What do you look for?

Question 1

In a general examination, what do you look for in the hands?

Answer 1

Colour - i.e tar staining?
Hand warmth (cold vs hot?)
Nail changes
Capillary refill time
Shapes of joints
Muscle wasting
Palms (creases colour / palmar erythema)
Contractures
Radial pulse
Tremor

Question 2

What nail changes do you look for?

Answer 2

pitting,
Splinter haemorrhages, 
Leuconychia,
Peripheral cyanosis, 
Anaemia, 
Koilonychia, 
Finger clubbing

Question 3

What are the types of tremor seen?

Answer 3

Fine
Coarse
Flapping

Question 4

What should you look for in the arms in a general examination?

Answer 4

Joint deformity
Tattoos/bruising/rashes/pigmentation
Spide naevi
Scars or wounds
Track marks (venous damage due to needles)
Skin turgor

Question 5

In a general examination what should you look for in the face?

Answer 5

Facial symmetry
Specific facies (facial expression due to disease)
Ears - shape/swelling
Eyes - 
Lips (angular stomatitis, lip colour
Buccual mucosa (ulceration/pigmentation)
Malar flush

Question 6

In a general examination what do you look for in the anterior chest area?

Answer 6

Skin lesions (spider naevi)
Gynaecomastia

Question 7

In a general examination what do you look for in the lower limbs?

Answer 7

Skin - colour, hair, varicose veins, ulceration?
Temperature
Swelling (pitting oedema)
Deformities (hallux vagus?)
Joint swelling, skin thickening 
Inspect toes

Question 8

What are the signs of CO2 retention?

Answer 8

Palmar warmth and pinkness

Flapping tremor

Question 9

What are the signs of clubbing?

Answer 9

Loss of nail angle
Nailbed fluctuation
Increase in nail curvature (longitudinal)
Finger swelling (soft tissue)

Question 10

What do you look for in the neck for a respiratory exam?

Answer 10

Tracheal position

Cervical lymph nodes

Question 11

When auscultating the chest ina respiratory examination, what are you listening for?

Answer 11

If breathing is vesicular or bronchial
Intensity of breath sounds
Any added sounds (cackle, wheeze, rub?)
Abnormalities on inspiration, expiration or both?

Question 12

What are the parts of the pulse that should be noted?

Answer 12

Rate
Rhythm (regular, irregularly irregular, regularly irregular)
Character
Volume

Question 13

What are the different characters of pulse?

Answer 13

Normal
Slow rising
Collapsing (hold hand up)

Question 14

What are the different volumes of pulse?

Answer 14

Normal
Thready
Bounding
Full
Low volume

Question 15

What do you look for in the eyes?

Answer 15

unequal pupils,
jaundice,
xanthelasmata,
corneal arcus

Question 16

What are the signs or iron deficient anaemia?

Answer 16

Angular stomatitis
Sore red tongue
Pinky/white inner lower eyelid

Question 17

In a cardiovascular examination, what abdominal signs are you looking for?

Answer 17

Palpating liver for tender, enlarged or pulsatile (cardiac failure)
Shifting dullness (ascities)

Question 18

What are you looking for in the lower limbs in a cardiovascular examination?

Answer 18

Pitting oedema
Poor arterial perfusion
Cold, smoth hairless skin; increased perfusion time; ulcers/gangrene
Varicose veins (standing and sitting)

Question 19

What do you look for in the neck in a cardiovascular examination?

Answer 19

JVP

Tracheal position

Question 20

What do you look for in the praecordium?

Answer 20

Chest deformities 
Cardiac pace maker
Visible palpation
Scars
Apex beat
Heaves/thrills

Question 21

What are you looking for in auscultation of the chest?

Answer 21

Hearts sounds 1+2
Added heart sounds?
Murmurs
Over all 4 areas