Renal System Examination Flashcards
What is the first step?
General inspection
What are you looking for on general inspection?
Colour
Tremor
O2
Dialysis Machine
Vomit bowl
What do you do after general inspection?
Inspect the hands
What do you inspect the hands for?
Clubbing
Peripheral Cyanosis
Leukonychia
What else to you check on the hands?
Asterixis
Skin turgor
What do you access after hands ?
Arms
What do you inspect on the arms?
if there is Arteriovenous Fistula ( Inspect, Palpate, Auscultate )
Palpate radial pulse
Offer to measure BP
What do you access after arms?
Face
What do you look for on the face?
Malar Rash
Conjunctival Pallor
Gingival hypertrophy
What do you look at after the face?
Neck
What do you examine for on the neck?
Jugular Venous Pressure
Evidence of scarring from dialysis catheter
What do you examine after the neck?
Chest
What do you assess the chest for?
Inspect
Palpate for pleural effusion
Palpate Apex Beat
Auscultate heart murmurs
Percuss lung fields
Auscultate lung bases
What do you examine after the chest?
Abdomen
What do you do to the abdomen?
Abdominal inspection ( scars, catheter etc )
Palpate 9 regions lightly
Palpate 9 regions firmly
Ballot the kidneys
Assess for shifting dullness
Auscultate renal bruits
