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Clinical Signs

A young woman went to her doctor complaining of pain. "Where are you hurting?" asked the doctor. "You have to help me, I hurt all over", said the woman. "What do you mean, all over?" asked the doctor, "be a little more specific." The woman touched her right knee with her index finger and yelled, "Ow, that hurts." Then she touched her left cheek and again yelled, "Ouch! That hurts, too." Then she touched her right earlobe, "Ow, even THAT hurts", she cried. The doctor checked her thoughtfully for a moment and told her his diagnosis, "You have a broken finger."


Respiratory Exam Checklist


Abdominal landmarks. Midpoint inguinal ligament, Mid inguinal point, transpyloric plane, transtubercular plane, division into 9 regions, incisions, McBurney's point.

Absent or reduced Reflexes

Adverse Effects

Alcohol using patient

Analgesia:the patient in pain

Aortic Regurgitation: Signs of

Aortic Aneurysm

Apex beat

Asterixis

Bell's Palsy

Bitemporal hemianopia, causes of

Brachioradial delay

Bruits

Breath Sounds  Vesicular, Bronchial, wheeze, rhonchi, crackles, rales, crepitations

Carotid Bruit

Clubbing

"Clubbing and creps": Bronchiectasis

Collapsed Lung

Consolidation

Crackles

Cranial Nerve Exam

Cranial Nerve Deficits and Differentials

Delays: Brachioradial, Radiofemoral, Coarctation, Aortic Stenosis

Dermatomes

Drains

Fluid and Electrolyte scenarios

Gait

Examination of the hands

Assess hearing/Cranial Nerve VIII

Heart Sounds    S1, S2, S3,S4, systolic sounds, diastolic sounds, continuous sounds, splitting

Hematuria

Hemodialysis

Hemoptysis

Heaves and general palpation of the precordium

Signs of hyperinflation

Hyperparathyroidism

Hypoglycemia

Internuclear ophthalmoplegia

JVP, Jugular Venous Pulse, Jugular Venous Pressure, Central Venous Pressure

Jugular pressure wave analysis

Upper vs. Lower Motor Neuron Signs

Lung cancer: signs of

Lymph node exam

Malignancy risk: Conditions associated with malignancy risk requiring follow up.

MEN syndromes

Multiple Sclerosis

Murmurs: what to do with them.

Neurological localization, somatotopic maps, Stroke syndromes, Vascular territories, long tracts

Obstetrics and Gynecology Overview

Oncology overview, most common neoplasia.

Ostomies

Paralysis terms. tetraplegia, hemiplegia, diplegia, paraplegia.

Peripheral Neuropathy

Personality disorders

Pleural effusion: correlation

Position of the patient: orthopnea, Fowler's position, trepopnea, platypnea

PMI

Pulmonary fibrosis

Pulsus Paradoxus

Psych notes

Psychiatric Symptoms

Quadrantopia

Radial Pulse

Radiofemoral Delay

Risk factor target ranges for lipids, blood pressure, glucose, electrolytes, dialysis.

Signs of rheumatoid arthritis

"sacral sparing"

Scars

Assessment of speech

Spleen: enlargement, splenectomy, etc.

Steroids, side effects, usage, etc.

Stomas

Stroke

Stroke localization

Thrills

Thyroid Swelling

Transillumination

Tubes: NG tube, PEG tube, feeding tubes, catheters, Foley, Chest Tube, French system, Cannula sizes

Upper vs. Lower motor neuron signs
Urine terms.

Uterine Fibroids

Vaginal bleeding during first trimester

Valsalva Maneuver

Visual Field Cuts