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Block 2 - Clinical Skills
Head to Toe Exam
12
Biology
Graduate
12/10/2008

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Cards

Term
VITAL SIGNS
Definition
Examine both radial pulses; Take blood pressure in one arm; Determine respiratory rate
Term
SKIN
Definition
Check skin texture and turgor; Check skin for moles and other lesions
Term
HEENT HEAD
Definition
Examine the scalp, hair, and bony configuration of skull ; Palpate scalp; Check for tenderness of frontal and maxillary sinuses
Term
HEENT NOSE
Definition
Inspect nasal vaults with nasal speculum or otoscope
Term
HEENT EARS
Definition
Inspect external auditory canal, tympanic membrane with the otoscope; Weber test; Rinne Test
Term
HEENT MOUTH
Definition
Inspect all mucous membranes, salivary duct, tonsils, teeth, and gums (using tongue blade as necessary)
Term
HEENT NECK
Definition
Palpate the lymph nodes in the: Anterior triangles,Supraclavicular areas,Submandibular areas,Posterior cervical nodes; Note the position of the trachea by palpating in sternal notch ; Inspect thyroid from the front, palpate isthmus, and observe patient swallowing ; Palpate for size and movement of the thyroid gland
Term
BACK, POSTERIOR THORAX AND LUNGS
Definition
Observe the neck and upper back muscles for atrophy; Percuss posterior lung fields both sides ; Measure excursion of the diaphragm ; Check thoracic expansion (respiratory excursion); Auscultate the upper, mid, lower lung fields (both sides)
Term
ANTERIOR THORAX AND LUNGS
Definition
With patient lying down, Inspect and palpate chest wall; Percuss anterior lung fields from supraclavicular area to 6th rib; Auscultate anterior lung fields from supraclavicular area to 6th rib
Term
CARDIOVASCULAR SYSTEM
Definition
With the patient lying down supine at 30 degrees of elevation, Observe the neck veins and measure the jugular venous pressure (JVP); Palpate and then auscultate the carotid pulses; Inspect and palpate precordium for lifts, thrills and heaves; Palpate the apical impulse; Auscultate the heart in the following areas with the diaphragm: Tricuspid area ;Left sternal border; Pulmonic area ; Aortic area; Roll patient onto the left side auscultate the apex with the bell of the stethoscope; With patient seated and leaning forward, auscultate with the diaphragm: Left sternal border; Apical area
Term
ABDOMEN
Definition
With patient lying flat, Inspect for bulges, masses and skin lesions; Auscultate with diaphragm over the epigastrium and all 4 quadrants for bowel sounds and bruits; Palpate the femoral pulses and auscultate for bruits; Percuss all 4 quadrants; Palpate gently then deeply in all 4 quadrants; Palpate Aorta; Percuss liver span, then palpate liver edge; Percuss spleen, then palpate; Palpate the inguinal area for lymph nodes; Palpate the popliteal, posterior tibial and dorsalis pedis pulses
Term
List the order which you should inspect the HEENT area.
Definition
Head, Nose, Ears, Mouth, Neck
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