Physical examination osce Title Behaviour 1. General Survey Physical Appearance (1/2 mark each) Body Structure Mobility Behavior Grooming Test…

QuestionAnswered step-by-stepPlease answer under each topic what all we should say as our normal findings. Physical examination osce TitleBehaviour         1. General Survey Physical Appearance (1/2 mark each)Body Structure MobilityBehaviorGrooming         Test patient’s level of consciousness, orientation(using questions)         Mention Take vital signs: Temp., Pulse, BP and Resp         Skin/hair/ nails Inspection: Examine the skin – color, temperature, moisture, and mobility & turger. Inspection: Examine the hair – color, texture, distribution, lesions Inspection: Examine the the nails- Shape and contour; consistency, color. 2. Head/face/Neck Inspection: Shape, facial expression, symmetry Palpation: Consistency, Lesion, TA, TMJ Palpation: maxillary sinuses and frontal sinuses   Palpation: Lymph Nodes (1/2 mark each)*Preauricular                            *Supraclavicular*Posterior Auricular*Occipital*Submental*Sub mandibular*Jugulodigastric*Superficial cervical*Deep Cervical*Posterior Cervical  Range of movement: Flexion, H/Extension,                                  Lateral, Rotation  3. Ears: Inspection: External: position and alignment, skin condition, and auditory meatus Palpation: Consistency, Mass, move auricle and push tragus for tenderness. Test Hearing: Voice test Otoscopy: Tympanic Membrane, Exudate. 4. Eyes Visual Acquity: VAR, VAL Inspection:Symmetry/ Eyelids, Eyebrows, Oedema, Sclera,   Conjunctiva, Exudate Test Pupils:(Report using PERRLA) 6. Nose Inspection: External, symmetry, skin, lesion Internal: Patency, lesion, exudate 7. Mouth/Throat Inspection: Inspect lips, teeth; With a penlight, inspect mouth: buccal mucosa, teeth and gums, tongue, floor of the mouth, palate, tonsils, and uvulaNotes and reports the mobility of Gag Reflex – use torch/spatula 8. Chest Posterior: Inspection:Identify T1, C7, Symmetry, Spinous Process, Scapula, Skin, lesion Palpate: Spinous process, Consistency, Tactile Fremitus Percuss all lung fields including lateral Auscultate for Breath Sounds posterior & lateral. Anterior: Inspect > Symmetry, skin, lesion,Ø Heave or Lift, Apical pulsation Palpate: Consistency, Tactile Fremitus,Ø  Thrill, Apical pulse Auscultation: Ø Anterior Lung fields for Breath sounds,Ø Heart sounds over valve areas (use diaphragm)Ø Auscultate for murmur (use bell) 9. Abdomen Inspection: Symmetry, shape, contour, masses, skin, lesion, umbilicus Auscultate for bowel sounds for all quadrants (start from the RLQ) then clockwise. Percussion- four quadrants (same sequence as for auscultation) Palpation- Light and Deep palpation, consistency, massRebound tenderness 10. Upper Extremities Inspection: size, symmetry, skin, lesion Palpation: temperature, tone, nail profile, radial, brachial pulses, capillary refill Range of movement: Shoulder-Extension, Adduction,Elbow flexion, extension,Wrist flexion and extension Test Muscle strength for shoulder, elbow and wrist(versus resistance) 11. Lower extremities(Lying) Inspection: Hip-Symmetry Palpate: Temperature, consistency, contour Range of movement- hip – extension, flexion Inspection: Knee symmetry, size, skin, lesions Palpate: Temperature, tone, lesions. Popliteal plse Range of Movements: Knee- extension, flexion Inspection: Ankle symmetry, size, lesion  Palpation: Tone/consistency/edema/pulses  (dorsalis &posterior tibials). Range of Movement: Plantar Flexion,Dorsiflexion,Eversion,Inversion. Test muscle strength – Knee ( Extension/Flexion)  and Ankle (against resistance). 12. Back(standing) Inspection: Symmetry, Contour (from back) Range of movement: Flexion,Extension,Lateral bending, Rotation Walk, Tip toe, Walk on heels, Duckwalk Total 109 Title Behaviour         1. General Survey Physical Appearance (1/2 mark each)Body Structure MobilityBehaviorGrooming         Test patient’s level of consciousness, orientation(using questions)         Mention Take vital signs: Temp., Pulse, BP and Resp         Skin/hair/ nails Inspection: Examine the skin – color, temperature, moisture, and mobility & turger. Inspection: Examine the hair – color, texture, distribution, lesions Inspection: Examine the the nails- Shape and contour; consistency, color. 2. Head/face/Neck Inspection: Shape, facial expression, symmetry Palpation: Consistency, Lesion, TA, TMJ Palpation: maxillary sinuses and frontal sinuses   Palpation: Lymph Nodes (1/2 mark each)*Preauricular                            *Supraclavicular*Posterior Auricular*Occipital*Submental*Sub mandibular*Jugulodigastric*Superficial cervical*Deep Cervical*Posterior Cervical  Range of movement: Flexion, H/Extension,                                  Lateral, Rotation  3. Ears: Inspection: External: position and alignment, skin condition, and auditory meatus Palpation: Consistency, Mass, move auricle and push tragus for tenderness. Test Hearing: Voice test Otoscopy: Tympanic Membrane, Exudate. 4. Eyes Visual Acquity: VAR, VAL Inspection:Symmetry/ Eyelids, Eyebrows, Oedema, Sclera,   Conjunctiva, Exudate Test Pupils:(Report using PERRLA) 6. Nose Inspection: External, symmetry, skin, lesion Internal: Patency, lesion, exudate 7. Mouth/Throat Inspection: Inspect lips, teeth; With a penlight, inspect mouth: buccal mucosa, teeth and gums, tongue, floor of the mouth, palate, tonsils, and uvulaNotes and reports the mobility of Gag Reflex – use torch/spatula 8. Chest Posterior: Inspection:Identify T1, C7, Symmetry, Spinous Process, Scapula, Skin, lesion Palpate: Spinous process, Consistency, Tactile Fremitus Percuss all lung fields including lateral Auscultate for Breath Sounds posterior & lateral. Anterior: Inspect > Symmetry, skin, lesion,Ø Heave or Lift, Apical pulsation Palpate: Consistency, Tactile Fremitus,Ø  Thrill, Apical pulse Auscultation: Ø Anterior Lung fields for Breath sounds,Ø Heart sounds over valve areas (use diaphragm)Ø Auscultate for murmur (use bell) 9. Abdomen Inspection: Symmetry, shape, contour, masses, skin, lesion, umbilicus Auscultate for bowel sounds for all quadrants (start from the RLQ) then clockwise. Percussion- four quadrants (same sequence as for auscultation) Palpation- Light and Deep palpation, consistency, massRebound tenderness 10. Upper Extremities Inspection: size, symmetry, skin, lesion Palpation: temperature, tone, nail profile, radial, brachial pulses, capillary refill Range of movement: Shoulder-Extension, Adduction,Elbow flexion, extension,Wrist flexion and extension Test Muscle strength for shoulder, elbow and wrist(versus resistance) 11. Lower extremities(Lying) Inspection: Hip-Symmetry Palpate: Temperature, consistency, contour Range of movement- hip – extension, flexion Inspection: Knee symmetry, size, skin, lesions Palpate: Temperature, tone, lesions. Popliteal plse Range of Movements: Knee- extension, flexion Inspection: Ankle symmetry, size, lesion  Palpation: Tone/consistency/edema/pulses  (dorsalis &posterior tibials). Range of Movement: Plantar Flexion,Dorsiflexion,Eversion,Inversion. Test muscle strength – Knee ( Extension/Flexion)  and Ankle (against resistance). 12. Back(standing) Inspection: Symmetry, Contour (from back) Range of movement: Flexion,Extension,Lateral bending, Rotation Walk, Tip toe, Walk on heels, Duckwalk Total 109 Health ScienceScienceNursingShare Question

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