PE Competency Flashcards
Inspect+ Palpate THYROID (8 items)
1.Has patient tilt head back during inspection
2.Using tangential lighting, asks patient to
swallow to assess the movement of the
thyroid
3.Before palpation asks patient to flex neck
slightly forward
4.Places fingers on the isthmus
5.Asks patient to swallow
6.Palpates the lobes
7.Notes size, shape, consistency
8.Assesses for nodule(s)
Inspect+ Palpate TRACHEA (1 item)
Deviation/ Fixation
Inspect +Palpate NECK (7 items)
1.Scars
2.Parotid gland enlargement
3.Submaxillary gland enlargement
4.Edema/erythema
5. Symmetry/masses/deformities
6.Anterior cervical lymph nodes
7. Notes warmth/erythema/tenderness/mobility
of lymph nodes
Palpate ORAL CAVITY (5 items)
- Performs bi-manual exam
- Use gloves
- Uses opposing fingertips
4 .Palpates buccal areas
5 .Palpate floor of the mouth
Inspects TONGUE (7 items)
- Dorsum
- Sides and under surface
- Texture (papillae= bumps cover the surface of tongue)
- Symmetry
- Nodules/ulcerations
- Color (white or reddened areas)/edema
- Lesions/masses
Inspects Stensen’s Duct (Parotid Duct Opening) (2 items)
Exudate/ drainage
Edema/ Erythema
Inspect TONSILS (4 items)
- Symmetry/enlargement
- Exudate
- Edema/erythema
- Lesions/masses
Inspect HARD PALATE (3 items)
Deformities
Edema/erythema
Lesions/masses
Inspects UVULA (2 items)
Position
Edema/ Erythema
Inpects PHARYNX (3 items)
Instructs patient to say “ah”
Notes rise of soft palate
Inspects posterior pharynx
Inspect TEETH (5 items)
- Loose teeth
2.Missing teeth
3.Caries
4.Position - Shape
Inspect GUM/GINGIVA (4 items)
Bleeding
Retraction
Discoloration/pigmentation
Edema/erythema
Inspect BUCCAL MUCOSA (2 items)
Color/pigmentation/edema
Lesions/masses
Inspect LIPS (4 items)
Moisture
Ulceration
Color/ Edema
Lesions/Masses
Palpate Sinuses (3 items)
Frontal
Maxillary
Notes Tenderness
Inspect TURBINATES and MEATUS (4 items)
Discharge
Color
Edema/erythema
Lesions/masses (polyps)
Inspect SEPTUM (3 items)
Deviation
Perforation
Septal hematoma
Inspect NOSE (6 items)
1.Symmetry
2.Deformity
3.Edema/erythema
4.Lesions/masses
5.Test patency of nares
6.Inspects nasal mucosa for color/edema
During fundoscopy inspects OPTIC DISCS (9 items)
1.Shape
2.Color
3.Margin
4. Cup/disc ratio
5.Vessels
6.A/V ratio
7.Crescents (scleral or pigment)
8.Crossing Defects
9.Narrowing/Occlusions
During fundoscopy inspects general background (4 items)
Pigmentation
Hemorrhages
Exudates/abnormalities
Macula
Performs FUNDOSCOPY (3 rules)
Dims light
Elicits red reflex
Places one hand on patient’s head and uses
own R eye to look into patient’s R eye (and L
to L
Inspects for STRABISMUS (2 tests)
Cover test
Hirshberg test (symmetrical light reflection)
Inspect PUPILS (8 items)
- Size
- Shape
- Equality
- Reaction to light (Direct /Consensual)
- Reaction to accommodation
(PEERLA) - Evaluate visual fields to confrontation
bilaterally - Evaluate EOMs (6 gazes and convergence)
bilaterally
8.Inspects for nystagmus(involuntary rhythmic) bilaterally
Inspect CORNEA and LENS (2 items)
Clarity
Smoothness (w/ light Reflection)
Inspects CONJUNCTIVA (4 items)
Inspects palpebral
Inspects bulbar
Color/vascular pattern
Nodules (i.e. pterygium, pinguecula)
Inspects SCLERA (2 items)
Color
Moisture
Inspects LACARIMAL APPARATUS (2 items)
Edema/erythema of sac
Edema/erythema of gland
Inspects EYELID (5 items)
- Lid lag (assess)
- Ptosis
3.Condition/direction of lashes
(entropion/ectropion)
4.Edema/erythema
5.Lesions/masses
Inspect EYEBROWS (2 items)
Quantity
Distribution
Test for VISUAL ACUITY (3 tests)
Rosanbaum Test
Each eye individually with result
Both eyes together with result
Tests for HEARING ACUITY (3 tests)
Whisper test
Weber (lateralization)
Rinne (compare AC to BC)
Inspects TYMPANIC MEMBRANE (5 items)
Color
Contour (retraction or bulging)
Bony landmarks
Check for mobility (swallow/insufflator bulb)
Cone of light
Inspects CANALS (5 items)
Discharge
Foreign body
Cerumen
Edema/erythema
Lesions/masses
Inspects +Palpate AURICLE (7 items)
1.Deformities
2.Inspects post-auricular area
3.Inspects mastoid
4.Edema/erythema
5.Lesions/masses
6.Tenderness with manipulation of auricle
7.Tenderness with pressure applied to tragus
Inspects+ Palpates SCALP/ SKULL (3 items)
Contour/deformities
Lesions/masses
Tenderness
Inspect FACE (4 items)
- Symmetry
- Involuntary movements
- Edema/erythema
- Lesions/masses
NAIL Inspection for…(8 items)
Check Capillary Refill
Color
Deformities
Clubbing
Shape/length/edges
Symmetry
Hygiene
Presence of paronychia, onychomycosis
Inspect and Palpate HAIR
Texture
Color
Distribution/pattern of loss if present
Presence of tinea capitis, lice,
11 steps
Steps of SKIN Inspection
1.Washes hands
2.Inspects and palpates exposed skin in all
areas
3. Includes scalp (moving hair if necessary)
4. Inspects between fingers/toes
5.Includes plantar aspect of feet (performing
this and the exam of toenails last)
6.Notes/looks for color/pigmentation change
7.Checks moisture
8.Checks temperature (using dorsum of hand)
9.Checks turgor (Tent test)
10.Checks for BLE edema (starting distally)
11. Notes/looks for presence of lesions
11 items
criteria/descriptors for a LESIONS
1.Lesion type (macule, papule, nevus, etc.)
2. Size
3. Shape
4. Location
5. Color
6. Vascularity
7. Borders
8. Symmetry
9. Tenderness
10.Effect of pressure (blanching, non-blanching)
11. Other features (scale, purulence, crust
