Intro to PE and Instruments Lab OSCE Flashcards
Left lateral recumbent
patient’s LEFT side is down
Right lateral recumbent
the patient’s RIGHT side is down
4 techniques of examination
- Inspection
- Auscultation
- Percussion (perform with hands)
- Palpation
Percussion
Dull sounding=
Flat sounding=
Tympanic sounding=
Dull sounding= fluid
Flat sounding= solid
Tympanic sounding= air
OSE goals
- Integrate info about the MSK system even when dealing with NON MSK compains.
- Body is a unit and structure and fx are reciprolcillay related
- Rational therapy is based upon an understanding of body unity, self-regulatory
mechanism and inter-relationship of structure and function
USe of opthalamascope
used to examine fundus, retina, posterior chamber
- have pt look over shoulder
- place hand not used on forehead
- hold device in right hand and use right eue to examine pts right eye
switch for other eye. - move light LATERAL - MEDIAL until over iris and then move toward pt
- idenfity light reflex and red reflex
Direct pupillary light reflex-
when light shined in eye, that pupil constricts
Consensual pupillary light reflex
when light shined in eye, pupil of the other
eye also constricts
SNELLEN EYE CHART:
Assess visual acuity
20/40 vision
means that the test subject
sees at 20 feet what normal person sees at 40 feet
OTOSCOPE
Gently grasp auricle. For children >12 months and adults, pull UP, OUT, and BACK.
For children <12 months, pull DOWN, out, and back.
what to identify in ear
canal, tympanic membrane, and reflected cone of light
air conduction via tuning fork
lasts longer, hold fork at external auditory meatus
Bone conduction via tuning fork
less than air conduction, hold handle at mastoid process
posterior to the ear
Vibratory sense
place handle on patella (knee cap) and compare left and right
for duration.
with reflex hammer; for bicep reflex, what does the hammer strike?
thumb
Stethoscope
diapragm
Diaphragm = larger circle, for higher frequency sounds such as breath sounds
and heart sounds
Stethoscope
bell
Bell = smaller circle, for lower frequency sounds such as bruits
Universal Precautions.
- Protect the patient and provider from spread of infectious disease
2, Gloves used in presence of blood or other bodily fluids - Hand washing before and after wearing gloves
. Proper Glove Use.
a. Wash and dry hands
b. Remove glove and hold it at open end
c. Pull cuff over hand and encase the gloves
d. Dispose in proper container (Red bags are for supplies contaminated with body fluid or
potentially infectious debris)
