Systematic history and physical exam techniques, pertinent findings by system and screening recommendations across the lifespan.
40 cards · basic cards · AI-written, checked twice. Edit anything.
- What are the four components of the SOAP note format?
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Subjective, Objective, Assessment, Plan- What does the mnemonic OLDCARTS stand for in a symptom history?
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Onset, Location, Duration, Characteristics, Aggravating/Alleviating factors, Radiation, Timing, Severity- Order of abdominal exam techniques
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Inspection, auscultation, percussion, palpation- What is the normal order of techniques for most physical exam systems (not the abdomen)?
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Inspection, palpation, percussion, auscultation- What is Murphy's sign and what does a positive result suggest?
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Pain and inspiratory arrest on palpation of the right upper quadrant during inspiration; suggests cholecystitis- What does a positive psoas sign suggest?
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Appendicitis (retrocecal appendix irritating the psoas muscle)- What is McBurney's point and what does tenderness there indicate?
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A point one third of the way from the anterior superior iliac spine to the umbilicus; tenderness suggests appendicitis- What does a positive Murphy's punch (costovertebral angle tenderness) suggest?
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Pyelonephritis or renal pathology- What is the normal range for the point of maximal impulse (PMI) location?
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At or medial to the midclavicular line, in the 5th intercostal space- A laterally displaced point of maximal impulse suggests what?
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Cardiomegaly or left ventricular hypertrophy- Where is the aortic valve auscultation point located?
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Second intercostal space, right sternal border- Where is the mitral valve best auscultated?
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Fifth intercostal space, midclavicular line (apex)- A harsh crescendo-decrescendo systolic murmur heard best at the right upper sternal border that radiates to the carotids suggests what valvular condition?
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Aortic stenosis- A holosystolic murmur best heard at the apex radiating to the axilla suggests what valvular condition?
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Mitral regurgitation- What breath sounds are expected over normal peripheral lung fields?
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Vesicular breath sounds
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