Steps Of Bse Flashcards
1
Q
Steps
A
Intro General observation Vital signs Neurogenic Head Eyes Ears Nose Mouth/throat Neck/shoulders Upper extremities Chest Cardiovascular Abdominal Lower extremities
2
Q
Introduction
A
Introduce self, states name, confirms pt identity
Washes hands
Clean stethoscope
3
Q
General observation
A
Observers pt for habitus, posture, level of comfort, signs of distress
4
Q
Vital signs
A
Takes or verifies temp Palpates bilateral radial pulse Counts radial pulse Counts respirations Takes bp (right arm)
5
Q
Neurologic
A
Wrinkle forehead cn vii Show teeth cn vii Protrude tongue cn xii Dtrs (bicep, patellar, achilles) Romberg Pronator Observe gait
6
Q
Head
A
Inspect pallation of scalp and face
7
Q
Eyes
A
Vision test with pocket screener Inspect conjunctiva and sclera Inspect and test pupils w/light Test eom Fundoscopy
8
Q
Ears
A
Inspect auricle Pulls pinna Pushes tragus Inspect canals with otoscope Inspect tm with otoscope Test gross hearing
9
Q
Nose
A
Inspect with otoscope
10
Q
Mouth and throat
A
Use light source Inspect lips and oral mucosa Inspect teeth and gums Inspect tongue, palate Inspect uvula, pharynx and tonsils Check voice quality
11
Q
Neck and shoulders
A
Observe rom active and with resistance Shoulder shrug against resistance Palpate lymph nodes Inspect thyroid as pt swallows Behind pt palpate thyroid as pt swallows
12
Q
Upper extremities
A
Inspects palpates and rom (active and against resistance)
Skin
Musculature
Joints (shoulder, elbow, wrist and fingers)
13
Q
Chest
A
From behind inspect pt breathing Auscultates posterior lung fields Percusses posterior lung fields Palpates spinious processes Auscultates anterior lung fields Percusses anterior lung fields Palpates axillary nodes
14
Q
Cardiovascular
A
Inspects precordium (pmi pulsation) Palpates apex with fingertips Auscultation Apex LSB Pulmonic area Carotid: palpation and auscultates each Aortic RsB Mid-epigastrium Palpates and auscultates femoral pulse
15
Q
Abdominal
A
Inspection Auscultates x4 Light palpitations x4 Deep palpitations x4 Palpates liver edge bimanually Palpates spleen bimanually Palpates aorta Palpates inguinal nodes Percuss CVA
