Inspections Flashcards
Not the full exam, and specifics but opening inspections.
Cardiovascular
ALERT
“Name” seems alert and without pain at rest. I do not see:
- Cyanosis
- Shortness of Breath
- Pallor
- Malar Flush
- Oedema
Cardiovascular Bedside
Inspecting the environment I do not see:
* Oxygen
* ECG lines
* Catheters
* IV
* Mobility Aids
* PIllows
* Vital Sign Charts
* Fluid Balance
* Prescriptions including GTN
Cardiovascular Close
Hands
* Pallor
* Cyanosis
* Tar Staining
* Arachnodactylyl
* clubbing
* splinter haemmorhages
* Janeway lesions (palm)
* Osler Nodes (fingertips)
Face
Conjunctival Pallor
Corneal Arcus
Xanthelasma
Mouth
Central Cyanosis
Angular Stomatitis
High arches palate
Dental Hygiene
Peripheral Vascular ALERT
“Name” seems alert and without pain at rest. I do not see:
- Missing Limbs
- Scars
Peripheral Vascular Bedside
Inspecting the environment I do not see:
- Dressing
- Prosthesis
- Mobility Aids
- Vital Sign Charts
- Prescriptions
Peripheral Vascular Close
- Cyanosis
- Pallor
- Tar Staining
- Xantholasma
- Gangrene
Respiratory ALERT
“Name” appears alert and without pain at rest. I do not see:
- Age
- Cyanosis
- Shortness of Breath
- Cough
- Wheeze
- Stridor
- Pallor
- Oedema
- Cachexia
*
Respiratory Bedside
Inspecting the environment I do not see:
* Oxygen
* Sputum pot
* Medical Equipment ECG, IV etc
* Cigarettes, Vaping
* Mobility Aids
* Vital Sign Charts
* Prescriptions
Respiratory Close
Hands
* Colour
* Tar Staining
* Skin Changes (bruising and thinning)
* Joint Swelling
* Finger Clubbing
* Fine Tremor
* Asteristix
Face
* Plethoric/ Red complexion
* Conjunctival Pallor
* Horners Syndrome- Ptosis, Miosis, Enopthalmos
Mouth
* Central Cyanosis
* Oral Candidias/ Hygiene
Abdominal ALERT
“Name” Appears alert and comfortable at rest. I see no signs of:
* Age
* Confusion
* Pain
* Scars
* Abdominal Distention
* Pallor
* Jaundice
* Hyperpigmentation
* Cachexia
* Hernias
Abdominal Bedside
Inspecting the environment, I do not see
* Stoma bads
* Surgical Drains
* Feeding Tubes
Abdominal Close
Hands
* Palms
* Pallor
* Palmar Erythema
* Dupuytrens Contracture
* Nails- koilonychia and leukonychia
* Finger clubbing
* Asteristix
Face
* Conjunctival Pallor
* Jaundice
* Corneal Arcus
* Xanthelasma
* Kayser Fleischer Rings
Mouth
* Angular Stomatitis
* Glossitis
* Oral Hygiene
* Apthous Ulceration
Cranial Nerve ALERT
“Name” appears alert and without pain. I do not see/ heard
* Speech abnormalities
* Facial Assymetry
* Eyelid Abnormality/ Pupil Abnormality
* Stabismus
* Limbs- gait/ tremor
Cranial Nerve Bedside
Inspecting the environment I do not see:
* Walking Aids
* Hearing Aids
* Visual Aids
* Prescriptions
UMN/LMN ALERT
“Name” appears alert and without pain at rest. I do not see:
* Deformities
* Wasting muscles
* Assymmetry
* R (rubour- erythema)
* Fasciculations
* Scarring
* Chorea
* Myoclonus
UMN/ LMN Bedside
Inspecting the bedside, I do not see:
Walking Aids
Prescriptions
MSK ALERT
Hand, Wrist, Shoulder, Lumbar, knee
“Name” appears alert and without pain. I see no apparent
* scars
* muscle wasting
* Body Habitus (shoulder, lumbar, lower limb)
MSK Bedside
Hand, Wrist, Shoulder, Lumbar, Knee
Inspecting the bedisde I do not see
* Aids and adaptions
* Prescriptions
Thyroid Status ALERT
“Name” Appears alert and without pain. I see no:
* Weight Loss/ Gain
* Behaviour: Anxiety / Low Mood
* Clothing: Appropriate for current weather
* Hoarse Voice
Thyroid Status Bedside
Mobility aids: patients with hyperthyroidism can develop proximal myopathy.
Prescriptions: prescribing charts or personal prescriptions can provide useful information about the patient’s recent medications (e.g. levothyroxine).
Thyroid Status Inspection/ CLOSE
Hands
Dry Skin
Excessive Sweating
Thyroid Acropachy
Onycholysis
Palmar Erythema
Peripheral Termor
Face
Dry Skin
Sweating
Eyebrow Loss
Eye- Lid retration, exophthalmos, lid lag
Antenatal/ Obstetrics ALERT
“Name” is alert and comfortable at rest. I do not see:
* Pain
* Obvious scars
* Pallor
* Jaundice
* Oedema
Antenatal Bedside
- Mobility Aids
- Vital Signs
- Fluid Balance
- Prescriptions
Antenatal Inspection Close
Hands
Color- cyanosis or pallor
Peripheral Oedema- pre eclampsia risk
Palmar Erythema- normal in pregnancy
Face
Jaundice
Meslasma- benign hyperpigmentation
Oedema
Conjunctival Pallor
