Renal System Examination Flashcards

1
Q

What is the first step?

A

General inspection

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2
Q

What are you looking for on general inspection?

A

Colour
Tremor
O2
Dialysis Machine
Vomit bowl

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3
Q

What do you do after general inspection?

A

Inspect the hands

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4
Q

What do you inspect the hands for?

A

Clubbing
Peripheral Cyanosis
Leukonychia

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5
Q

What else to you check on the hands?

A

Asterixis
Skin turgor

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6
Q

What do you access after hands ?

A

Arms

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7
Q

What do you inspect on the arms?

A

if there is Arteriovenous Fistula ( Inspect, Palpate, Auscultate )
Palpate radial pulse
Offer to measure BP

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8
Q

What do you access after arms?

A

Face

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9
Q

What do you look for on the face?

A

Malar Rash
Conjunctival Pallor
Gingival hypertrophy

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10
Q

What do you look at after the face?

A

Neck

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11
Q

What do you examine for on the neck?

A

Jugular Venous Pressure
Evidence of scarring from dialysis catheter

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12
Q

What do you examine after the neck?

A

Chest

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13
Q

What do you assess the chest for?

A

Inspect
Palpate for pleural effusion
Palpate Apex Beat
Auscultate heart murmurs
Percuss lung fields
Auscultate lung bases

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14
Q

What do you examine after the chest?

A

Abdomen

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15
Q

What do you do to the abdomen?

A

Abdominal inspection ( scars, catheter etc )
Palpate 9 regions lightly
Palpate 9 regions firmly
Ballot the kidneys
Assess for shifting dullness
Auscultate renal bruits

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16
Q

What do you examine after the abdomen?

A

Sacral and peripheral pitting oedema

17
Q

What do you do to complete the examination?

A

Blood pressure
Fundoscopy
Urinalysis
U&Es

18
Q
A