Patient Assessment - 1
In PEARLA, it’s the 2nd A
What is accommodation?
Skill….Show how to test for accommodation.
Were they correct?
Pain in the calf along with redness and elevated temperature in the area may indicate this issue.
What is a DVT?
Icterus may indicate these conditions.
What are liver damage or failure?
This is a mnemonic for charting
What is SOAP or CHART
SKILL: Demonstrate a BEFAST exam
What is Balance – Eyes – Face – Arms – Speech – Time?
Unresponsive patient. Elbows flexed with forearms pointing towards the head; feet turned inward.
What is decorticate posturing?
Tachycardia might not be present in a patient in shock if they take these meds.
What are beta blockers and calcium channel blockers?
When the left pupil constricts in reaction to shining a light in the right pupil.
What is consensual reflex?
This mnemonic is used twice in 5 minutes
What is APGAR?
f/u question
This is the elevation of the jugular vein engorgement for a patient inclined to 45° to be considered JVD.
What is 2/3 the distance from the base of the neck to the lower angle of the jaw?
f/u question
This tests for abdominal inflammation.
What is the Markle or heel drop test?
(You can also do a heel strike for a supine patient.)
It’s a pendulous movement of the trachea.
What is tracheal tugging?
f/u question - 1
f/u question -2
Feels like and sounds like Rice Crispies under the neck.
What is subcutaneous emphysema?
This lengthy mnemonic helps with AMS
What is AEIOU TIPS
2 year old: opens eyes to pain; inappropriate words; withdraws from pain. GCS = ____
What is a GCS of 9 (2-3-4)
A late sign is tracheal deviation.
What is tension pneumothorax?
f/u question
It’s an extreme accumulation of fluid in the abdomen.
What is ascities?
An upright patient with diminished breath sounds in an apex.
What is an indication of a pneumothorax?
For organophosphate poisonings, use this mnemonic
What is SLUDGEM?
This is a name for the late signs of HTN with a widened pulse pressure, bradycardia, and irregular respirations.
What is Cushing’s Triad?
f/u question
This is another name for the signs of hypotension, JVD, and muffled cardiac sounds.
What is Beck’s Triad.
f/u question
The GSC for a patient who is responsive to pain, make incomprehensible sounds, and has a decorticate posture.
What is 7?
2 – 2 - 3
These are two possible causes of JVD.
What are tension pneumothorax, cardiac tamponade, or CHF?
To assess a child, use this mnemonic
What is TICLS?