ScribeAmerica: Physical Exam 100% pass

What types of things are included in objective observations? Symptoms that can be measured, seen, heard, touched, felt, or smelled. Also, vital signs such as temperature, pulse, and respiration, physical exam findings, and the results of diagnostic tests True or False; The physician is performing their physical exam from the moment they walk into the room True What kinds of things can physicians visually evaluate the moment they walk into the room to do a physical exam? General - Do they look like they are in pain? Eyes - Are the sclera yellow? Pulmonary - Are they breathing comfortably? Skin - Is their skin a normal color? Neurological - Are they answering questions appropriately? Psychiatric - Are they acting normally? How many elements are required for a complete Physical Exam? 8 Elements What is an example of a Benign External Exam? General - Well developed, Well nourished, No acute distress Eyes - PERRL ENT - Moist mucosa Neck - Supple Cardiovascular - Well perfused Respiratory - No respiratory distress Gastrointestinal - Non-distended Extremities - No edema Skin - Dry, no rashes Neurological - A&O, Normal Speech Psychiatric - Normal affect What is an External exam? A physical exam that requires no touch What is an example of a Complete Benign Exam? Constitutional - Well developed, well nourished, NAD Eyes - PERRL, EOMI ENT - Moist mucous membranes Neck - Supple, No lymphadenopathy Cardiovascular - Well perfused, RRR, No mumurs, rubs, or gallops. Distal pulses intact Respiratory - No respiratory distress, Clear to auscultation bilaterally. No wheezes, rales, or rhonchi Abdominal - Non-distended. Soft. Non-tender, No guarding, rebound, or rigidity Extremities - No edema, Full ROM Skin - Dry, No rashes. Warm Neurological - A&O. Normal speech Psychiatric - normal affect What types of exam findings are categorized under External Inspection? No acute distress. Well developed. Well developed, well nourished. PERRL. Moist mucosa. Supple neck. No respiratory distress. Skin is warm and dry. A&O. Normal affect. What types of exam findings are categorized under Auscultating the Heart? Regular rate and rhythm. No murmurs, rubs, or gallops What types of exam findings are categorized under Auscultating the Lungs? Clear to auscultation bilaterally. No wheezes, rales, or rhonchi What types of exam findings are categorized under Palpating the Abdomen? Soft. Non-tender. Non-distended. No guarding, rebound, or rigidity What types of exam findings are categorized under Examining the legs? No edema. Distal pulses intact What are some common extra exam findings? Pharyngeal erythema or exudates, TM erythema or bulging, Hyperactive/Hypoactive bowel sounds, Radial pulses, Calf tenderness, CVA tenderness If a physician is examining the throat during a PE, what are they looking for? Pharyngeal erythema or exudates If a physician is examining the inner-ear during a PE, what are they looking for? TM (ear-drum) erythema or bulging If a physician is auscultating the abdomen during a PE, what are they looking for? Hyper/Hypoactive bowel sounds What is a physician looking for if they touch a patient's wrist during a PE? Radial pulses