Oto: Ms. Garcia, 16: "I'm all plugged up and I can't hear" x2 weeks (Congestion, Ear Pain, Fronta HA)

Question 1

Before beginning the physical exam, what do you do?

Answer 1

Introduce Yourself, Wash Hands, General Appearance for Toxicity

Question 2

VS: Temp - missing, 72 bpm, 124/76 mmHg, 16 bpm. Recheck which?

Answer 2

Temp.

Question 3

Sections in this POPE?

Answer 3

1. HEENT, 2. Lymph, 3. Pulmonary, 4. Cardiovascular

Question 4

So. What section are you going to start with?

Answer 4

HEENT

Question 5

What components are there in the HEENT?

Answer 5

Ears, Sinuses, Nose, Mouth

Question 6

1. HEENT:

Answer 6

EARS: 1. Whisper Test, 2. Weber/Rinne, 3. Inspect external ear, 4. Palpate ear / mastoid, 5. Otoscopy. NOSE: 1. Nostril Patency, 2. Nasoscopy. MOUTH: 1. Examine oropharynx w/ tongue blade & penlight, 2. Percuss teeth. SINUSES: 1. Percuss.

Question 7

After HEENT?

Answer 7

Lymph

Question 8

Lymph:

Answer 8

Head/Neck Nodes

Question 9

After Lymph?

Answer 9

Pulmonary

Question 10

2. Pulmonary:

Answer 10

Auscultate lungs A/P/L

Question 11

After Pulmonary?

Answer 11

Cardiovascular

Question 12

3. Cardiovascular:

Answer 12

Auscultate heart sounds

Question 13

Mr. D’Orfino and Ms. Garcia’s physical exams are exactly the same except?

Answer 13

No need to do heart / lungs in Mr. D’Orfino’s & include nostril patency, palpation of sinuses, percussion of teeth in Ms. Garcia’s exam…