ID: Harold Beasley, 64: "I'm coughing and my side hurts"x2 days (Productive cough & Pleuritic CP)

Question 1

What do you do before beginning the exam?

Answer 1

Introduce Yourself, Wash Hands, General Appearance: Toxicity / Respiratory Distress

Question 2

VS: 99.2F, 90 bpm, 136/88 mmHg, 24 bpm. Recheck which?

Answer 2

Temperature, Respiratory Rate

Question 3

Sections in this Pope:

Answer 3

1. Lymph, 2. Pulmonary, 3. Cardiovascular, 4. Peripheral Vascular, 5. Abdominal

Question 4

So. What section are you going to start with?

Answer 4

Lymph

Question 5

1. Lymph:

Answer 5

Palpate -cervical nodes, -supraclavicular, -infraclavicular, -axillary nodes

Question 6

What comes after Lymph?

Answer 6

Pulmonary

Question 7

2. Pulmonary:

Answer 7

1. Inspect chest (accessory muscle use, retractions), 2. Palpate -tracheal deviation, -chest wall (tenderness), 3. Tactile fremitus, 4. Percuss A/P/L, 5. Auscultate, 6. Perform Egophany

Question 8

What comes after Pulmonary?

Answer 8

Cardiovascular

Question 9

3. Cardiovascular:

Answer 9

Auscultate heart

Question 10

What comes after Cardiovascular?

Answer 10

Peripheral Vascular

Question 11

4. Peripheral Vascular:

Answer 11

Cyanosis, capillary refill

Question 12

What comes after Peripheral Vascular?

Answer 12

Abdominal

Question 13

5. Abdominal:

Answer 13

Palpate for tenderness