H.O: Justin Jennings: "I've got this weird swelling in my neck" x1.5 months (Painless Neck Swelling)

Question 1

VS: 98.2 F, 68 bpm, 114/78 mmHg, 14 bmp. Recheck which?

Answer 1

None

Question 2

Sections in this POPE?

Answer 2

1. HEENT, 2. Lymph, 3. Abdominal, 4. GU

Question 3

Start with?

Answer 3

HEENT

Question 4

1. HEENT:

Answer 4

1. Inspect scalp, 2. Inspect skin overlying neck mass (erythema, ulcerations, suppuration), 3. Palpate skin for warmth, 4. Palpate mass (tenderness, fluctuance, mobility, matting, consistency), 5. Palpate thyroid, 6. Inspect oropharynx, 7. Palpate floor of mouth for masses

Question 5

After HEENT?

Answer 5

Lymph

Question 6

2. Lymph:

Answer 6

Palpate ALL lymph nodes: -cervical nodes, -preauricular, -postauricular, -occipital, -tonsillar, -submental, -supraclavicular, -infraclavicular, -axillary, -inguinal, -femoral

Question 7

After Lymph?

Answer 7

Abdominal

Question 8

3. Abdominal:

Answer 8

1. Palpate 4 quadrants for masses (light/deep pressure), 2. Palpate Liver, 3. Palpate Spleen, 4. Percuss Spleen at 9th ICS

Question 9

After abdominal?

Answer 9

GU

Question 10

4. GU:

Answer 10

State you would perform testicular exam