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PAS 765 (Clinical Assessment I) > PE General Survey, Mental Status, Skin, Hands and Nails > Flashcards

PE General Survey, Mental Status, Skin, Hands and Nails Flashcards

1
Q

how many parts are there in the physcial exam

A

19

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2
Q

what are the first 5 parts of the physical exam

A

1) introduction
2) general survey
3) mental status
4) measurements
5) Skin

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3
Q

what are part 6-10 of the physical exam

A

6) hands and nails
7) head
8) neck
9) eyes
10) nose

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4
Q

what are the parts 11-15 of the physical exam

A

11) mouth and throat
12) ears
13) axillary and epitrochlear nodes
14) chest
15) cardiovascular

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5
Q

what are parts 16-19 of the physical exam

A

16) peripheral vision
17) abdomen
18) muscloskeletal
19) neurological

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6
Q

how should the introduction phase play out

A

introduce yourself, your role, and ask permission to perform the physical exam

wash your hands

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7
Q

what 12 items to note during the general survey

A
  1. body habits
  2. nutritional state
  3. sexual development
  4. presenting appearance
  5. hygiene
  6. stated vs apparent age
  7. demeanor
  8. facial affect
  9. posture
  10. gait
  11. level of consciousness
  12. apparent pain or distress
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8
Q

what are 12 notable qualities to identify in the mental status exam

A
  1. speech,
  2. language
  3. mood
  4. thought content
  5. perceptions
  6. insight
  7. judgement
  8. orientation
  9. attention
  10. memory
  11. information
  12. vocabulary
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9
Q

what measurements are taken during the physical exam

A
  1. height/weight/BMI
  2. Pulse
  3. respiration
  4. blood pressure
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10
Q

what is a special procedure that might be included in the measurement area and when might it be used

A

orthostatic hypotension (tilt test)

when the patient is in a state of extracellular fluid depletion from dehydration or hemorrhage

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11
Q

when checking pulse during the physical exam, what two factors should be noted

A

rate: fast or slow
rhythm: regular or iregular

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12
Q

when checking respiration during the physical exam, what four factors should be noted

A
  1. rate
  2. rhythm
  3. depth
  4. effort of breathing
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13
Q

how should the pulse be measured in the physical exam

A

at the carotid or radial pulse, count for 30 seconds x 2

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14
Q

how long should respirations be counted during the physical exam

A

30 seconds

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15
Q

how should the patient be positioned when taking blood pressure

A

seated upright with the legs uncrossed, right arm then left arm

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16
Q

explain the skin portion of the physical examination

A
  • patient can be sitting or standing
  • make sure there is adequate light
  • disrobe each area to inspect and palpate
17
Q

what is an important consideration during the skin exam

A

modesty

18
Q

what are 7 signs to look for during the skin exam

A
  1. color
  2. temperature
  3. texture
  4. turgor
  5. mobility
  6. moisture
  7. rashes/lesions
19
Q

turgor

A

elasticity of the skin

20
Q

body habitus

A

overall impression of physique

21
Q

what are 5 signs to look for during the hands and nails examination

A
  1. cyanosis
  2. clubbing
  3. nail deformities
  4. tremors
  5. erythema or pallor in palmar creases
22
Q

what are 5 areas to inspect while examining the skull

A
  1. skull
  2. scalp
  3. hair
  4. face, nose, mouth
  5. TMJ
23
Q

when inspecting the skull during the head examination, what two signs should be looked for

A
  1. general size
  2. contour
24
Q

when inspecting the scalp during the head examination, what three signs should be looked for

A
  1. scaliness
  2. nevi
  3. lesions
25
Q

when inspecting the hari during the head examination, what four signs should be looked for

A
  1. quantity
  2. distribution
  3. pattern of loss
  4. dandruff
26
Q

when inspecting the face/nose/mouth during the head examination, what seven signs should be looked for

A
  1. symmetry
  2. contours
  3. involuntary movements
  4. edema
  5. lesions
  6. masses
  7. expression
27
Q

when inspecting the TMJ during the head examination, what sign should be looked for

A

redness or swelling

28
Q

what special sign can be identified during the head examination

A

pathognomic facies

29
Q

pathognomic facies

A

specific facial characteristics indicative of certain diseases

30
Q

what two areas should be palpated during the head exam

A
  1. hair and scalp
  2. TMJ
31
Q

when palpating the hair during the head examination, what six signs should be looked for

A
  1. hair texture
  2. quantity and quality
  3. deformities
  4. tenderness
  5. lesions
  6. scaliness
32
Q

when palpating the TMJ during the head examination, what two signs should be looked for

A
  1. pain
  2. creptius
33
Q

describe the process of palpating the TMJ during the head exam

A

visualize and palpate the TMJ in motion during opening/closing, protrusion/retrusion, lateral movement

PAS 765 (Clinical Assessment I) (5 decks)

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