Lec 6: Thoracic Exam Flashcards
what is in the RUQ?
liver
pancreas
R kidney
portions of colon
gallbladder
duodenum
what is in the LUQ?
liver
pancreas
L kidney
spleen
portion of colon
what is in the RLQ?
R ovary and tube
R spermatic cord
appendix
cecum
portions of colon
what is in the LLQ?
sigmoid colon
L ovary and tube
L spermatic cord
why would you include chest auscultations?
pneumothorax suspected (SOB)
absence of breath sounds on 1 side
pain w/ cough or sneezing –> cardio
illness
normal hemoglobin level
12-18 g/dl
normal hematocrit
37-52% of RBCs in whole blood
what hemoglobin level is contraindicated for PT?
<8 g/dl
what hematocrit level is contraindicated for PT?
<25%
what WBC is contraindicated for PT?
<1,000 cells/μl
normal WBC
4,500-11,000 cells/μl
normal platelets
150,000-450,000 cells/μl
what platelet count is contraindicated for PT?
<20,000 cells/μl
normal blood glucose
80-120 mg/dl
if blood sugar is ____ give them a carb snack
<70 mg/dl
if blood sugar is ____ they may need insulin
> 180-200 mg/dl
normal fasting blood glucose
70-110
sx of high blood glucose
HA
confusion
nausea
weak and rapid pulse
what hemoglobin is light exercise indicated?
8-10 g/dl
what hemoglobin is resistance exercise indicated?
> 10 g/dl
what hematocrit is light exercise indicated?
25-30%
what hematocrit is resistance exercise indicated?
> 30-32%
what WBC is light exercise or possible no exercise indicated?
1,000-5,000 cells/ μl
what platelet count is light exercise indicated for?
20,000-30,000 cells/ μl
what platelet count is moderate exercise indicated for?
30,000-50,000
what platelet count is progressive resistance exercise indicated for?
> 50,000
scoliosis is names based on the ___ side
convex
what would be suspected with a rash in a dermatomal pattern?
shingles
describe how the ribs move at each section
T1-T6: anterior elevation / pump (A/P)
T7-T10: bucket handle (M/L)
T11-T12: caliper (in/out)
where is pressure applied for thoracic compression?
shoulders
where is distraction applied for thoracic?
arms
how long is distraction and compression held?
5-8 sec
list the dermatomes for thoracic exam
T2: axilla and arm
T5: nipple line
T8: xiphoid process
T10: umbilicus
L1: inguinal area
which spinal levels does the superficial abdominal reflex test?
T7-T12
what is the landmark for midline of abdomen (superior / inferior)?
umbillicus
what is the landmark that splits the abdomen into L & R?
linea alba
do you move clockwise or counter clockwise for the abdominal reflex?
counter clockwise
what spinal levels does the upper quadrant of the abdominal reflex test?
T7-T9
what spinal levels does the lower quadrant of the abdominal reflex test?
T10-T12
+ vs - finding for superficial abdominal reflex
+ = abdominal contracts toward stimulus
- = no contraction –> BAD
where are the transitional areas for the dura?
C6
T6
L4
steps for slump test
seated with hand behind back
head & neck flex
thoracic and lumbar flexion
straighten knee
overpressure on spine
ankle DF
knee extended
the slump test is a better neural test if sx occur before ____ degrees of knee extension
22
positive finding for slump test
reproduce THEIR sx
mvmt of DISTANT comp reproduces sx
side-to-side differences
Aortic pulse is located along ____ _____ ____
L parasternal line
what is normal pulse width of aortic?
2-3 cm
what is abnormal aortic pulse width?
> 3cm
if suspected AAA but no sx, what do you do?
stop exam and refer to Dr w/i 1-2 days
if suspected AAA WITH sx, what do you do?
CALL 911
