Physical Exam Findings Flashcards

1
Q

General/Constitutional Normal

A

NAD (No Acute Distress)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

General/Constitutional Abnormal

A

Mild/Moderate/Severe Distress
Cachectic/Emaciated/Malnourished
Somnolent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Cachectic/Emaciated/Malnourished

A

skin and bones, poor nutrition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Somnolent

A

Tired/Sleepy, AMS; found in many drunk people

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Head Normal

A

Atraumatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Head Abnormal

A

Sinus Tenderness, Angioedema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Angioedema

A

allergic reaction symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Eyes Normal

A

PERRL EOMI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Eyes Abnormal

A

Nystagmus, Scleral Icterus, Pale Conjunctiva, Conjunctival injection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Nystagmus

A

involuntary eye movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Scleral Icterus

A

liver failure, yellowing of eyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Pale Conjuctiva

A

very anemic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Conjunctival Injection

A

reddening of eyes; allergic reaction or infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Internal Eyes viewed with a ____

A

fundoscope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

External Eyes viewed with a ___

A

Wood’s Lamp or Fluorescien

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Internal eye abnormal

A

retinal detachment, papilledema, hyphema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Hyphema

A

Blood present in cornea commonly found in trauma pts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

External Eye abnormal

A

corneal abrasion or ulcerations, fluorescein uptake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Fluorescein uptake

A

Corneal abrasion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Ears Normal

A

tympanic membrane normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Ears Abnormal

A

TM erythema, TM bulging, TM dullness, TM obscurred by cerumen (earwax)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Bulging and erythema TM

A

Otitis Media

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Nose Normal

A

Normal Nares

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Nose Abnormal

A

Epistaxis, Rhinorrhea, Septal hematoma, Boggy turbinates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Septal hematoma

A

found in trauma pts; hematoma in septum that is blocking airway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Boggy Turbinates

A

swollen inner nose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Throat Normal

A

Oropharynx normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Throat abnormal

A

Dry mucous membrane, pharyngeal erythema, tonsillar exudate, dental caries, edentulous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Dry mucous membrane

A

dehydration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Pharyngeal erythema

A

red throat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Tonsillar exudate

A

swollen; Strep throat(streptococcal pharyngitis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Edentulous

A

no teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Neck Normal

A

Supple

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Neck Abnormal

A

JVD, Carotid bruit, Cervical lymphadenopathy, vertebral point, paraspinal tenderness, thyromegaly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

JVD

A

Congestive Heart Failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Carotid Bruit

A

Abdominal Aortic Aneurysm (AAA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Cervical lymphadenopathy

A

swollen lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Vertebral point

A

on the spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Paraspinal tenderness

A

around the spine, muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Cardiovascular Normal

A

RRR (regular rate and rhythm)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Cardiovascular Abnormal

A

Tachycardia/Bradycardia, Irregularly irregular rhythm, murmur, extrasystoles, pleural rub, gallop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Murmur

A

2/6 systolic ejection murmur; if 6/6 can hear without stethoscope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Extrasystole

A

extra beats

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Perfusion Normal

A

Pulses equal and symmetric, normal capillary refill

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Perfusion Abnormal

A

Delayed capillary refill

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Carotid 2+

A

normal pulse in neck

47
Q

Radial 2+

A

normal pulse in wrist

48
Q

Femoral 2+

A

normal pulse in pelvic area

49
Q

Dorsalis Pedis 2+

A

normal pulse in top of the foot

50
Q

Posterior Tibialis 2+

A

normal pulse in back of heel

51
Q

0 for pulse

A

absent

52
Q

1+

A

barely palpable

53
Q

2+

A

normal, easily palpable

54
Q

3+

A

full

55
Q

4+

A

bounding/aneurysmal

56
Q

Pulmonary Normal

A

Breath sounds clear and equal

57
Q

Pulmonary Abnormal

A

Mild/Moderate/Severe Respiratory distress

Tachypnea, accessory muscle use, diminished breath sounds, wheezes, rales(crackles), rhonchi

58
Q

Wheezes

A

asthma

59
Q

Rales

A

Congestive Heart Failure

60
Q

Rhonchi

A

Pneumonia

61
Q

Abdominal normal

A

soft and non-tender (S/NT)

62
Q

Abdominal abnormal

A

Mild/Mod/Severe tenderness

voluntary/involuntary guarding, rebound tenderness, rigidity

63
Q

Absent/Hypoactive bowel sounds

A

Small Bowel Obstruction

64
Q

Organomegaly

A

hepatomegaly or splenomegaly

65
Q

Murphy’s Signs

A

cholecystitis

66
Q

McBurney’s Signs and Psoa’s Signs

A

appendicitis

67
Q

Rectal Normal

A

normal rectal exam, heme negative

68
Q

Rectal Abnormal

A

Heme positive, abnormal stool color, hemorrhoids, rectal prolapse, decreased rectal tone

69
Q

Heme positive, Abnormal stool color

A

GI bleed

70
Q

Female Genital Normal

A

Normal external, bimanual, and speculum exam

71
Q

Female Genital Abnormal

A

Cervical motion tenderness, adnexal tenderness or mass, uterine tenderness, cervical os open, blood in the vaginal vault, malodorous discharge

72
Q

Male Genital Normal

A

Normal Genital exam; circumcised/uncircumcised

73
Q

Male Genital Abnormal

A

Testicular tenderness, epididymal tenderness, testicular edema, testicular mass, urethral discharge, inguinal hernia

74
Q

Musculoskeletal/Extremities Normal

A

Non-tender, Full ROM

75
Q

MS/Extremities Abnormal

A

Bony tenderness, tendon laxity, decreased ROM, pitting pedal edema, calf tenderness, palpable cords/ Homan’s sign

76
Q

Pitting pedal edema

A

DVT; 1-4 and 4 being the most swollen

77
Q

Calf Tenderness and Palpable cords/Homan’s signs

A

DVT

78
Q

Back Normal

A

nontender thoracic and lumbar spine

79
Q

Back abnormal

A

CVA tenderness, paraspinal tenderness, vertebral point tenderness, midline deformities/step off

80
Q

CVA tenderness

A

pyelonephritis

81
Q

Skin Normal

A

warm, dry, normal color

82
Q

Skin Abnormal

A

pallor, cyanosis, jaundice, diaphoresis, urticaria, petechiae

83
Q

Urticaria

A

hives,allergic reaction

84
Q

Skin Infections

A

erythema, increased warmth, induration, fluctuance, purulent drainage, lymphangitis

85
Q

Induration/Fluctuance

A

abscess

86
Q

Skin Trauma

A

ecchymosis, contusion, abrasion, laceration, skin tear, avulsion

87
Q

Neurological Normal Basic

A

Alert and Oriented x4 , non-focal neuro exam

88
Q

Neurological Normal Detailed

A

Sensation intact, motor strength 5/5, DTRs 2+ and equal, CN II-XII intact, normal cerebellar exam, normal gait

89
Q

DTR’s

A

Deep tendon reflex

90
Q

Normal cerebellar exam

A

balance

91
Q

Normal gait

A

normal walking

92
Q

LOC (level of consciousness)

A

somnolent, obtunded, unresponsive

93
Q

Motor strength abnormal

A

extremity weakness 0/5 to 4/5, pronator drift

94
Q

sensation abnormal

A

hypoesthesia, numbness

95
Q

Speech abnormal

A

aphasia, dysarthria

96
Q

Reflexes abnormal

A

decreased DTR

97
Q

Cerebellar abnormal

A

dysmetria during finger to nose test, positive Romberg, vertical nystagmus

98
Q

Gait abnormal

A

ataxia, antalgic

99
Q

Trauma exam head

A

battle signs, raccoon eyes, periorbital ecchymosis

100
Q

Trauma exam eyes

A

unequal pupils, subconjuctival hemorrhage, hyphema

101
Q

Trauma ears

A

hemotympanum

102
Q

Trauma nose

A

nasal bone deformity, epistaxis, septal hematoma

103
Q

trauma oopharynx

A

malocclusion, dental injury

104
Q

trauma neck

A

vertebral point tenderness, deformities, crepitus

105
Q

Crepitus

A

air present in tissue due to collapsed lung

106
Q

Trauma abdominal

A

tenderness, distended, ecchymosis

107
Q

Trauma rectal

A

rectal laxity

108
Q

Trauma musculoskeletal

A

pelvis unstable, bony tenderness, deformity

109
Q

Trauma back

A

vertebral point tenderness, deformities, step offs, abrasions

110
Q

Trauma skin

A

ecchymosis, laceration, abrasion, skin tear, contusion, avulsion

111
Q

Trauma Neurological

A

Glascow Coma Scale 3-15

112
Q

General Benign exam include:

A

External inspection – Constitutional, Eyes, Skin
Auscultating the heart – Heart rate and rhythm, heart sounds
Auscultating the lungs – Breath sounds
Palpating the abdomen – Soft, Abdominal tenderness
Examining the legs – Edema, Distal pulses

113
Q

Common extra exam findings

A

Examine throat – pharyngeal erythema or exudates. Symmetric palate
Examine inner ear – TM’s appearance
Auscultate the abdomen - Bowel sounds
Touch the wrists – Radial pulses
Squeeze the calf muscles – Calf tenderness
Pound on the back – CVA tenderness