Peripheral examination

Question 1

<p>What is the first part of the examination?</p>

Answer 1

<p>introduction, consent and position statement of patient</p>

Question 2

<p>Describe the 7 steps of the first section of a general examination</p>

Answer 2

<p>- Wash your hands and ID
<br></br>- Patients ID
<br></br>- Explanation
<br></br>- Consent
<br></br>- Pain/Tenderness
<br></br>- Positioning
<br></br>- Exposure</p>

Question 3

<p>What is the 2nd part of a peripheral examination?</p>

Answer 3

<p>Initial observation/General assessment</p>

Question 4

<p>Describe the 4 steps of a peripheral examination?</p>

Answer 4

<p>Initial assessment
<br></br>General observations
<br></br>Environment
<br></br>Charts</p>

Question 5

<p>Describe what could be said for an initial assessment</p>

Answer 5

<p>- No need for a rapid ABCD assessment
<br></br>- Patient conscious</p>

Question 6

What 3 things can be said for the environment of the patient?

Answer 6

• Any medications (eg inhalers/Nebulisers)
• Patient is not on oxygen
• presence or absence of Sputum pot (contents if there)

Question 7

<p>Describe what could be said for a general examination of the patient</p>

Answer 7

<p>- Patient doesnt look distressed</p>

<p>- Patient not sweaty or cyanosed</p>

<p>- Not using acccessory muscles of respiration</p>

<p>- Chest movement symmetrical</p>

<p></p>

Question 8

<p>What is the first part of the peirpheral examination?</p>

Answer 8

<p>Hands and arms</p>

Question 9

<p>What sections are there to the hands and arms section of the peripheral examination?</p>

Answer 9

<p>- Look at and compare both hands and nails</p>

<p>- Finger clubboing</p>

<p>- Capillary Refill Time</p>

<p>- Tremor (fine and flapping)</p>

<p>- measuirng of pulse rate and respiratory rate</p>

<p>- Look at arms</p>

Question 10

<p>Describe what could be said for the peripheral examination of the comparison of both hands and nails (3)</p>

Answer 10

<p>- Absence of tar staining of finger</p>

<p>- Warmth of hands (symmetry (place dorsal aspect of hand on patients to assess temperature))</p>

<p>- Peripheral cyanosis or anaemia (interalace your fingers with patient's to compare colour)</p>

Question 11

<p>Describe how to assess for finger clubbing</p>

Answer 11

<p>Loss of the nail angle, increased nailbed fluctuation, increase in (longitudinal) nail curvature and increase iin the bulk of soft tissues of the terminal phalanges</p>

Question 12

<p>Describe how to assess for a fine and flapping tremor?</p>

Answer 12

<p>Fine - Ask patient to streach out thier arms</p>

<p>Flapping - Ask patient to bend back thier wrists looking for a flapping treor</p>

Question 13

<p>What can be said for the general examination of the arms</p>

Answer 13

<p>No bruises</p>

<p>No cuts/Scars</p>

<p>No indications of intravenous drug abuse</p>

<p></p>

Question 14

<p>What examination comes after the examination of the hands and arms?</p>

Answer 14

<p>Head</p>

Question 15

<p>What can be said for the examination of the heart and respiratory rate?</p>

Answer 15

<p>- Pulse rate (regular or irregular)</p>

<p>- Respiratory rate</p>

<p>- Examination of arms</p>

Question 16

<p>What are the 3 sections of the head examination?</p>

Answer 16

<p>- Look at the conjuctivae</p>

<p>- Assess the tongue and lips</p>

<p>- Look at face</p>

Question 17

<p>What could be said for the examination of the conjunctivae?</p>

Answer 17

<p>- no signs of unerlying anaemia</p>

Question 18

<p>What can be said for the insepection of the mouth?</p>

Answer 18

<p>- Central cyanosis</p>

<p>- Oral candidiasis</p>

Question 19

<p>What could be said for the general inspection of the FACE</p>

Answer 19

<p>- No redness</p>

<p>- symmetrical</p>

<p>- no white patches indicative of infection</p>