PE Physical Exam Flashcards
1
Q
Headache / Head injury
A
- Oriented Place & Time
- CN’s
- UL / LL strength
- Reflexes
- Brudzinski (supine - flex neck)
- Kernig (supine - flex knees / hips)
- Aura
- Ophthalmoscopic exam
2
Q
Eyes
A
- Inspection - injection, lesions, cornea (clouding, lesions)
- Ophthalmascope
- Pupil (Equal, round, reactive)
- Ptosis
- Extraocular movements
- Peripheral fields
- Perpindicular light (glaucoma)
- Snellin Chart?
3
Q
Ears
A
- Inspection: pinna, canal
- Otoscopic exam
- Finger rub
- Webber (midline)
- Rinne (Mastoid then over ear)
4
Q
Rinorrhea/ Congestion / Sinus headache
A
- Inspection: turbinates, septum, eyes, rhroat
- Otoscopic exam
- Palpate sinuses
- Percus sinuses
- Trans-illuminate
5
Q
Throat
A
Inspection: mouth, throat exudates, petechia, drainage, erythema
- Otoscope exam
- Nasal exam
- lymph nodes - neck , infra / supraclavicular
6
Q
Cardio
A
- JVD?
- LL edema?
- LL Waxy skin?
- Auscultate - RRR, murmur, gallops
- Ausc. Carotids
- Ophthalmic exam
- Abdo: Auscultate / Palpate
- Pulses / Cap Refill
- Reproducible pain
- PIM
- Diaphoresis
7
Q
MSK- Shoulder
A
Compare bilaterally
- Inspection: AC, Clav, swelling, erythema, warmth
- Palpate - Rota cuff insertions and Biceps tendon groove
- Pulses- arm / hand
- Sensation
- Strength testing
- Rom - A and
- Crossed arm (touch opp shoulder - AC joint)
- Arm Drop (rot cuff)
- Apley Scratch (Rot Cuff)
- Int Rotation (subscap.()
- Extenral Rot (T minor and Infraspin)
- Empty Can (supraspinat)
Apprehention test (Ant pressure on shoulder - prioor dislocation)
8
Q
MSK - Elbow
A
- Inspect: Deformaties, swelling, erythema, warmth
- Palpate: Olecranon, Epicondyles, bursa, Radial head
- Sensation
- Muscle strength
- Pulses
- Lat Epi = tennis
- Medial epi = golfers
9
Q
MSK - Wrist
A
- Inspect: deformities, swelling, erythema, warmt
- Hypo/ Thenar wasting?
- Contracture?
- Sensation
- Strength
- Pulses
- ROM
- Tinels (tapping)
- Phalen (inverted prayer)
10
Q
MSK - Knee
A
- Inspect: deformities, swelling, erythema, warmt, tibial tubercle
- Palpate: bursa, patella
- Valgus / Varus stress
- Ballottment
- A and P drawer
- McMurry
- Apley Grind
11
Q
Pulm
A
- Inspect: distress, accessory muscle use, symmetrical movement, clubbing, cyanosis
- Throat?
- Auscultation (back 6- Front 2, Lat 1)
- Egophony
- Percussion
- Tactile fremitis
12
Q
Abdo
A
- Inspect: lesions, rash, distended
- Auscultate
- UNCOVED WHOEL ABDO
- Palpate - pain, guarding rebound?
- Percussion
- Loyd Punch?
- Liver span?
- Fluid wave?
- Shifting dullness?
- Murphy sign?
- Rovsing?
- Obturator?
- Psoas?
13
Q
Neuro
A
- Inspect: faial droop
- Slurring speech
- CN 2, 346, 5, 7, 8, 10, 11, 12
- Finger to nose
- Alternating moevemnt
- Reflexes: Biceps, Brachioraadialis, triceps, patellar, achilies
- Babinski
- Sensation: UL, LL
- Pronator
- Gait
