Phys Exam Intro Flashcards
What does HIPPI RONEL stand for?
H= history
I= inspection
P= palpation
P= percussion
I= instrumentation
R= range of motion
O=orthopedics
N= neurological (dermatomes, reflexes, muscle strength)
E= xray exam and other imaging
L=laboratory
What are the exceptions for not doing HIPPI RONEL in order?
trauma or abdominal exam
What is the RESPECT model of a case history?
R= rapport
E= empathy
S= support
P= partnership
E= explanations
C= cultural competence
T= trust
For a supine exam, it is customary to stand on which side of patient? Why?
test q
right side bc it allows for better visibility and access to palpate jugular veins, apical impulse, and right kidney
An abnormal accumulation of body fluids can indicate….
-edema
-R sided congestive heat failure (seen in legs and feet)
-renal retention (seen in legs and feet)
-drugs like steroids or estrogen
Which syndrome would have these characteristics?
-moon face
-buffalo trunk (in thoracics)
-truncal obesity and slender arms
-females will grow facial hair
-hyperfunctioning of adrenal cortex
boards q
cushings syndrome
What are the 2 autoimmune thyroid conditions we discussed?
hashimotos (hypothyroidism) and graves (hyperthyroidism)
What are the 2 autoimmune adrenal cortex conditions we discussed?
cushings (high) and addisons (low activity)
What is the difference between weakness and fatigue?
weakness is objective, fatigue is subjective
Loss of muscular power can suggest disorder of muscular or neurological system. This can be measured with a….
dynamometer
When is fatigue normal?
hard work, sustained stress or grief
What electrolytes imbalances would cause fatigue?
-sodium
-potassium
-chloride
-carbon dioxide
