PV Exam
- Pain? Pregnant? Need wee?
- Brief abdo exam
- Vulval inspection
- One hand
- Bimanual
- Check glove
Hernia
Standing - cough and palpate
Laying - location, reduction, ring, ascultate
Pregnant abdomen
- Look - hands, face, abdo
- Brief abdo exam
3, Foetal HELP (heartbeat, engagement, lie, presentation)
Vascular - arterial
- Inspect hands, face and temp
- Upper limb - pulses, bp, Allen’s, auscultate
- Middle - aorta and auscultate
- Lower - pulses, neuro, Buerger’s, ABPI
Breast
Look - 3 positions
Feel - quads, axilla, fossa, nipple
Liver and spine
Ulcers
- Look - type, BEDS, whole limb
- Feel - pain, temp, contact bleeding, induration
- Move - fixation
- Special - LN, pulses, sensation, joint RoM
Thyroid
Look - voice quality, appearance, face, neck, eyes
Neck - trachea, lump, LN, auscultate
Legs - weakness, reflexes, pretibial oedema
Scrotum
- Look - abdo, groin, penis, scrotum, perineum
- Feel - testicles, epididymis, spermatic cord, Phren’s, cremasteric
- Special - transilluminate, posterior scrotum on standing
PR exam
Look
cough
feel - 360, tone, prostate
glove
MSE
Appearance and behaviour Speech Emotion Perception Thought Insight and judgment Cognition
Vertigo
neuro
cardio
ear
HURDS - head impulse, Unterberg’s, Romberg’s, Dix Hallpike, Skew
Stoma
Pain or recent problems?
Inspect BASOPHILS - bleeding, area, site, output, prolapse/retraction, hernia, infarction, lumens, spout
Fluid status
Look - hands, face, chart Hands Chest Abdo Legs
Lump
Measure landmark Look Feel Move - tether and tense Special - transilluminate, auscultate, LN
Verifying death
- Check DNAR and circumstances
- Identify
- verbal
- Pain
- Pupils
- Pulse- 1 min
- Heart sounds - 2 min
- Resp sounds - 3 min
- Document and inform
Vascular - venous
Inspect
Tap test at SFJ
Diabetic foot
Look (inc shoes)
feel bones
Neuro - sensation and reflex
Vascular - temp, pulses, CRT
Eyes
I’M AFONIC
- I have ….. glasses
- Movements H
- Acuity - near and far
- Fields
- Ophthalmoscopic - front and offer back
- Neglect
- Ishihara plates
- Cover test
