Physical
Examination
Mnemonics
Systems
review: systems checklist I PUNCH
EAR: Integumental
Pulmonary
Urogenital
Nerv
ous
Cardiovascular
Hematolymphoid
Endocrine
Alimentary
Reproductive
History taking -past medical history ABCDEFGHI: Asthma
Blood
pressure (say: 'blood pressure problems') CVA
(say: 'stroke')
Diabetes
mellitus (say: 'diabetes')
Epilepsy
Fev
er, rheumatic
Gastrointestinal
(jaundice)
Heart
attack
Infection
(TB)
Pain
history checklist MR. C T FARADS:
Main
site
Radiation
Character
Timing
Frequency
Associated
factors
Relieving
factors
Aggravating
factors
Duration
Sev erity
Abdomen
assessment To assess abdomen, palpate all 4 quadrants for DR. GERM: Distension: liver problems, bowel obstruction Rigidity (board like): bleeding Guarding: muscular tension when touched Ev iseration/ Ecchymosis
Rebound
tenderness: infection Masses
Pain
history checklist "On Days Feeling Low Character, Run A Seven Pace Ra ce":
Onset
Duration
Frequency
Location
Character
Radiation
Sev
erity
Precipitating
factors
Relieving
factors
Pain
history checklist ASK LAST:
Aggravating/
Alleviating
Sev
erity
Karacter
Location
Associated
symptoms
Setting
Timing
Pain
history checklist SOCRATES:
Site
Onset
Character
Radiation
Alleviating factors/ Associated sy mptoms Timing (duration, frequency)
Exacerbating
factors
Sev
erity
· Alternatively, Signs and Symptoms with the 'S'.
Symptom attributes "FAST LQQ'S": Factors that make it better/worse
Associated
manifestations
Setting
Timing
Location
Quality
Quantity
Sev erity
Heart
valve auscultation sites "All
Patients Take Meds":
· Reading from top left:
Aortic
Pulmonary
Tricuspid Mitral · See diagram.
·
Alternatively: All Prostitutes Take Mo ney .
· Alternatively: APe To Man.
·
Alternatively: Always Pumps Too Muc h.
Four
point physical assessment of a disease "I'm A People Person":
Inspection
Auscultation
Percussion
Palpation
· Alternatively: "I'm A Perfect Person".
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