Show:
Muscle'n Around
Puffed In or Out
Achy Breaky Heart
Churning it Up
Ace'n Hx
100
Let me run my hands over your shoulders and down your spine
What is Evaluates the Spine including musculoskeletal structures of vertebral column, paravertebral muscles, scapulae, pelvis.
100
noting that spinous process are in a straight line, the thorax is symmetric with downward sloping ribs and scapulae are placed symmetrical.
What is Inspects the posterior chest shape and configuration
100
Sequence of events in assessing how the beat goes on
What is Examines heart, using inspection first, palpation next and then auscultation
100
Lightly, I say lightly , with the pads of this ? do I do this ?
What is lightly palpate all 4 quadrants of the abdomen using the pads of your fingers tips
100
HAMIL--ing it up
What is What is Patients Medical History - Present/ Past and Family Any Allergies to medication/ enviromental Any Medications - perscribed, over the counter, herbal remedies Immunization - history of this and up to date Lifestyle - smoking/ alcohol use/ recreational drug use Rest and exercise
200
I will take you jacket from you and would you mind getting up from the chair and taking a little stroll before you sit down again.
What is gross motor movement and posture, observing how person sits in the chair, raises from the chair, takes off jacket, raises from supine. Observes range of motion of joints used for walking, gait, posture or stance as client walks across the room
200
I am doing this at level of T9 or T10.
What is Performs posterior chest expansion
200
Note this - skin colour & condition, chest wall pulsations, heaves or lifts.
What is Inspects the anterior chest including each precordial area (aortic, pulmonic, Erb’s point, tricuspid, mitral)
200
Firstly, the four abdominal quadrants, using the diaphragm of the stethoscope for bowel sounds and friction rubs, and the bell of the stethoscope for vascular sounds or bruits.
What is asculation of the abdomen Bonus 100 points why first in sequence
200
I need to Know Appetite Dsyphagia Food Intolerance Abdominal pain Nausea and vomiting Bowel Habits Past abdominal history Medications, smoking habits and alcohol consumption
What is taking a focused Abdominal History
300
Where does it curve in and where does it curve out
What is Views client from front and then the side noting normal convex thoracic curve and concave lumbar curve.
300
The song blue moon and number 99 have a connection to this
What is Palpates for tactile fremitus using the palmar base of the fingers or the ulnar edge of one hand while having client repeat “99” or “blue moon”.
300
Oh so intently and selectively I shall pause to listen in the land of aortic - pulmonic - tricuspid - mitral lands
What is Optimizes auscultation by controlling extraneous sounds and listening for several cardiac cycles at each landmark.
300
noting colour,contour, striae, moles , lesions, and air distribution. Note also symmetry,of the abdomen and the umbilicus. Note also client facial expressions and demeanor.
What is Inspection of the abdomen
300
Include this information regarding the following topics for this assessment: Pain or stiffness in the joints Limitations of movement Muscle pain or cramping Deformity of bone or joint Any accidents or trauma to bones Back pain Any problems with activities of daily living: bathing, toileting, dressing, grooming, eating, mobility, communicating?
What is Completes a focused health history related to the musculoskeletal system
400
Now to get you to bend it like Beckham and we will see how you spin and stretch things out
What is Assesses active ROM of the spine, asking client to bend forward at the waist, lateral bending, right and left, rotation right and left and flexion, extension.
400
This is no RAP performance at 9 locations on both the L and R
What is Systematically percusses anterior/posterior lung fields starting at the apices, then the interspaces, making a side to side comparison all the way down the lung field, noting predominate percussion note over lung fields. (resonance?, dull?) Percusses 9 locations on both the L and R posterior thorax. Bonus 200 perform this on your buddy next to you
400
Palming around to each major precordial landmark
What is palpates (aortic, pulmonic, tricuspid, mitral) using the palmar aspects of four fingers noting chest wall pulsations, heaves or lifts. Bonus: 100 points what would be an unusual finding
400
Positions the client supine, with head on a pillow, knees bent or on a pillow and arms at side or across chest to promote relaxation of the abdominal muscles and drapes the client appropriately, taking special care to keep the person warm .
What is preparing the patient for abdominal physical assessment.
400
The commonality here: Chest pain or tightness Shortness of breath Use more than one pillow at night Have a cough Seem to tire easily Facial skin ever turn blue or ashen Swelling of feet or legs Awaken at night to urinate Any past history Any family history Assess risk factors: ie nutrition, smoking, alcohol, drugs and exercise
What is completes a focused health history related to the heart and pericardium system and the activity and exercise pattern.
500
The laying of hands to assess that the thigh bone is connected to the hip bone and shoulder bone is connected to arm bone- you know how the song goes...
What is Palpating joints noting temperature, its muscles, bony articulation, area of joint capsule, heat, pain, tenderness, swelling, or masses.
500
Verbalizes where to locate vesicular, bronchial and bronchovesicular sounds. with this 9 step L and R procedure
What is Auscultates anterior/posterior lung sounds evaluating the presence and quality of normal breath sounds using the diaphragm end piece of the stethoscope in each of the 9 locations on both the L and R posterior thorax.
500
It is necessary to assess these vitals with this system
What is Assesses vital signs: temperature, pulse noting rate & rhythm, respirations noting rate & pattern, blood pressure.
500
This is orchestrated ever so rhythmically to determine cavity contents and other things that should not be there
What is Percusses all four quadrants to assess the relative density of the abdominal contents, to locate organs and to screen for abnormal fluid or masses
500
The following is part of the need to know about: Have a cough Any SOB Any chest pain with breathing Any past history of respiratory infections Smoke cigarettes? How many/day Environmental exposure to conditions that affect breathing
What is Completes a focused health history related to the thorax and lungs activity and exercise pattern