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Primary Care > Lec 6: Thoracic Exam > Flashcards

Lec 6: Thoracic Exam Flashcards

1
Q

what is in the RUQ?

A

liver
pancreas
R kidney
portions of colon
gallbladder
duodenum

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2
Q

what is in the LUQ?

A

liver
pancreas
L kidney
spleen
portion of colon

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3
Q

what is in the RLQ?

A

R ovary and tube
R spermatic cord
appendix
cecum
portions of colon

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4
Q

what is in the LLQ?

A

sigmoid colon
L ovary and tube
L spermatic cord

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5
Q

why would you include chest auscultations?

A

pneumothorax suspected (SOB)
absence of breath sounds on 1 side
pain w/ cough or sneezing –> cardio
illness

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6
Q

normal hemoglobin level

A

12-18 g/dl

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7
Q

normal hematocrit

A

37-52% of RBCs in whole blood

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8
Q

what hemoglobin level is contraindicated for PT?

A

<8 g/dl

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9
Q

what hematocrit level is contraindicated for PT?

A

<25%

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10
Q

what WBC is contraindicated for PT?

A

<1,000 cells/μl

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11
Q

normal WBC

A

4,500-11,000 cells/μl

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12
Q

normal platelets

A

150,000-450,000 cells/μl

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13
Q

what platelet count is contraindicated for PT?

A

<20,000 cells/μl

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14
Q

normal blood glucose

A

80-120 mg/dl

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15
Q

if blood sugar is ____ give them a carb snack

A

<70 mg/dl

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16
Q

if blood sugar is ____ they may need insulin

A

> 180-200 mg/dl

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17
Q

normal fasting blood glucose

A

70-110

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18
Q

sx of high blood glucose

A

HA
confusion
nausea
weak and rapid pulse

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19
Q

what hemoglobin is light exercise indicated?

A

8-10 g/dl

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20
Q

what hemoglobin is resistance exercise indicated?

A

> 10 g/dl

21
Q

what hematocrit is light exercise indicated?

A

25-30%

22
Q

what hematocrit is resistance exercise indicated?

A

> 30-32%

23
Q

what WBC is light exercise or possible no exercise indicated?

A

1,000-5,000 cells/ μl

24
Q

what platelet count is light exercise indicated for?

A

20,000-30,000 cells/ μl

25
Q

what platelet count is moderate exercise indicated for?

A

30,000-50,000

26
Q

what platelet count is progressive resistance exercise indicated for?

A

> 50,000

27
Q

scoliosis is names based on the ___ side

A

convex

28
Q

what would be suspected with a rash in a dermatomal pattern?

A

shingles

29
Q

describe how the ribs move at each section

A

T1-T6: anterior elevation / pump (A/P)
T7-T10: bucket handle (M/L)
T11-T12: caliper (in/out)

30
Q

where is pressure applied for thoracic compression?

A

shoulders

31
Q

where is distraction applied for thoracic?

A

arms

32
Q

how long is distraction and compression held?

A

5-8 sec

33
Q

list the dermatomes for thoracic exam

A

T2: axilla and arm
T5: nipple line
T8: xiphoid process
T10: umbilicus
L1: inguinal area

34
Q

which spinal levels does the superficial abdominal reflex test?

A

T7-T12

35
Q

what is the landmark for midline of abdomen (superior / inferior)?

A

umbillicus

36
Q

what is the landmark that splits the abdomen into L & R?

A

linea alba

37
Q

do you move clockwise or counter clockwise for the abdominal reflex?

A

counter clockwise

38
Q

what spinal levels does the upper quadrant of the abdominal reflex test?

A

T7-T9

39
Q

what spinal levels does the lower quadrant of the abdominal reflex test?

A

T10-T12

40
Q

+ vs - finding for superficial abdominal reflex

A

+ = abdominal contracts toward stimulus
- = no contraction –> BAD

41
Q

where are the transitional areas for the dura?

A

C6
T6
L4

42
Q

steps for slump test

A

seated with hand behind back
head & neck flex
thoracic and lumbar flexion
straighten knee
overpressure on spine
ankle DF
knee extended

43
Q

the slump test is a better neural test if sx occur before ____ degrees of knee extension

A

22

44
Q

positive finding for slump test

A

reproduce THEIR sx
mvmt of DISTANT comp reproduces sx
side-to-side differences

45
Q

Aortic pulse is located along ____ _____ ____

A

L parasternal line

46
Q

what is normal pulse width of aortic?

A

2-3 cm

47
Q

what is abnormal aortic pulse width?

A

> 3cm

48
Q

if suspected AAA but no sx, what do you do?

A

stop exam and refer to Dr w/i 1-2 days

49
Q

if suspected AAA WITH sx, what do you do?

A

CALL 911

Primary Care (7 decks)

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