PD 2 Practical
Terms
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- General Appearance (9)
-
LOC
Signs of Distress
Apparent State of Health
Body odor or breath odor
Appropriate Sexual Development
Gait, Posture, Motor Ability
Facial Expression
Dress, Groom, Hygiene
Skin Color, and Lesions - Nails (5)
-
Color
Shape
Texture
Lesions
Capillary Refill - General Characteristics of the Skin 6
-
Color
Moisture
Temperature
Texture
Mobility and Turgor
Lesions - Characteristics of a lesion (5)
-
anatomic location
anatomic distribition
arrangement
type color - Hair (7)
-
quality
distribution
texture
pattern of loss
dandruff and nits
inspect and palpate
facies notes - Eyebrows (3)
-
quality
distribution
scaliness - Eyelids (9)
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position
width of fissure
edema
color
lesions
condition and direction
adequacy of eyelid closure
lacrimal gland
lacrimal sac for swelling - Conjunctiva and Sclera (3)
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vascualr pattern
nodules
swelling - Cornea, Lens and Iris (2)
-
Cornea and lens= opacities
Iris= clear markings - EOMs (4)
-
conjugate movements
nystagmus
lid lag
iconvergence - Optic disc (3)
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Color
Clarity
Cup - Retina (4)
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arteries
veins
macula
fovea - Auricles (3)
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lesions
lumps
deformities - Ear Canal (3)
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d/c
FB
Redness - Eardrum (7)
-
color
contour
cone of light
handle of the malleus
short process of the malleus
pars flaccida
pars tensa - Septum and Turbinates (8)
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color
swelling
bleeding
exudates
deviation
inflammation
perforations
polyps or ulcers - Lips (6)
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Color
moisture
lumps
ulcers
cracking
scaliness - Oral Mucosa (4)
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Color
ulcers
white patches
nodules - Neck (6)
-
symmetry
masses
scars
enlargement of parotid glands
enlargement of submandibluar glands
visible lymph nodes - Lymph nodes (6)
-
size
shape
delimitation
mobility
consistency
tenderness - PMI (4)
-
location
diameter
amplitude
duration - Murmur (6)
-
timing
shape
location of maximal intensity
radiation
intensity
quality - Inspection of Lungs (5)
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Rate and Rhythm
deformities
use of accessory muscles
abNL retractions of interspaces
Respiratory Lag - Bronchophony
-
NL- muffled and indistinct
ABNL- Lounder and clearer - Egophony
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NL- ee
ABNL- ay - Whispered Pectilorquay
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NL- faint and indistinct
ABNL- Loud and Clear - Abdomen (10)
-
scars
striae
shape and countour
pulsations
peristalsis
dilated veins
rashes
masses
inflammation
hernias - Abdominal Bruits
-
Renal
Femoral
Aortic
Iliac - Palpation of Joints (5)
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crepitations
heat
enlargements
nodules
tenderness - Inspection of Joints (3)
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symmetry
swelling
redness - MCP (3)
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bogginess
swelling
tenderness - Hip Palpation (7)
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trochanteric bursa
ischeogluteal bursa
crepitations
heat
enlargements
nodules
tenderness - Shoulder Special Tests
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cross over test
drop arm sn - Knee Special Tests
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Mc Murrats
Collateral Ligs
Cruciate Ligs
lachmans
Ballotment
Bulge
Balloon
thomas test - CTS Special Tests
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Tinel
Phalens - Back Special Tests
- Scoliosis
- A young amle with a sore throat and yellowing of the skin
-
VS
General
HEENT
Skin
Abdominal
Heart
Lungs - 25 y/o female in ER c/o leg pain (L calf) x 2 days
-
VS
General
Skin
Peripheral vascualture of LE
Heart
Lungs - 20 y/o female c/o abd pain, fever and nausea
-
VS
general
abd
rebound
rovsings
iliopsoas
obturator
cut hyperesthesia
heart
lungs - 59 y/o male c/o L sided CP
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VS
general
skin
eyes
chest with special tests
heart
carotid artery exam
JVP - 36 y/o male c/o R knee pain
-
VS
general
foot/ankle
knee with special tests
hip with special tests
muscle strength
sensory
skin
eyes - Postural Color Change
-
Time to Return of pink in feet
Time to blood return to veins in feet and ankles
dependant rubor - MSE
-
date
loci
3 things
WORLD
Rename 3 things
point and repeat
no ifs ands or buts
fold paper
close your eyes
write a sentence
pentagons - 78 y/o WF fatigue and dyspnea x 2 mos
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VS
general
skin
eyes
heart
carotid arteries
JVP
Lungs with special test
Abd with special test
preipheral vascualture
Homans - 35 y/o BM who is a paramedic w/ a nagging cough x 3 mos
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VS
general
Lungs with special tests
Lymph Nodes - 78 y/o WF with fatigue and dyspnea x 2mos
-
VS
general
skin
eyes
heart
carotids
jvp
lungs with special tests
abd with special test
peripheral vascualture
homans - Hypothyroid
-
VS
general
skin
HEENT
reflexes
chest
MS/Joints
Extremities - 27 y/o male with lower back pain radiating to the thigh
-
VS
genreal
muscle strength
sensory
reflexes
cervical spine
spine
foot/ankle
knee
hip
limb length
herniated disc
deformity of the hip
scoliosis - Hyperthyroid
-
VS
general
skin
HEENT
reflexes
heart
hands
legs - Pulses
-
4+ bounding
3+ increased
2+ brisk, expected
1+ diminished
0 absent - Peripheral Vasculature fo the UE
-
size
symmetry
edema
venous patten
texture and color - Peripheral Vasculature of the LE
-
size
symmetry
edema
swelling
venous pattern
texture and color
pigmentation
rashes
scars
ulcers
distribution of hair - Reflexes
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Biceps
Triceps
Brachioradialis
Abd
Knee
Achilles
Babinski
Clonus - Meningitis
-
Brudninski
Kernigs - Chronic fatigue/Lethargy/ exercise intolerance
-
VS
general
skin
HEENT
heart
abd
Romberg
Babinski - Dizziness/Lightheadedness/Presyncope/Vertigo
-
VS
general
skin
HEENT
Heart
Entire Neuro
Abdomen - Low Back Pain
-
VS
genreal
Spine
MS
Mini Neuro
Abd - Diabetes
-
VS
general
HEENT
Heart
Lungs
Neuro
Peripheral Vasculature of the LE