General Survey

Question 1

Explore common or concerning symptoms

Answer 1

Including: fatigue and weakness; fever, chills, night sweats; weight changes, pain.

Question 2

Classification of overweight & obesity by BMI

Answer 2

BMI = weight (kg)/ [height (m)]^2; OR weight (lbs)/ [height (in)]^2 x 703. Underweight = < 18.5. Normal = 18.5 to < 25 (i.e. 24.9). Overweight = 25 to <30. Obesity (class I) = 30 to <35. Obesity (II) = 35 < 40. Extreme obesity (III) = > or = 40. 
1 kg = 2.2 lbs. 1 inch = 2.54 cm. 1 meter = 100 cm.

Question 3

Apparent state of health

Answer 3

Acutely/ chronically ill, frail, or fit and robust.

Question 4

Dress, grooming, personal hygiene

Answer 4

Appropriate clothing for temperature/ weather/ setting. Well dressed. Well groomed. Unkept/ untidy. Well groomed. Maintains personal hygiene.

Question 5

Blood pressure measurement

Answer 5

Muffling point/ disappearance point of Korotkoff sounds right at diastolic pressure. In some ppl, muffling point & disappearance point = farther apart. Occasionally, as in aortic regurgitation, sounds never disappear. If difference = 10 mmHg or greater, record both i.e. 154/80/68. By making sounds less audible, venous congestion may produce artificially low systolic & high diastolic pressures. Pressure difference of > 10-15 mmHg occurs in SUBCLAVIAN STEAL SYNDROME, AORTIC DISSECTION.

Question 6

Temperature- converting Celsius to Fahrenheit

Answer 6

[(0 degrees C) x 9/5] + 32 = 32 degrees F.

I.e. (10C x 9/5) + 32 = 50 F