General Exam Flashcards

1
Q

End of Bed:

A
  • Conscious level
  • Distressed, pain or breathing problems
  • Bedside O2, vomit bowel, sputum pot or meds
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2
Q

Hands

A

Tar Staining
Nails - Bed colour, pitting, splinter haemorrhages, leuconychia, koilonychia, cyanosis or anaemia
Clubbing
Capillary Refill
Joints: Deformed or Swollen
Movement - Make a fist and then straighten (look for pain)
Muscle Wasting
Palms - stretch palmar creases for colour
Temp & Sweat
Contractures (Dupuytren’s)
Tremors (Fine/Coarse/Flapping)

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3
Q

Arms

A
Radial Pulse & Resp Rate
Joint Deformity
Tattoos/Bruising/Pigmentation/Rashes
Spider Naevi
Scars or Wounds
Venepuncture marks
Hydration
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4
Q

Face

A

General - Symmetry, colour, hair distribution
Specific Facies - Acromegaly
Ears - shape of pinna + Swellings
Eyes - Pupils, Sclera (jaundice/redness), Conjunctivae, Symmetry
Lips - Colour (cyanosis), Angular Stomatitis
Buccal Mucosa - Pen torch to check for ulceration
Tonsils - Wooden spatula to depress tongue
Gum margins and dentition
Tongue - Size, shape, texture, movement, colour, moistness

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5
Q

Lymph nodes

A
Supraclavicular
Anterior Cervical Chain
Submandibular
Submental
Pre-auricular
Post-auricular
Occipital 
Post-Cervical Chain
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6
Q

Anterior Chest

A

Skin lesions e.g. Spider Naevi
Scars
Gynaecomastia (men)

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7
Q

Lower Limb

A
Skin - colour, ulceration, hair distribution or varicose veins (soles of feet)
Temperature
Swelling (particularly pitting oedema)
Deformities
Swollen joints or skin thickening
Toe movement (curl toes)
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