Partial Physical Exam Video

Question 1

Vitals

Answer 1

verbalize temp, RR, BP, in both arms @ level of heart

Question 2

General appearance

Answer 2

Pt appears to be well dressed, appropriately groomed, with a calm mood and positive mental status

Question 3

Skin, Hair, & Nails

Answer 3

no skin lesion or moles noted ; hair is consistently dispersed; scalp feels symmetrical with no bumps or lesions present ; nails have no sign of clubbing

Question 4

eyes

Answer 4

i will now inspect the brows, lids, and lashes
the conjunctiva has no pallor
the sclera has no jaundice
the iris and pupils are an appropriate shape and size

Question 5

snellen

Answer 5

this tests visual acuity at 20 feet.
“Your vision is 20/20 via the Snellen chart. A person with 20/20 vision can see what an average person can see on an eye chart when they are standing 20 feet away”

Question 6

pupil exam

Answer 6

-peripheral vision test
-cover/uncover test for misalignment
-extraocular movements
-accommodation
-convergence

Question 7

fundoscopic exam

Answer 7

assess for:
-red reflex visible
-optic disk + physiologic cup
-vessels leading from the disk have no sign of AV nicking or cotton wool patches
-retina is a deep red color
-macula has no vessels around it

Question 8

ears inspection

Answer 8

the auricle, pinna, and tragus appear intact
-no pain to the pinna

Question 9

otoscope exam

Answer 9

-external auditory canal free from obstruction
-tympanic membrane pearlescent w/o bulging, retraction, or presence of exudate
-cone of light & bony landmarks visible

Question 10

hearing tests

Answer 10

-whisper
-weber: @ midline
-Rinne: @ mastoid bone

Question 11

nose

Answer 11

-inspection and palpation of frontal & maxillary sinuses
-nasal patency
-turbinates, septum, and mucosa are visualized

Question 12

mouth

Answer 12

inspection of lips, gums, teeth, buccal mucosa, tongue
-say ah: movement of soft palate
-pharynx tonsils, hard palette. uvula
-cranial nerve 12: tongue strength

Question 13

neck

Answer 13

-tracheal placement midline
-palpation of thyroid from behind
-palpate lymph nodes
-auscultate carotid for bruit

Question 14

chest & thorax

Answer 14

-resp effort and depth are unlabored with no use of accessory muscles
-inspection of chest shows normal shape & size, symmetrical movement, no retractions
-skin is free of scars, bruises, and lesions
-auscultation

Question 15

heart

Answer 15

-palpation for thrills or pulsations
-auscultation in all 5 spots both sitting and squatting
-JVD on R side - JVD pressure usually 3-8 cm h20

Question 16

abdomen

Answer 16

-abdomen appears symmetrical, with no masses or scars
-auscultation for bowel sounds and bruits in all 4 quadrants
-liver percussion
-CVA tenderness
-fem pulses bilat