1. Hi Guest, You can now earn by posting on this forum. Read details on Earn by posting on PFMSG Forum
  2. If you do not know how to use forum then please see this thread
  3. Donate for forum upgradation. Fund to raise is 140 USD Details
  4. Medical Students can have their university's dedicated forum on pfmsg. Contact here

General Physical Examination - Quick Reference Guide for Step III NEB

Discussion in 'PMDC Step 3 Preparation' started by Shazy, Oct 17, 2014 at 7:25 PM.

Share This Page

  1. Shazy

    Shazy ĎŐŃ'Ť ĹŐŚĔ ĤŐРĔ Administrator Global Moderator Forum Moderator

    Reputation:
    10
    Credit:
    9,060.57Rs
    Examination

    Environment
    General appearance

    • Pre-exam checklist: WIPE:
      Wash your hands
      Introduce yourself to pt
      Position pt
      Expose the area
    • Always examine from the R side of the pt.
    • Ask pt. if tenderness anywhere, before start touching them.
    • Skin colors.
    Posture, weight, body shape
    • If pt. enters, examine gait.
    • Posture, stature, height..
    • Obesity [BMI = kg/m^2. Normal <25].
    • Limb amputations, deformities.
    • Physique expected for age.
    Hydration
    • Sunken orbits.
    • Mucus membrane dryness.
    • Axillae.
    • Skin turgor [pinch skin: normal returns immediately].
    • Postural hypotension [less BP when sit, stand].
    • Peripheral perfusion [press nose, time capillary return].
    • Examine weight loss over hours.
    Vital signs
    • Often logged on ward chart.
    Nails
    • Clubbing.
    • Nail signs.
    • Nail fold.
    Hands
    • Palms:
      • Palmar erythema (cirrhosis, polycythaemia, pregnancy).
      • Pigmentation of crease (Addison's, but normal in asians, blacks).
      • Pallor of palmar crease. Better results if hyperextend fingers, or stretch skin on either side of crease (anemia).
      • Dupuytren's contracture [fibrosis, contracture of palm's fascia] (liver dz, epilepsy, trauma, elderly).
    • Joints:
      • Herberdens, Bouchards (OA).
      • Swollen PIP, distal PIP spared (RA).
    Head
    • Hair: deficiency, excess.
    • Facial hallmarks (Down's, Grave's, acromegaly, Cushing's, etc).
    • Teeth: nicotine stains.
    Examination tips
    • Initial examination is from the foot of the bed.
    • Always ask if any part tender, before touching pt.
    • Watch pt's head as palpate, to look for pain flinches.
    • Percussion is R middle finger hitting middle of middle phalynx of L middle finger.
    • To measure circumference of limbs, choose the bony landmark on each, measure down the correct distance, then take the circumference at that point.
Similar Threads: General Physical
Forum Title Date
PMDC Step 3 Preparation General Physical Examination | Vital Signs Friday at 7:31 PM
PMDC Step 3 Preparation General Systems | Physical Examination Guide for Step - III NEB Friday at 7:29 PM
PMDC Step 3 Preparation General Physical Examination : For Step III - Help Guide Friday at 7:22 PM
Middle East Careers working in saudia as a general dentist Aug 12, 2014
Medical Downloads (Share / Request) [REQ] general medicine book by Kumar and Clark Dec 24, 2013

Share This Page

Users Viewing Thread (Users: 0, Guests: 0)