Physical Diagnosis Written

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Part of SOAP that uses info from patient or reliable source written in the patient's own words
For at least how long should a patient sit with his/her feet on the floor before taking a BP measurement?
Subcutaneous nodules may develop at pressure points along the extensor surface of the ulna in patients with RA or acute rheumatic fever.
Hypertrophic degenerative disease of one or more vertebral facets and thickening of ligamentum flavum causing narrowing of spinal canal
Absence of pain sensation
Tenderness and swelling/inflammation of tendon sheaths
Oral cavity finding associated with AIDS that has purple lesions that are raised or flat
JVP more than 3-4 cm above the sternal angle is (normal/abnormal)
Grading Murmurs: Very loud, thrill. Heard with stethoscope partially off chest
Bell is for _______ pitched sounds
BMI over which one is considered obese
Grading Murmurs: Very loud, thrill. Heard with stethoscope off chest
In what quadrant of the mouth should gingival examination begin
Test for the integrity of the anterio talofibular ligament
Absence of a red reflex on fundoscopic exam is indicative of what?
Which type of hernia goes into the scrotum
Major Spinal Level: Triceps
Tenosynovitis of extensor and abductor tendons of thumb as they cross radial styloid
Small white specks on the buccal mucosa that are an early finding of measles
Flex patients shoulder and elbow to 90 degrees with palm facing down. Rotate the arm internally
McMurray test tests the..
Test: Reverse Prayer. Hold pt’s wrists in acute flexion for 60 sec.
Major Spinal Level: Knee extension
Major Spinal Level: Wrist extension
Increased sensitivity to pain
Lip loses its redness and becomes scaly, thickened, and slightly everted. Classically due to prolonged sun exposure
Joint that is often swollen, boggy and tender in RA but not in OA
What test would you use to test the ulnar collateral ligament
How many times should you measure BP on your first encounter with a patient?
Hoffman's sign is a sign of (upper/lower) motor neuron damage
Test: Auscultate anterior/posterio thorax and have the person whisper '99' or '1,2,3'
Syphilis sores are (painful/painless)
Decreased sensitivity to pain
Test for conductive vs. sensorineural hearing loss
Major Spinal Level:Finger abduction
Muscle grading: Movement of the joint but not against gravity
Positive tinel's sign indicates injury to what nerve?
Muscle grading: Contraction visible but no joint movement
Shooting pain into knee, lateral leg, and posterior calf; parasthesias and weakness
Soft palate doesn't rise and uvula deviates to the opposite side with damage to what CN?
Normal sebaceous glands that appear as small yellowish spots in the buccal mucosa or on the lips.
Part of SOAP that includes data that the physician finds. Physical exam findings, lab results etc.
Tenderness of distal radius is a sign of this type of fracture
A patient should not eat, exercise, smoke or consume caffeine within ________________ of a blood pressure exam?
What test would you use to test the radial collateral ligament?
Rectal temp. is (greater than/less than) oral temp
Anterior Drawer and Lachmann test both test the...
Bell's palsy is a sign of (central/peripheral) nerve damage
Muscle grading: Full movement against resistance
Type of aphasia that the person understands but can't express language
Muscle grading: No movement detectable
Tympanic temp. is (greater than/less than) oral temp?
Empty can test tests strength of this muscle
Golfer's elbow affects the ____________ epicondyle
Grading Murmurs: Moderately loud
Major Spinal Level: Hip abduction
Shrugging the shoulders tests what CN?
PMI pattern in aortic stenosis or left ventricular hypertrophy
Muscle grading: Movement of the joint against gravity, but not resistance
Grading Murmurs: Quiet, heard with stethoscope
Duct that carries saliva from the parotid gland
Bouchard's nodes are found at this joint
Tract(s) that carry proprioception and vibration
Major Spinal Level: Finger grip
Phalen's test is testing what nerve?
Deficiency of riboflavin, niacin, folate, B12, pyridoxine or iron or chemotherapy can cause this tongue finding
Calcific tendinitis usually affects this tendon
Which meniscus is more commonly torn
Lateral deviation and rotation of the head from contraction of the sternocleidomastoid
Consolidation would be suspected if you hear this sound during egophony
Lobe affected in Wernicke's aphasia
Absence of touch sensation
Softening and fissuring of the skin at the angles of the mouth. May lead to Candidiasis. Due to nutritional deficiencies, or over closure of the mouth due to lack of teeth or ill-f
Diaphragm is for ________ pitched sounds
Dysdiadochokinesis, the inability to follow a movement with its opposite movement represents damage to what structure
What type of papilla form a V on the back of the tongue
Gland whose ducts are on either side of the lingual frenulum
Hypothenar atrophy in injury to what nerve?
Most common cause of chronic back stiffness in men under 40
Inability to recognize objects in one's hand by touch along
Inflammation of glans penis
Test for high ankle sprain
BMI over which one is considered extremely obese
Type of aphasia associated with rapid, meaningless speech
Test: Auscultate anterior/posterio thorax and have the person say '99' or '1,2,3'
Varus test tests the..
Contractures that arise from the thickening of the palmar fascia.
Tract that carries pain and temperature sensation
Posterior Drawer test tests the....
Lobe affected in Broca's aphasia
Heberden's and Bouchard's nodes are found in what condition
PMI can be found at the midclaviacular line at this ICS
Apical impulse should last through the first _______ of systole
Rigidity suggests damage to which brain area
Major Spinal Level: Hip flexion
Grading Murmurs: Loud with palpable thrill
Connects the tongue to the floor of the mouth
Thick, white patch on the oral mucosa caused by an irritant like tobacco
Part of SOAP that outlines a course of action
Consolidation is suggested during bronchophony when words are (clear/muffled)
Parotid gland enters the oral cavity near this tooth
Muscle grading: Movement of the joint against resistance but less than normal
Upward deviation of the eye
Lower border of a blood pressure cuff should be how high above the antecubital fossa?
Standing/valsalva causes an (increased/decreased) prolapse and a(n) (earlier/later) click
Benign midline growth of the hard palate
Tight prepuce that once retracted cannot be returned to its original position
Ataxic gait and Romberg sign are characteristic of damage to what?
Congenital displacement of urethral meatus to inferior surface of the penis
Axillary temp. is (greater than/less than) oral temp?
Major Spinal Level: Biceps
Consolidation is suggested during whispered pectoriloquy when words are (clear/muffled)
Finger to nose and heel to shin test represent damage to what
Test for the integrity of that anterior talofibular and calcaneofibular ligaments
Major Spinal Level: Plantar Flexion
Tennis elbow affects the ____________ epicondyle
When taking a BP the brachial artery should be at the level of what other organ?
Inability to recognized a number being written on ones hand by sensation along
Test: Auscultate anterior and posterior thorax and have the person repeat 'E'
Test for lateralization of hearing
Bunion deformity
A BP cuff should be inflated how many mmHg above the point that the pulse dissapears?
Elevate arms to 90 and internally rotate with thumbs pointing down.
Midline mucosal fold connecting lip to gingiva
Decreased sensitivity to touch
Defect with the motor control of speech
Infection of the pharyx that is characterized by gray exudates/pseudomembrane
Test: With your finger, percuss lightly over course of median nerve in carpal tunnel at wrist
BMI under which one is considered underweight
Valgus test tests the...
Consolidation causes (increase/decrease) of tactile fremitus
Infection of oral cavity that is a thick white coating that can be wiped away
Medial deviation of the eye
Test for the integrity of the Achilles tendon
When palpating these nodes the patient should bring their chin slightly down towards their chest
Altered sensation in response to a stimulus, such as feeling a light touch when applying a pinprick
First sensation lost in peripheral neuropathy
Only feeling sensation on one side of the body when both sides are stimulated simultaneously
Sternal angle is how many cm above the atrium?
Tight prepuce that can't be retracted over glans
Forward slippage of one vertebra on another
Increased sensitivity to touch
Major Spinal Level:Dorsiflexion L4
Drop arm test is testing this group of muscles
Test: Palpate the posterior thorax while the patient says 99
Type of breath sound that is louder & high pitched; heard over trachea
Grading Murmurs: Very faint. Not heard in all positions
Part of SOAP that includes problem list and working diagnoses
Fibrosis of the glenohumeral joint capsule, with diffuse, dull, aching pain in the shoulder and progressive restriction of active and passive range of motion
Reflects pressure in the right atrium
Rounded, bony growths on the inner surfaces of the mandible that are usually bilateral, asymptomatic and benign
Lateral deviation of the eye
Herbeden's nodes are found at this joint
Tenderness over the snuffbox indicates fracture of this bone
Palpable, non-tender hard plaques along the dorsum of the penis under the skin. Causes a crooked erection
What valve is best heart over the 2nd right ICS
Altered sensation with an undetectable stimulus, commonly when compressing a nerve
Thenar atrophy in injury to what nerve?
BMI over which one is considered overweight
Herpes sores are (painful/painless)
Type of breath sound that is low pitched & normally heard over most lung fields
PMI pattern in dilated ventricle (CHF or cardiomyopathy)
Positive crossed leg raise indicates...

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Created Dec 19, 2013ReportNominate
Tags:diagnosis, physical, written