Physical Exams Flashcards
1
Q
head and neck
A
-------------------Sit \+T/L \+Pulm inspect head/scalp inspect/palpate sinuses open/close jaw EOMI accommodation PERLA inspect nose/nares inspect mouth /lips/tongue/pharynx inspect ear otoscopic exam of tympanic membrane Weber Rhine inspect neck palpate lymph nodes of neck inspect/palpate thyroid traps ----------------lay down cervicals CRI \+Cardio \+Abd
2
Q
optho
A
----------------sitting \+Pulm \+T/L eye inspection EOMI accommodation confrontation cover/uncover Snellen (turn off lights) PERRL corneal reflection opthalmascope: red reflex, anterior, optic disc --------------------Lay down cervical CRI \+Cardio \+Abd
3
Q
central neuro
A
------------------Stand rhomberg/pronator drift ------------------Sit observe general appearance EOMI trigeminal nerve (open/close mouth, 3 areas) facial nerve (raise eyebrows, smile, frown, show teeth, puff cheeks, close eyes/resist) say ah stick out tongue acoustic rubbing rhine/webber shrug shoulders/turn head (+resistance) rapid alternating mvmts point to point mvmts \+Pulm \+T/L ---------------------Lay OA cervical CRI \+Cardio \+Abd
4
Q
peripheral neuro
A
————-stand
gait
heel-toe
————–sit
+pulm
+T/L
upper muscle strength (forearm f/e, wrist ext, finger flex, aBd)
Hoffmans (flick middle finger)
lower muscle strength (hip F, knee ex, foot d/p flex, toe extend)
DTR (babinski, achilles, patellar, bi, brachio, tri)
upper dermatomes (shoulder, outer forearm, thumb, pinky, inner forearm)
ankle clonus (dorsi foot)
lower dermatomes (front thigh, med/lat calves, little toes)
—————lay down
cervical
+cardio
+Abd
5
Q
cardiac exam
A
--------------lay down OA pecs stand on R side ribs diaphragm inspect chest PMI auscultate (4) diaphragm auscultate (4) bell auscultate carotid arts (bell) check for JVD (+measure) arterial pulses (radial, ulnar, brachioradialis, abdominal aortic, femoral, dorsalis pedis, post tibial) \+Abd -----------------sit Thoracic ROM \+T/L \+Pulm
6
Q
pulm exam
A
--------------sit \+T/L thoracic ROM inspect post auscultate (8) (b/d) palpate respiration auscultate (8) percuss post (8) tactile fremitus (99) (8) egophony (eeee) (8) ---------------lay OA upper ribs clavicle motion sternum lower ribs diaphragm inspect anterior auscultate 8 ant (d/b) \+Cardio \+Abd
7
Q
periph vasc exam
A
-------------------sitting \+Pulm \+T/L thoracic outlet ------------------lay inspect extremities palpate extremities (+cap refill) check pulses (brachial, radial, femoral, popliteal, dorsalis pedis, post tibial) check AA + auscultate AA inspect leg veins \+cardio \+Abd
8
Q
upper extremity exam
A
-------------sitting \+Pulm \+T/L inspect shoulder palpate shoulder shoulder active passive ROM clavicle F/E Spurlings Adsons apprehension drop arm empty can Neers Speeds Yergason infra/teres minor subscap Hawkins-Kennedy inspect wrist palpate wrist wrist active/passive ROM Finklestein's Phalens Tinels -----------------------lay down cervicals upper ribs palpate/ROM clavicles labral grind (crank) test clunk test \+Cardio \+Abd
9
Q
lower extremity
A
---------------------standing gait Childress test --------------------sit up \+pulm \+T/L --------------------lay down \+Cardio \+Abd *reset ASIS compression ASIS/PSIS psoas piriformis tenderness Fabere Fair knee inspection knee palpation milk knee patella ballottement apprehension test patellar grind fibular head ant/post drawer Lachman's McMurry's syndesmosis squeeze test bounce home test inspect ankle palpate ankle + plantar fascia ankle active/passive ROM ant drawer talar tilt test -----------------------prone Thompson test Apley's
10
Q
male urogenital exam
A
-------------------sit \+pulm \+T/L seated flexion --------------------lay \+cardio \+Abd *reset* ASIS compression ASIS/PSIS *GLOVES* inspect above palpate above evaluate hernia inspect penis/test/epid palpate penis/test/epid inspect below ---------------------LLR sacral bases/ILAs inspect/palpate anus rectal and prostate exam hemoccult
11
Q
supraspinatus test
A
empty can
12
Q
infraspinatus/teres minor test
A
elbow F, ER
resist outside rotation
13
Q
subscapularis test
A
elbow F, IR
resist inward rotation
14
Q
drop arm test
A
passively abduct shoulder
tell pt to lower
15
Q
apprehension test (shoulder)
A
aB, ER
ant force on post shoulder
