Head To Toe Patient Assessment Flashcards
DCAP-BTLS
Deformities, contusions, abrasions, punctures/penetrations, burns, tenderness, lacerations, swelling
Head trauma signs and symptoms
Fluid from ears, raccoon eyes, battle signs, broken teeth, taste blood in mouth, loose consciousness/hit head
Head medical signs and symptoms
Dizziness, lightheaded, headache (where, how often, feel typical, how is it different), when did it start, vision (blurry, both eyes, colour, photosensitivity), tinnitus (both ears), trouble swallowing, mouth or throat swelling/itchy/numb, loose consciousness, vertigo, jaw radiating from the chest
Neck trauma signs and symptoms
Pain/stiffness, JVD, subcutaneous emphysema, trachea midline
Neck medical signs and symptoms
Pain/stiffness/nuchal rigidity, JVD, subcutaneous emphysema, trachea midline, pain radiating from chest
Chest trauma signs and symptoms
Deep breath hurts (where, directly point to it), lung sounds, heart tones, hurt upon palpation, flail segment, paradoxical chest movement, surgical scars, chest pain
Chest medical signs and symptoms
Deep breath hurts (where, point directly), how many word sentence, lung sounds (audible or auscultation), heart sounds, hurt upon palpation, compared to last episode, chest pain, smoker, radiating chest pain, OPQRST, surgical scars, pacemaker, medical patch
Abdomen trauma signs and symptoms
Distension/rigidity/tenderness, needle marks, pulsating masses, surgical scars, pain (where, directly point to it), nausea, vomiting (how many times, when, any blood)
Abdomen medical signs and symptoms
Distension/rigidity/tenderness, needle marks, pulsating mass, bruising, surgical scars, bowel problems, diarrhea, constipation, blood or tarry stool, urination problems, colour of urination, burning or itching on urination, pain (where, pint directly), nausea, vomiting (how often, blood or coffee grounds, increased/decreased thirst), lower abdominal pain, last menstrual period, could you be pregnant
Pelvis trauma signs and symptoms
Stable, priapism, pain (where, point directly at it), incontinence or urine or stool
Pelvis medical signs and symptoms
Incontinence of urine or stool, wearing depends/diapers, priapism
Extremities trauma signs and symptoms
Numbness/tingling, CMS intact, pain (where, when, new), shortening of lower limb, lateral rotation out
Extremities medical sign and symptoms
Numbness/tingling, CMS intact, pain (when, where, new), pain radiating from chest to upper extremities, pedal edema, clubbing of nails, long distance travels
Back trauma signs and symptoms
Pain
Back medical signs and symptoms
Pain (where, between shoulder blades, lower), kidney pain (worse on palpation, bruising)