emc physical exam Correct 100%

in what order should you work from? - ANSWERhead to toe step 1: head - ANSWER- work front to back feeling for any deformities of the scalp, head or ears - palpate the cervical spine - look for any cuts, discoloration or swelling - inspect the ears and nose for any CSF leakage - inspect for ecchymosis and battle signs - have the Pt smile; check facial symmetry - PEARL? - hydration of the mouth and objects in the mouth; have the Pt say something, it will indicate if there is an obstruction and there is proper hydration of the mouth step 2: neck - ANSWER- if there is any trauma, apply a c-collar (work around the c-collar if already applied, if not then palpate the cervical spine) - look for JVD, indicates right side pump failure (do not palpate) - look for any tracheal deviation, indicates pneumothorax (would deviate towards good side) - look for bleeding step 3: chest - ANSWER- visually inspect chest for flail chest and paradoxical breathing - inspect for blood - inspect for penetrations, lacerations, contusions - palpate clavicles - barrel whoop check - sternum rub - auscultate the chest (lung sounds - clear bilaterally) step 4: abdomen - ANSWER- visually inspect for lacerations, penetrations -evisceration (internal organs outside of the body) Tx: 4 sided occlusive, sterile, moist dressing - palpate the 4 quadrants (checking for pain, tenderness, rigidity (would indicate internal bleeding), or distention and looking for posturing or guarding) step 5: pelvis - ANSWER- palpate the pelvis, push down and together - feeling for stability a