ID: Jessica Lyndstrom, 23: "I'm throwing up and having diarrhea" xsince last night (N/V/D)

Question 1

What do you do before starting the physical exam?

Answer 1

Introduce Self, Wash Hands, & General Appearance for Toxicity / Illness

Question 2

VS: 100.3F, 96 BPM, 116/68 mmHg, 18 BPM. Recheck which?

Answer 2

1. Temperature, 2. Pulse, *3. PERFORM Orthostatic VS

Question 3

Sections for this POPE:

Answer 3

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

Question 4

So. Where are you going to start?

Answer 4

HEENT

Question 5

1. HEENT:

Answer 5

inspect -sclera (jaundice) and -mucous membranes (moistness)

Question 6

What comes after HEENT?

Answer 6

Skin

Question 7

2. Skin:

Answer 7

Palpate skin for turgor

Question 8

What comes after Skin?

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 w/ bell and diaphragm

Question 12

What comes after Cardiovascular?

Answer 12

Abdominal

Question 13

5. Abdominal:

Answer 13

1. Inspect (contour/peristaltic waves), 2. Auscultate (bowel sounds), 3. Palpate abdominal quadrants (light pressure / deep pressure), 4. Palpate for hepatometaly, 5. Perform test for REBOUND TENDERNESS, 6. Palpate McBurney’s Point

Question 14

Another way of thinking about this exam?

Answer 14

1. There are three tests you do for dehydration, 2. Listen to heart and lungs, 3. Abdominal exam

Question 15

For Dehydration?

Answer 15

Sclera, mucous membranes, turgor

Question 16

Then?

Answer 16

Listen to heart and lungs?

Question 17

Then?

Answer 17

Abdomen: inspect, auscultate, palpate: quadrants, liver, rebound tenderness, McBurney’s Point.