Other Flashcards

1
Q

Peripheral Vacular Exam

TCP TCP BBB

A

Think scars, Colour, Pressure points (general, hands, eyes, mouth)
Temperature/sensation, Capillary refill, Pulses (aorta, femoral, popliteal, posterior tibial, dorsalis pedis)
Bruits, Burger’s, ankle-Brachial pressure index)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Lower Limb Venous Insufficiency Exam

A

Inspection
Tests; cough, tap, Trendelenburg’s, Perthe’s, doppler auscultation of SFJ & SPJ
Other - examine abdo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Thyroid Exam

A

Inspection (incl. water swallow, protrude tongue (thyroglossal cyst?), back of tongue (linguinal cyst?))
Palpation; trachea, neck, mass, water swallow, protrude tongue, cervical LN)
Percussion; upper sternum - Reterosternal goitre?
Auscultation; hold breath, bell to listen for bruits (increased blood flow)
Other; proximal weakness (stand from chair w/ arms crossed), any reflex (delayed relaxation - hypothyroid?), Pretibial myxoedema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

GALS 3 Qs

A

Any pain/stiffness in muscles/joints/back?
Able to completely dress/undress w/out difficulty?
Able to go up/down stairs w/out difficulty?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

GALS - Gait

A

walk towards and away from, comment on arm swing, pelvic tilt, stride length, ability to turn quickly & any antalgic gait
ask if walking is painful

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

GALS - Arms

A

Look
Feel - MCP Squeeze
Move - full fist, grip strength, opposition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

GALS - Legs

A
Fully flex & extend knee - crepitus?
Knee & hip to 90º - assess internal/external rotation
Patellar Tap - joint effusion?
Soles of feet inspection
Tenderness - squeeze MCPs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

GALS - Spine

A

Lumbar Flexion - place fingers on adjacent vertebrae& bend forwards
Neck Lateral Flexion (ear to shoulder) - ROM/Pain?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Hip Exam Special Tests

A

Gait
Thomas’s Test - hand under lumbar, fully flex ipsilateral; leg raises = fixed flexion?
Trendelenburg’s - stand on 1 leg (abductor muscle strength)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Shoulder Exam Special Tests

A

Empty Can - supraspinatus
Scarf - Acromioclavicular Joint
Painful Arc - 0-15 = supraspinatus, 15-90 = deltoid, futher by scapula rotation = trapedius & serratus anterior
Resisted Active Internal Rotation - subscapularis
Lift Off - Subscapularis
Resisted Active External Rotation - Infraspinatus & teres minor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Cerebellar Exam

A

Speech - ‘baby hippopotamus’ dysarthria?
Co-Ordination - Finger-Nose; Intention Tremour? Dysmetria?
Nystagmus (Coarse & slow)
Dysdiadokinesis
Ataxia - Truncal (vermis lesion?), Ipsilateral limb (cerebellar hemisphere?)
Stance - wide-based?
Gait - heel-to-toe walking?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Optic Nerve Exam

A
Acuity - Snellen chart
Fields
Inattention/Extinction - unable to detect both simultaneously
Light Reflexes - direct & consensual
Accommodation
(Ophthalmoscopy)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Vestibular Cochlear Nerve Exam

A
Cover opposite ear & whisper no.
Abnormality Suspected (512 Hz); 
Rinne's - on mastoid then by EAM (conductive loss = Bone>Ear, SN loss = equally decreased)
Weber's - midline forehead (conductive loss = louder in abnormal, SN loss = louder in normal)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Swelling/Lump Exam

A

Look - location, contour, colour, skin, abnormal vessels
Feel - surface, shape, size, tender, temperature, cough impulse, consistency, compressible, fluctuant, pulsatile, thrill
Move - tethering; skin/ deeper/muscle or tendon
Special Tests - transillumination (filled w/ clear fluid?), Auscultation (bruits? bowel sounds?)
Regional LN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Ulcer Exam

A

Look - no., site, shape, margin, edge, floor. discharge. surrounding skin, whole limb
Feel - tender, temperature, induration of edge, bleed on gentle touch (malignant?)
Move - base w/ thumb
Special Tests - peripheral pulses, light touch/pressure sensation, nearby joint examination if evidence of bony involvement
Regional LN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Diabetic Foot Exam

A

Inspection - gait, shoes, skin, web-spaces, nails, feet
Palpation -bones & joints of the ankle for tenderness or swelling
Vascular - temperature (shins v feet), pulses (femoral, popliteal, posterior tibial, dorsalis pedis), capillary refill
Neurological - Ankle Jerk, Sensation (light touch, pressure (base of toe 1, 3 & 5), Vibration, Proprioception)