general examination

Question 1

overview x7

Answer 1

Happy Falcons Like Chocolate Limes

1. Inspection of patient state and sorroundings
2. introduction
3. examine hands and arms
4. examine face
5. examine lymph
6. examine chest
7. examine legs

Question 2

1.inspection of sorroundings

Answer 2

1. need for immediate intervention
2. patient well, oriented, conscious
3. patient in any pain?
4. presence of any oxygen mask and tubing, vomit bowl or
   sputum pot, bedside medication, or NBM sign
5. CHECK CHART

Question 3

2.intro x5

Answer 3

1. my name and year
2. their name and DOB
3. check band
4. check preffered name
5. get consent

Question 4

3(a). hands x11

Answer 4

• Colour e.g. tar staining of fingers
• Nails – colour, shape, texture
• Check capillary refill time
• Shape of joints – deformities or swollen
  areas?
• pain free joint movement
• Muscle wasting compare left and right.
• Palms – colour of palmar creases & evidence of palmar erythema.
• Temperature and sweatiness of palms
• Contractures
• Radial pulse & respiratory rate
• Tremor – fine, coarse, flapping

Question 5

do general but points for each system

Question 6

3(b). arms x6

Answer 6

• Joint deformity
• Bruising/pigmentation/rashes/skin
  lesions
• Scars or wounds
• track marks
• Assess skin turgor on forearm to
• determine hydration status

Question 7

4.face x5

Answer 7

• Overall appearance including facial symmetry, colour and hair distribution
• Specific facies
• Ears – inspect for shape and localised swelling
• Eyes – inspect for unequal pupils and yellow jaundiced sclerae
• eyelid position & asymmetry

Question 8

5.lymph x7

Answer 8

get patient to swing legs off of bed
1. Start with the supraclavicular nodes
2. anterior cervical chain (including
tonsillar nodes)
3. submandibular
4. submental,
5. pre & post auricular
6. occipital
7. posterior cervical lymph nodes

Question 9

6.chest x2

Answer 9

• Inspect and palpate any skin lesions
• Check for gynaecomastia

Question 10

7.Legs x5

Answer 10

• Skin – colour, hair distribution, evidence
  of ulceration or varicose veins inc soles
• Palpate the temperature
• Swelling – examine for pitting oedema
• Deformities
• Note any joint swelling, skin thickening
  and inspect movement of the toes