- do situp!!!!
- intact
- hernia?
ausc bowel sound (3)
- start rlq, go clockwise
- VERB normal range > 5-30/min/quad
- VERB quality > pitch, type (gurgling, cascading)
ausc vasc sounds (5)
- aorta
- l+r ren art
- l+r iliac art
- l+r fem art
- VERB bruits
ausc L+R renal art
midclav + 2 fingers above umb
ausc iliac art
midclav + 2 fingers below umb
percuss quads (5)
- rlq, clockwise
- 2-3 pts/quad
- all quads tymp
- VERB hyperres over gast bubble
- VERB bladder tymp if voided, dull otherwise
percuss liver (3)
- VERB R midclav line
- VERB lung res, ab tymp
- VERB 6-12cm span
percuss spleen (2)
- VERB L midax line
- VERB dullness 9-11 rib
light palp tech (6)
- verify pain
- rlq, clockwise
- 1st 4 fingers of one hand, circ motion, lift before moving
- 1cm deep
- VERB presence/absence of masses
- VERB painful quad last
deep palp tech (3)
- 5-8cm deep or biman (top hand press, bottom feel)
- VERB enlargement, mass, tenderness
- VERB no palp in painful quad
liver palp (4)
- L on back, R vertical on R cost margin
- deep breath, push under
- VERB presence/absence (both ok)
- VERB pain - murph sign
ab aorta palp (3)
- above umbil, L of midline
- ulnar surf of hands
- VERB range 2.5-4cm
rebound/blumberg (4)
- pressure in one quad at 90deg
- slow, deep press; quick rel
- pain in ANY QUAD = pos peritonitis
- VERB pos/neg
rovsing (2)
- llq palp = rlq pain
- VERB pos/neg + meaning
iliopsoas (3)
- pt is supine
- raise R leg + apply pressure to lower thigh; pt resists
- VERB result + meaning
kidney percuss (3)
- pt sits upright
- one hand @ costovert angle; other hand thump w ulnar fist
- VERB result + meaning
H
Home
- who lives w you at home
- relationships describe
E1
ed + employ
- fav + least fav subject
- weekly/daily hrs working or hw
E2
eating
- appetite in last 2 wks
- recent body chgs + feelings abt them
A
activities
- school rel activities
- close friends + activities
D
drug
- do ur friends use atod
- do you and amount, frq
S1
sexuality
- who are you interested in romantically?
- ever been in romantic rel?
S2
suicide/depression
- sad/down/crying more than normal
- health risk behaviour/acting out
S3
safety
- serious injury + how
- seatbelt in car
S4
soc media
- which sites
- hrs/day
S5
sleep
- hrs/night
- trouble falling asleep/waking up
deep palp purpose (5)
- organ size
- location
- consistency
- abnormal mass
- tenderness
light palp purpose (2)
- overall impression of skin surface + musc
- presence of pain
