physical Flashcards
vitals
7- wash hands, clean stethoscope, radial pulse, bilateral pulses, respirations, systolic by palpation, blood pressure
head
inspect and palpate scalp
ears
assess gross hearing, inspect, palpate, look inside, Weber and Rhinne
eyes
snelling chart, direct/consensual light, symmetry, accommodations, H test, visual fields, inspect conjunctiva,, use ophthalmoscope
nose
assess patency, ?changes in smell, inspect, palpate, percuss sinuses
mouth
inspect externally and internally, assess TMJ
throat
inspect, palpate LN, palpate trachea, palpate thyroid and isthmus with and without swallowing, auscultate then palpate carotids
cardiac
inspect precordium, palpate joints, palpate PMI, auscultate 5 with diaphragm and 2 with bell, check JVD, check edema, check femoral and DP pulses
respiratory
inspect, percuss fields, check thoracic expansion, check diaphragmatic excursion, auscultate (supraclavicular with bell), tactile fremitus
abdominal
position with knees bent, inspect, auscultate 4 quadrants and 5 vessels, palpate quadrants (light and deep), palpate and percuss liver, palpate and percuss spleen, estimate aorta width
neuro main elements
5- CN, reflexes, sensory, cerebellar, gait
CN
I- ask about smell II, III, IV, VI- in eyes portion V- facial sensation, jaw strength VII- facial expression VII- in ears section IX/X- palate elevation XI- shrug, turn head XII- protrude tongue
reflexes
3 UE- bicep, tricep, brachioradialis
3 LE- patellar, achilles, plantar
sensory
sharp/dull, vibratory sense, steregnosis, graphesthesia, position sense in great toe
cerebellar
UE/LE Rapid alt movement, rhomberg x 30 seconds, finger to nose, heel to shin, pronator drift x 30 seconds seated
