H.O: Freddie Sullivan: "My legs and back are killing me!" x8 hrs. (Leg & Back Pain)

Question 1

VS: 100.5 F, 100 bpm, 140/90 mmHg, 15 bpm. Recheck which?

Answer 1

Pulse and respirations

Question 2

Sections for this POPE?

Answer 2

1. HEENT, 2. Pulmonary, 3. Cardiovascular, 4. Abdominal, 5. Musculoskeletal

Question 3

Start with?

Answer 3

HEENT

Question 4

1. HEENT:

Answer 4

1. Inspect conjunctiva for jaundice, 2. Perform opthalmoscopic examination (retinopathy)

Question 5

After HEENT?

Answer 5

Pulmonary

Question 6

2. Pulmonary:

Answer 6

Auscultate for adventitious breath sounds

Question 7

After Pulmonary?

Answer 7

Cardiovascular

Question 8

3. Cardiovascular:

Answer 8

1. Palpate for hyperdynamic precordium, 2. Auscultate (rate and murmurs), 3. Palpate pulses

Question 9

Which pulses are you going to palpate?

Answer 9

Carotid, brachial, radial, ulnar, popliteal, posterior tibialis, dorsalis pedis

Question 10

After Cardiovascular exam?

Answer 10

Abdominal

Question 11

4. Abdominal:

Answer 11

1. Palpate liver, 2. Palpate spleen & Percuss spleen

Question 12

After abdominal?

Answer 12

Musculoskeletal

Question 13

5. Musculoskeletal:

Answer 13

**Standing: 1. BACK: inspect, palpate, ROM, blunt percuss. 2. THIGHS: inspect, palpate. **Sitting: 1. Inspect legs for non-healing ulcers, 2. LE DTRs (patellar, achilles), 3. LE sensation & strength