Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

2b > Resp, GI + Cardio Examinations > Flashcards

Resp, GI + Cardio Examinations Flashcards

1
Q

What do you look for in General inspection in resp exam?

A
  • Around bed: inhalers, oxygen mask, sputum pot
  • Patient: cyanosis, sob, cough, wheeze, stridor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What would bruising or thinned skin in hands suggest?

A

Long term steroid use

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

What does fine tremor in resp exam suggest

A

B2 agonist use - salbutamol

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

What does asterisks in Resp exam suggest

A

CO2 retention

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

What is normal resp rate?

A

12-20 breaths per minute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Resp exam: when would JVP be raised?

A

Cor pulmonale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Resp exam: what facial central cyanosis indicate?

A

Hypoxia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does conjunctival pallor indicate

A

Anaemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Resp exam: scar in central chest. What is it likely to be?

A

Sternotomy, thoracotomy

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

Resp exam: scar in clavicular region. What is it likely to be?

A

Pacemaker

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

Resp exam: scar in mid-axillary line. What is is likely to be?

A

Chest drain

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

Anatomically describe where to find apex beat

A

5th intercostal space, MCL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What (2 things) does reduced chest expansion indicate?

A
  • Lung collapse
  • Pneumonia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Percuss lung fields: what does resonant percussion suggest

A

Normal!

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

Percuss lung fields: what does dull percussion note suggest? (4 things)

A
  • Consolidation
  • Collapse
  • Effusion (stony dullness)
  • Cardiac dullness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Lung auscultation: what does inspiratory stridor suggest?

A

Upper airway obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Lung auscultation: what does wheeze suggest? (2 things)

A
  • Asthma
  • COPD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Difference between wheeze and stridor?

A

Stridor is usually just on inspiration and wheeze is both inspiration and expiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Lung auscultation: what do coarse crackles suggest? (2)

A
  • Pneumonia
  • Pulmonary oedema
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Lung auscultation: what to fine crackles suggest? (1)

A
  • Pulmonary fibrosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Lungs: What does increased vocal resonance suggest? (3) + Explain

A

Increased vibration suggests greater density
- Consolidation
- Lobar collapse
- Tumor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Lungs: what does decreased vocal resonance suggest?

A

Decreased vibration suggests lesser density
- Pleural effusion
- Pneumothorax

23
Q

Causes of Lymphadenopathy

A
  • Infection
  • Malignancy
  • Sarcoidosis
24
Q

What does unilaterally reduced chest expansion suggest? (2)

A
  • Pneumonia
  • Lung collapse
25
Q

Chest wall percussion: what does hyper-resonant percussion note indicate?

A

Pneumothorax

26
Q

Resp exam: what does pedal oedema indicate?

A
  • RV failure
27
Q

Resp exam: what does pain in calf indicate?

A
  • DVT
28
Q

What do you do to complete resp exam?

A
  • Sputum sample
  • Oxygen sats
  • Peak flow
29
Q

What do you look for in abdo inspection?

A
  • Body habits
  • Jaudice
  • Scars
  • Abdo distention
  • Masses
  • Unwell
  • Consciousness
30
Q

What does asterixis indicate in abdo exam?

A
  • Hepatic encephalopathy
  • Uraemia
31
Q

What does Xanthelasma suggest?

A

Hyperlipidamia

32
Q

What does yellowing of eyes suggest?

A
  • Jaundice: raised bilirubin
33
Q

Where is virchows lymph node

A

Left supraclavicular fossa

34
Q

What is virchows lymph node associated with?

A

Gastric malignancy

35
Q

What angle should the bed be when palpating abdo?

A

0! lie them down flat

36
Q

What do you feel for in soft palpation of abdo?

A
  • Tenderness
  • Guarding (voluntary/involuntary)
  • Masses
37
Q

What do you feel on deep palpation of abdo?

A

Try to visualise the organs

38
Q

Palpate aorta: what does expansion pulsating mass suggest?

A
  • Abdominal aortic aneurysm
39
Q

What do you do to complete abdo exam?

A

ISHRUG
- Check for inguinal lymph nodes
- Stool sample
- Check hernial orifices
- Digital rectal exam
- Urine sample
- Examination of external genitalia

40
Q

Abdo exam: what does lower limb pitting oedema suggest?

A

Hypoalbuminaemia (potentially due to liver cirrhosis)

41
Q

What could cause a collapsing pulse?

A
  • Normal physiological states: fever, pregnancy
  • Cardiac lesions: aortic regurgitation
42
Q

What is slow-raising pulse associated with

A

Aortic stenosis

43
Q

What is bounding pulse associated with? (2)

A
  • Aortic regurgitation
  • CO2 retention
44
Q

What is thready pulse associated with?

A
  • Hypovolaemia (like sepsis)

Makes sense: thready is small

45
Q

What heart murmur is associated with malaria flush?

A

Mitral stenosis

46
Q

What murmur could be heard at apex point with patient rolled (45) to their left

A

Mitral stenosis

47
Q

what murmur: 4th/5th intercostal space to the left of the sternum on held expiration, diaphragm

A

Aortic regurgitation

48
Q

What signs found in hands to indicate infective endocarditis? what do they look like

A
  • Splinter haemorrhages (nails)
  • Janeway lesions (non-tender, haemorrhagic lesions on thenar + hypothenar)
  • Oslers nodes (red/purple, slightly raised, tender lumps)
  • Clubbing
49
Q

What could finger clubbing suggest in cardiac exam?

A
  • IE
  • Congenital heart disease
50
Q

What is normal capillary refill time (s) ?

A

Less than 2 seconds

51
Q

What does radio-radial delay suggest?

A

Aortic coarctation

52
Q

When should check for carotid bruits during exam?

A

Before checking carotid pulse

53
Q

What does corneal arcus suggest?

A

Hyperlipidaemia

54
Q

What do you do to complete a cardiac exam?

A
  • Complete peripheral vascular exam
  • 12 lead ECG
  • Measure BP

2b (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions