Maryville 612 Final Exam 3
What HPI questions would you ask a patient who presents with a rash? - Answer- Onset? Location? Duration? Characteristics? Aggravating factors? Relieving factors? Temporal Factors? Severity? In barrel chest, the anterior-posterior diameter ratio to lateral diameter = - Answer- 1 Platypnea Bradypnea Tachypnea Orthopnea - Answer- Platypnea- SOB that is worst when the patient sits up Bradypnea- RR12 Tachypnea- RR20 Orthopnea- difficulty breathing while lying flat Pectus Excavatum - Answer- is a congenital disorder which causes the chest to have a sunken or "caved in" appearance. It is the most common congenital chest wall abnormality in children. Pectus Caranatum - Answer- Pidgeon chest- structural variation Wheezing - Answer- Musical squeaking noise heard on auscultation. Rhochi - Answer- May clear with cough. How do you assess lymph nodes? - Answer- With first three finger pads. What is a normal finding with the supraclavicular lymph nodes? - Answer- Not paplapable What are objective findings on skin exam? abnormal and normal findings during inspection? - Answer- Inspection: note color (abnormal jaundice); look for skin thickness, rashes, ecchymosis, moles; Normal: freckles, moles, cherry angiomas, birth marks striae; Abnormal: rashes, ezxema, psorriasis, herpes zoster, tinea What are objective findings during chest/lung examination during inspection? Abnormal and normal? - Answer- Inspection • Normal: • Chest symmetrical • Even rise and fall, RR 12-20, Bony prominences not protruding, no visible masses; Abnormal: Ab
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