Shared Flashcard Set

Details

CPM
CPM physical
15
Medical
Graduate
12/04/2009

Additional Medical Flashcards

 


 

Cards

Term
General
Definition
Appears well in no distress.   Well nourished, groomed, developed. Cooperative
Term
Vitals
Definition
P, BP, R, Temp (not taken)
Term
Head
Definition
Normocephalic, atraumatic. Scalp free of lesion and tenderness, freely moveable, pink.  Frontal and maxillary sinuses non-tender.  No TMJ clicking.  Facial features symmetrical.
Term
Skin, Hair, Nails
Definition
skin warm, pink, moist. No visible lesions or rashes over entire body.  No alopecia, symmetrical, normal male/female distribution of body hair.  Nails pink, smooth, uniform thickness, no clubbing, brisk capillary refill.
Term
Eyes
Definition
extra ocular muscles intact, PERRLA, anicteric sclera, conjunctiva pink without discharge or lesions.  Lids free of lesions.  Lashes symmetric, evenly distributed.  Red reflex intact bilaterally.  No nystagmus or strabismus.  No corneal abrasions or cataracts.  Cornea and lens clear.  Optic disc cream colored with well defined borders, macula free of lesions/discharge.  A:V 3:5, no papilledema.  Peripheral vision equal to examiners.  Visual acuity measured by Rosenbaum eyechart 20/20L, 20/20R with or without corrective lenses.
Term
Ears
Definition
Pinna flexible, no lesions, deformities, tenderness.  External auditory canals clear.  Tympanic membrane intact, gray, translucent, light reflexes present bilaterally, bony land marks present bilaterally.  Finger rub intact at 2 feet bilaterally.
Term
Nose
Definition
external nose free of deformities.  Moist and pink mucous membranes bilaterally.  Turbinates and septum free of lesions bilaterally.  Septum midline.  No discharge, no flaring.
Term
Throat and Mouth
Definition
No external lesions, lips pink.  Moist and pink mucous membranes.  No lesions on buccal mucosa, on or under tongue.  Good dentition.  Tongue and uvula midline, soft palate intact.  Tonsils 1+.  Oral pharynx free of exudate and erethema. 
Term
Neck
Definition
Trachea midline and mobile.  Thyroid smooth and non-tender on palpation.  No palpable a/p cervical, pre/post auricular, submandibular, submental, supraclavicular.
Term
Pulmonary
Definition
AP diameter 2:1, respirations without accessory muscle, thoracic expansion symmetrical.  Tactile fremitus symmetric.  Lungs clear to auscultation and percussion bilaterally. CVA non-tender to percussion.  No adventitious breath sounds.
Term
Cardio
Definition
No JVD, No thrills or heaves to inspection or palpation.  PMI palpable at 5th intercostal, mid-clavicular line.  Normal S1/S2, S1 coinciding with carotid pulse.  No murmurs appreciated. 
Pulses: regular in rhythm.
Carotid L/R 2+, Brachial L/R 2+, Radial L/R 2+, Femoral L/R 2+, Popliteal L/R +/-, Posterior Tibial L/R 2+, Doralis Pedis L/R 1+.  No carotid, femoral, renal, abdominal aorta, iliac bruits.
Term
Abdomen
Definition
flat/round/scaphoid without scars, legions, trauma.  Bowel sounds appreciated in all four quadrants.  Tympanic to percussion over epigastric region, dull in remaining areas.  Soft, non-tender, no masses, no organomegally appreciated on light/deep palpation.  Liver span 7 cm.  No superficial veins or telangictasia.
Term
Lymph
Definition
no tenderness or enlargement in epitrochlear, axillary, cervical, inquinal areas.  If Feel: shape, size, consistency, mobility (firm/nodular)
Term
Musculoskeletal
Definition
Normal muscle bulk/tone.  Joints- no warmth, non-tender to palpation.  Normal/full ROM without crepitus.  Strength 5/5 bilaterally
Term
Neuro
Definition
oriented 3x.  CNII-XII.  V- light touch sensation appreciated bilaterally in all three divisions.  Muscles of mastication 5/5 bilaterally.  VII facial features symmetric bilaterally, able to squeeze eyes tightly, and muscles of facial expression 5/5.  IX-X gag reflex intact.  XI trapezius and SCM 5/5 bilaterally.  XII tongue midline strength 5/5.  Rhomberg -, normal gate with smooth and regular rhythm, babinski -,   Reflexes: Brachioradialis, biceps, triceps, patellar, Achilles +2
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