physical exam Flashcards
physical exam
VS's General Skin Head Eyes Ears Nose Throat/mouth NEck Chest/lung cardiovascular abdomen rectal genitourinary musculoskeletal spine breasts neurologic psych
Vital signs
BP temp RR HR O2 sat height weight visual acuity
General
habitus, posture, distress, dress, nutrition
SKin
rash redness/red streaks lumps color temp moisture nails
Head
symmetry,
tenderness,
lesion
eyes
pupils, lids, conjunctiva, sclera, cornea, lens, fundus
ears
hearing
auricle
EAC’s
TM’s (tympanic membranes)
Nose
external internal mucosa septum sinuses
throat/mouth
lips mucosa tounge gums teeth pharynx palate tonsils voice
neck
RSS TNT
ROM
strength
swallow
thyroid
nodes
trachea
chest/lung
BLED SWEPT
Bronchophony
Lung sounds
Excursion
Distress
Symmetry Whispered pectoriloquy Egophony Percussion Tenderness
Cardiovascular
(12 lead ekg aka 12)
inspection, PMI, sounds, JVD (jugular vein distention) HJR, edema, peripheral pulses, carotids, bruits, capillary refill, skin color and hair distribution of legs, varicosities
abdomen
MASCOT
Masses Appearance Sounds CVA Tenderness Organs Tenderness
rectal
tenderness, hemorrhoid, mass, prostate, sphincter tone, guaiac
genitourinary
male -hernia, testes, epididymis, hydrocele, lesions, discharge, circumcision
female -lesion, discharge, odor, cervix, vagina, uterus, adnexa
Musculoskeletal/spine
tenderness, ROM, deformity, swelling, redness, warmth, swelling, atrophy, scoliosis, pulses, sensation, blanching
breasts
nipple inversion/discharge, lumps,
nodes,
color changes,
tenderness
Neurologic
alert and oriented x’s 4
mentation
cranial nerves
sensory
motor
reflexes
balance and cerebellar exam
mentation
spell world backwards,
count back from 100 by 3’s
CNI
smell
CNII
VA, fields, fundus
CNIII, IV, VI
EOM’s, pupils
CNV
facial sensation, grit, teeth, corneal reflex
CNVII
facial expression, taste
CNVIII
hearing
CNIX
gag reflex,
swallow,
taste
CNX
gag reflex,
uvula,
swallow,
speech
CNXI
(shrugging your shoulders makes an 11)
shoulder shrug,
SCM strength
CNXII
tongue protrusion/strength,
speech
(stick out your tongue, youre done!)
sensory
sharp, dull, hot/cold, vibration, proprioception
motor
IT SAT
Involuntary movement
Tremor
Strength
Atrophy
Tone
reflexes
DTR’s,
babinski,
clonus
balance and cerebellar exam
gait, heel to toe, finger/nose, rapid hand, heel on shin, Romberg
psych
CAMERA BAPTISM
Cognition Appearance (neglect, facial expression, affect) Memory Eye contact Reasoning Agitation
Behavior Attention Perception Thought (form/content) Insight Speech Mood