Exam (elaborations)
Part 4 Irene Gold: The Physical Exam (Purple) – Questions & Answers
- Course
- IRENE GOLD
- Institution
- IRENE GOLD
Part 4 Irene Gold: The Physical Exam (Purple) – Questions & Answers
[Show more]
Content preview
Part 4 Irene Gold: The Physical Exam (Purple) –Questions & Answers
Initial: LMNOPQRST PAA PAA
Red Flags: Fatigue, weight change, appetite change, thirst changes,
fevers/chills/sweats, px that doesn't change with position, px waking you up
at night. Bruising easily.
Past health history: Surgery, hospitalizations, infections or immunizations,
trauma, or allergies.
Family history: Ask about family members who are close blood-relations. Easy
way to ask: "Does anyone in the family have heart disease, stroke, cancer,
diabetes, arthritis".
Social: Smoking, sleep habits, sexual activity, drugs, drinking, diet, and
exercise. Occupation, hobbies, etc.
ROS: Integumentary, HEENT, Respiratory, cardiovascular, gastrointestinal,
Genitourinary, OB GYN or male repro, neuromusculoskeletal,
Endocrine/hematological, neurological/psychological. ✔️Ans - Practice
going through a full history.
Guillain Barre (especially if she is an artist). ✔️Ans - A women complains
of rubbery legs. What should we think of?
dissecting aneurysm ✔️Ans - If someone describes tearing pain we should
immediately think of...
If over epigastric its likely an ulcer. If anywhere else with a known bursa... its
bursitis. ✔️Ans - If you ask where the pain is and they point with their
finger to single area it is likely...>
Temp: 98.6 (Can fluctuate 96,4 in morning to 99.1 in evening).
Pulse: 60-100
Respiratory Rate: Irene Gold says 14-18. We learned in school 12-20. Below
12 and above 25 is abnormal.
Blood Pressure: 120/80 ✔️Ans - Normal values for temp, pulse,
respiratory rate, and BP.
99 degrees ✔️Ans - At what temperature do we tell most people they have
a temperature?
,Normal: 120/80
Elevated: Systolic 120-129 and diastolic <80.
Stage 1: Systolic 130-139 or diastolic 80-89.
Stage 2: Systolic 140+ or diastolic 90+.
Crisis: Systolic >180 and/or diastolic >120. ✔️Ans - Give the values for BP
for normal, elevated, hypertension stages I and II, and hypertensive crisis.
Increase it ✔️Ans - What will grave's disease do to pulse rate?
Low ✔️Ans - If intracranial pressure is high, pulse rate will be...
Systemic lupus erythematosus ✔️Ans - Butterfly rash
Psoriasis ✔️Ans - Silvery scales
Herpes Zoster ✔️Ans - Vesicles which follow a thoracic dermatome and is
sensitive to clothing.
Impetigo ✔️Ans - Pustules
Lymes disease ✔️Ans - Bulls eye, bacterial/spirochete infection and insect
vector
Kaposi Sarcoma ✔️Ans - Red or purple patches of abnormal tissue
myasthenia gravis ✔️Ans - bilateral ptosis
Horners syndrome (loss of cervical sympathetics, ptosis, miosis, and
anhydrosis) or CNIII lesion. ✔️Ans - Unilaterael ptosis
early stages of ankylosing spondylitis ✔️Ans - Iritis/uevitis
Increased intracranial pressure ✔️Ans - Papilledema indicates...
AV nicking, silver wire arterioles, widened light reflex ✔️Ans - What will
we see in the eye for arteriosclerosis?
, Flame hemorrhages, cotton wool spots, narrow light reflex. ✔️Ans - What
will we see in the eye for hypertension?
Yellow, hard, waxy exudates, neovascularization, microaneurysms, and absent
led light reflex ✔️Ans - What will we see in the eye for someone with
diabetes mellitus?
Percussion is dull (over fluid) rales aka crackles, increased tactile fremitus
✔️Ans - What are the exam findings for a patient with lobar pneumonia?
Mycobacterium tuberculosis ✔️Ans - What causes tuberculosis?
Presents with low grade fever, night sweats, productive cough, yellow/green
sputum. ✔️Ans - How will the patient present who has tuberculosis?
Starts in apices of the lungs. Crackles in upper lobe. Tine test/mantoux test
positive. Positive purified protein derivative, most definitive test for dx is
sputum culture ✔️Ans - What are the exam findings for a patient with
tuberculosis?
Since it is inflammation of the pleura, it will usually produce an exudative
pleural effusion and stabbing chest pain worsened by respiration and cough.
✔️Ans - How will a patient present to your clinic with pleurisy?
Dull on percussion (typically, could be resonant too), dry/non-productive
cough, decreased respiratory excursion, decreased tactile fremitus, dull on
percussion, friction rub is present, decreased breath sounds, +schepelmann's
test. ✔️Ans - What will the exam findings be for a patient with pleurisy?
Normal ✔️Ans - What will an x-ray look like for pleurisy?
Decreased chest expansion, decreased tactile fremitus, hyper resonant,
decreased breath sounds.
Important: There will be unilateral darkening of the chest due to collapse of
the lung; tracheal shift AWAY from the lesion. ✔️Ans - What will the exam
findings be for a patient with pneumothorax?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for CA$24.45. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
