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Clinical Care > Practical > Flashcards

Practical Flashcards

1
Q

Socrates stand for

A 
Symptoms 
Allergies 
Medication 
Past medical 
Last in and out 
Events leading up to
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2
Q

Socrates

A 
Site 
Onset 
Characteristics 
Radiation 
Associated symptoms 
Timing 
Severity
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3
Q

Inspect abdo

A

Scars
Spider naevi more than 5
Caput Medusa - cirrhosis
Asymmetry 6Fs - fat, flatus, fluids, faeces, fetus, functional

Cullen - umbilicus
Grey turners - flanks

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4
Q

Auscultate abdo

A

4 quadrants

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5
Q

Palpate abdo

A

Left hypochondriac
Epigastric
Right hypochondriac

Left lumbar
Umbilical
Right lumbar

Left iliac
Suprapubic
Right iliac

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6
Q

Signs to look for abdo

A

Rebound tenderness - peritonitis

Murphys sign - right subcostal, breath in - cholecystitis

Rovsing press left iliac will feel in right - appendicitis
Mcburney - right side - appendicitis
Psoas - lie on side pull right leg back
Obturator- bend 90 then twist out

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7
Q

Percussion abdo

A

Looking for ascites
Tympani will move

If two persons can do wave one

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8
Q

Hands abdo

A

Pallor
Leukonychia - liver disease
Kolionychia -crohn

Palmar erythema - red heel - kidney
Dupuytrens contracture - alcohol
Clubbing - ibs

Skin turgor
Asterixis
Needle track marks

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9
Q

Eyes abdo

A

Conjunctiva pallor - anaemia
Jaundice - liver, gallstones

Corneal arcus- high cholesterol
Xanethelasma - high cholesterol

Kayser fleischer rings - Wilson’s disease

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10
Q

Mouth - abdo

A

Angular chelitus - gi malignancy
Dry mouth - hydration

Glositis
Oral candidiasis - immunosuppressive
Aphthous ulceration - b12

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11
Q

Neck - abdo

A

Virchows nodes

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12
Q

Hands - CVS

A 
Clubbing- heart disease 
Peripheral cyanosis 
Tar staining - smoker 
Splinter haemorrhages - infective endocarditis 
Jane way lesions - micro abcess 
Osler nodes - inflammatory complex
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13
Q

Eyes - CVS

A

Conjunctive pallor - anaemia
Corneal arcus - high cholesterol
Xanthelasma - high cholesterol

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14
Q

Mouth - CVS

A

Central cyanosis

Angular cheilitus
Glositis

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15
Q

Face - CVS

A

Malar flush

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16
Q

Neck - CVS

A

JVD
Raised - fluid overload
Kusmauls sign - tamponade, c. Pericarditis
Canon waves - complete heart block

Lymph nodes feel if swollen

17
Q

Abdo - cvs

A

Pulsating masses

Ascites

18
Q

Leg - CVS

19
Q

Chest inspection - CVS

A

Shape -
Pectus excavatum
Pectus carinatum
Barrel chest

Scars / pacemakers / patches

20
Q

Chest - palpate on- CVS

A

Feel for deformity/ tenderness / crepitus

Feel for apex beat - 5th IC

Thrill - palpable murmur
Heave - abnormally large beating of heart

21
Q

Chest auscultation- CVS

A

All paramedic take medicine

Aortic - stenosis - regurgitate
Pulmonary - stenosis - regurgitate
Tricuspid - regurgitate- stenosis
Mitral - regurgitate- stenosis

Listening for murmurs indicating stenosis or regurgitation

Base of lungs - crackles

22
Q

Resp - hands

A 
Clubbing - CF, lung cancer 
Peripheral cyanosis 
Tar staining 
Joint swelling / deformity 
Asterixis 
Fine tremor
23
Q

Resp - eyes assessment

A

Conjunctive pallor - anaemia

Ptosis/miosis - horners

24
Q

Resp - mouth

A

Angular cheilitus/ glositis - iron def
Central cyanosis
Oral candida - steroid use

25
Q

Leg - resp

A

Oedema - heart failure

Calf pain - dvt

26
Q

Chest inspection resp

A

Scars
Chest wall deformities
Pectus excavatum/ pectus carinatum/ barrel

Breathing pattern

27
Q

Chest palpate on resp

A

Apex beat
Chest expansion - symmetry, bilateral reduction, unilateral reduction

Tenderness

28
Q

Chest percussion resp

A

Dullness

Hyper resonance

29
Q

Chest auscultation

A 
J shape 
Stridor 
Wheeze 
Crackles 
Pleural rub
30
Q

First cranial nerve

A

Olfactory

Sense of smell

31
Q

Second cranial nerve

A

Optic
Read something far away
Corner test

32
Q

3rd /4th/6th

A

Oculomotor, trochlear, Abducens
Abducen responsible for 4/6
Oculomotor superior oblique
Trochlear lateral rectus

Swinging light test
H test
Look for double vision and nystagmus

33
Q

5th cranial nerve

A

Trigeminal

Sensations in face
Ophthalmic, mandibular, maxillary

Clench jaw

34
Q

7th cranial nerve

A

Facial

Do different facial expressions

35
Q

8th cranial nerve
And test ?

A

Vestibulocochlear

Do cochlear part
Sound each ear

36
Q

9th and 10th cranial nerve

A

Glossopharyngeal and vagus

Uvula central
Soft palate equal
Swallow something

37
Q

11th cranial nerve

A

Accessory
Shrug against pressure
Turn head against pressure

38
Q

12th cranial nerve

A

Hypoglossal

Tongue into 4 corners
Tongue into cheek

39
Q

Cerebellum tests

7

A 
Gait 
Ram 
Coordination 
Pronator drift 
Romberg 
Arm strength 
Dermatomes

Clinical Care (18 decks)

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