ID: Antonio Caro, 22: "I can't stop shaking"x2 days (Fever, Headache, Rash)

Question 1

What do you do before the physical examination?

Answer 1

Introduce Yourself, Wash Hands, General Appearance for Toxicity / Alertness

Question 2

VS: 102.6 F, 86 BPM, 144/90 mmHg, 18 BPM. Re-check which?

Answer 2

Temp

Question 3

Sections for this POPE:

Answer 3

1. HEENT, 2. Lymph, 3. Pulmonary, 4. Cardiovascular, 5. Neurological, 6. Skin

Question 4

So. What section do you start with?

Answer 4

HEENT

Question 5

1. HEENT:

Answer 5

1) Inspect: Mucous membranes for petechiae, 2) Palpate: -scalp, -neck & -upper back, 3) Check for nuchal rigidity (Note: I put “fundoscopy” in CN exam)

Question 6

What comes after HEENT?

Answer 6

Lymph

Question 7

2. Lymph:

Answer 7

Palpate: Cervical nodes, axillary nodes, clavicular nodes & inguinal nodes

Question 8

What comes after Lymph?

Answer 8

Pulmonary

Question 9

3. Pulmonary:

Answer 9

Auscultate breath sounds A/P/L

Question 10

What comes after Pulmonary?

Answer 10

Cardiovascular

Question 11

4. Cardiovascular:

Answer 11

Auscultate heart w/ diaphragm and bell

Question 12

What comes after Cardio?

Answer 12

Neuro

Question 13

5. Neurological:

Answer 13

1. Cranial Nerves 2-12 (including fundoscopy), 2. Kernig & Brudzinski Sign

Question 14

What comes after Neuro?

Answer 14

Skin

Question 15

6. Skin:

Answer 15

1. Inspect skin on: -face, -neck, -trunk, -back, -lower extremities, 2. Palpate lesions for blanchability