year 2 Flashcards
dermatyomes upper limb
C5 – Regimental badge area /lateral antecubital fossa
* C6 - Thumb
* C7 - Middle finger
* C8 - Little finger
* T1 - Medial antecubital fossa
* T2 - Axilla
* L1 – Upper medial thigh
* L2 – Medial mid-thigh
* L3 – Medial side knee
* L4 – Medial malleolus
* L5 – Dorsal foot, first web space
* S1 – Lateral heel
* S2 - Back of thigh
myotomes
C5: Deltoid
C6: Biceps
* C7: Triceps
* C8: Finger flexion
* T1: Finger abduction
* L1/L2: Hip flexion
* L3/L4: Quadriceps
* L5: Great toe
dorsiflexion
* S1/S2: Foot
plantarflexion
5 moments of hand washing
before touching a patient.
before clean or aseptic procedures.
after body fluid exposure risk.
after touching a patient; and.
after touching a patient’s immediate surroundings.
phimosis
where the foreskin is tight and unretractable
paraphimosis,
where tight foreskin has been forcibly pulled back and is now irreducible
what to note in penis exam
pubic hair, swellings, rashes, nodules, scars, veins, foreskin, warts, ulcers, tumours
testicles - size, consistency and texture
epidydymis for swellings
spermatochord for presence of varicoele
if swelling- cough, light, fluctuant or solid, size, mobile
what to note in penis exam
pubic hair, swellings, rashes, nodules, scars, veins, foreskin, warts, ulcers, tumours
testicles - size, consistency and texture
epidydymis for swellings
spermatochord for presence of varicoele
if swelling- cough, light, fluctuant or solid, size, mobile
donning and doffing order
what to note in prostate exam
bear down and show rectal prolapse or abnormal rectal descent. look for any redness, nodules, haemorrhoids
insert finger
anal tone
insert further
posterior wall
anterior wall
describe prostate
faeces
any palpable abnormalities
ask the patient to bear
down, as this may bring down a lesion (polyp) from higher up the
rectum to touch your finger
exit and feel wall
note what is on finger
abdominal systematic enquiry
appetite
weight loss
dysphagia
dysepepsia
nausea
haematemesis
fat intolerance
jaundice
pain
bloating
bowels- constipation, blood, mucus, diarrhoea, incontinence
perianal symptoms
genitourinary system systemic enquiry
frequency
dysuria
nocturia
oliguria
haematuria
incontinence
stream difficulty
pain
fever
weight loss
back pain
vomiting nausea
nervous system systemic enwuiry
speech disturbance
headache
fits, faints
balance
dizziness
vision
hearing
weakness
numbness tingling
msk
pain
stiffness
dress yourself
up and down stairs
trauma
resp SE
cough
sputum
haemoptysis
SOB
wheeze
chest pain
blocked nose
nasal discharge
facial pain
reduced smell
earache
sore throat
cvs SE
chest pain
SOB
palpitations
ankle oedema
varicose veins
claudication
