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PHYSICAL DIAGNOSIS > M1: Overview of Physical Examination > Flashcards

M1: Overview of Physical Examination Flashcards

0
Q

Skill in Physical diagnosis is acquired with

A

Experience

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1
Q

To identify the physical signs of disease. Pathologic processes result in specific PE findings. Normal as important as abnormal finding. Objective findings.

A

Physical Examination

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2
Q

Should be performed methodically and thoroughly, with consideration for the patient’s comfort and modesty.

A

Physical Examination

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3
Q

The examination of a new patient must extend from ___________ in an objective search for abnormalities.

A

Head to Toe

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4
Q

Provides enough information to accurately diagnose a patient’s illness most of the time.

A

History & PE

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5
Q

Subjective in nature

A

History

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6
Q

Objective in nature

A

PE

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7
Q

Key to a thorough and accurate PE is developing a

A

Systematic Sequence of Examination

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8
Q

Is thorough without wasting time. Systematic without being rigid. Gentle yet not afraid to cause discomfort should this be required.

A

Skillful Clinician

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9
Q

Observe the patient’s general state of health. Weight, posture, manner of speaking and LOC.

A

General survey

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10
Q

Measure height, weight, BP, PR & Temp.

A

Vital signs

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11
Q

Observe for any lesions noting location, distribution, arrangement, type & color. Check hair, nails & hands.

A

Skin

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12
Q

Examine hair, scalp, skull & face.

A

Head

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13
Q

Check visual acuity & visual fields. Position & Alignment. Use oblique lighting & ophthalmoscope.

A

Eyes

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14
Q

Inspect auricles, canals and drums. Check acuity. Check lateralization(weber) & compare air and bone conduction(rinne)

A

Ears

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15
Q

Examine external nose and palpate tenderness

A

Nose and sinuses

16
Q

Inspect lips, mucosa, gums, teeth, tongue, palate, tonsils and pharynx.

A

Throat

17
Q

Inspect and palpate cervical lymph nodes. Note for mass and pulsation.

A

Neck

18
Q

Inspect and palpate spine and muscles

A

Back

19
Q

Inspect muscles and spine if upper back. IAP the chest. Ide tify the level of diaphragmatic dullness. Listen to breath sounds.

A

Posterior Thorax and Lungs

20
Q

Inspect breast, axillary nodes & etc

A

Breasts, Axillae and Epithroclear nodes

21
Q

IPP chest. Listen to both breath and adventitious sounds.

A

Anterior Thorax and Lungs

22
Q

Observe jugular venous pulsation, JV pressure. Use bell of stethoscope among baby

A

CVS

23
Q

IAPP. Assess liver, spleen and kidney.

A

Abdomen

24
Q

Examine legs while patient is on supine. Further assessed when patient stands

A

Lower extremities

25
Q

Examination of Patient Supine

A

PVS, Musculoskeltal system & Nervous system

26
Q

Examination with the patient standing

A

Genitalia and Hernias in men, PVS, Musculoskeltal system & Nervous system

27
Q

Inspect the sacrococcygeal and perineal areas.

A

Rectal exam in men

28
Q

Examine external genitalia. Obtain pap smear.

A

Genital & Rectal Exam among women

29
Q

Are set of principles that have been created through reflection and discussion to guide our behavior.

A

Ethics

30
Q

Guide our professional behavior, are not static, but several principles have guided clinician throughout ages

A

Medical Ethics

31
Q

First. Do no harm.

A

Nonmaleficence

32
Q

Do good for the patient

A

Beneficence

33
Q

Patients have the right to determine what’s in their own best interest

A

Autonomy

34
Q

Physicians need to discuss with the patient about nature of proposed care and etc.

A

Informed consent

35
Q

Withholding a serious diagnosis, misinterpreting or limiting discussion of prognosis and all

A

Nondisclosure of Info

36
Q

Not to tell others what we learn from our patients

A

Confidentiality

37
Q

Mean fairness. People should receive what they deserve.

A

Justice

PHYSICAL DIAGNOSIS (5 decks)

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