Physical Exam- general, mental, skin, hands and nails, head Flashcards

1
Q

What to assess in General Survey

A
body habitus
nutritional state
presenting appearance
hygiene (odors of breath and body)
stated vs apparent age
demeanor
facial affect
expression
posture
gait
level of consciousness
Apparent pain
Signs of distress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What to assess in Mental Status

A
Speech
language
mood
thought content
perceptions
insight
judgement
orientation
attention
memory
information
vocabulary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the order of the physical exam

A
General Survey
Mental Status
Measurements
Skin
Hand & Nails
Head
HEENT
Neck and Nodes
Chest
Cardiovascular
Peripheral vascular
Abdomen
Musckuloskeletal
Neuro
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Skin exam inspection and palpation

A
color
temperature
texture
turgor
moisture
mobility
rashes
lesions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Inspection of lower extremity for peripheral vascular

A
temperature
edema
decreased hair growth
lesions
ulcerations
varicosities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

? hand & nails

A
cyanosis
clubbing
nail bed deformities
tremors
erythema or palor of palmar creases
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

? respirations

A
rate
rhythm
regularity
depth
effort
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

? carotid inspection

A
rate
rhythm
quality
contour
waves
thrills
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

? skull

A

size

contour

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

?scalp

A

scaliness
nevi
lesions

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

? Hair

A

quality
distribution
pattern of loss
dandruff

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

? face/nose/mouth

A
symmetry
contours
involuntary movements
edema
lesions
masses
expression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Palpation hair and scalp

A
hair texture, quality, distribution
scalp and skull deformities
tenderness
lesions
scaliness lumps
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

palpation TMJ

A

pain
crepitis
clicking

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

? eyebrows

A

quantity
distribution
scaliness

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

? eyelids

A
edema
color
lesions
direction of eyelashes
adequacy with which they close
17
Q

eyes, what to inspect?

A
eyebrows
eyelids
lacrimal gland and sac
conjunctiva & sclera
iris & pupils
18
Q

? lacrimal gland and sac?

A

swelling

19
Q

? Conjunctiva and sclera

A
color
vascular pattern
nodules
swelling
icterus
conjuctival irritation
pterygiums
xanthelasmas
iris lesions
pupillary inequality
nystagmus
strabismus
20
Q

? Iris & Pupils

A

size
shape
symmetry

21
Q

CN II test

A

visual acuity

22
Q

CN III

A

Pupillary reflexes

23
Q

Pupillary reflexes

A

direct and consensual light reflexes

24
Q

EOM CN’s? and ?

A
CN III, IV, VI
EOM paralysis
discongugate gaze
Nystagmus
Lid lag
25
Q

? fundoscopy of eyes

A
red reflex
optic disc
retina
arterioles
viens
fovea
macula
vitreous
lens
opacities
disc cupping
vessel narrrowing
a-v nicking
papiledema
retinal exudates or hemorrhage
macular changes