Vituity Scribe - The Physical Exam
– 155 Questions and Answers
Somnolent - -Drowsy or sleepy disposition
-Cachetic/Emaciated - -Physically wasting ( extremely thin)
-Nontoxic Appearing - -Well-appearing patient in minimal distress (often
used to describe well-appearing pediatric patients)
-Normocephalic - -Normal appearance and size of head
-Atraumatic - -No signs of trauma present
-Cyanosis - -Bluish discoloration of the skin due to a lack of oxygen
-Pallor - -An unhealthy paleness of the skin
-Erythema - -Superficial reddening of the skin
-Jaundice - -Yellowing of skin due to abnormal bilirubin build-up
-Abrasion - -Superficial wound to the top most layer of the skin
-Contusion - -A region of skin in which blood capillaries are ruptured; AKA
bruise
-Ecchymosis - -An area of ruptured blood vessels similar to a contusion; AKA
bruise
-Laceration - -A cut in the skin
-Puncture - -A small hole in the skin
-Wheal - -Round, localized area of edema on the skin
-Wheal-and-flare - -(a reaction) rash or hives (irregular, blanch raised areas
with redness)
-Urticaria - -hives or wheals which are either redder or paler than the
surrounding areas and are often accompanied by itching
-Maculopapular - -rash or hives (flat red area covered with small confluent
bumps)
, -Pustules - -Small collection of pus under the skin
-Bullae - -Fluid-filled blisters
-Petechiae - -A small round flat dark-red spot caused by bleeding into the
skin or beneath the mucus membrane
-Purpura - -Purple spots or blotches (don't turn white when pressed)
-Induration - -A hardened area of normally soft tissue
-Fluctuance - -Movable and compressible
-Hemangioma - -A benign tumor consisting of blood vessels
-Cornea - -The transparent coat of the eyeball that covers the iris and pupil,
lets light into the eye
-Sclera - -The dense, fibrous, opaque outer coat enclosing the eyeball -
except the part covered by the cornea
-Conjuctiva - -White area of the eyes
-Icterus - -Yellowing of the sclera due to bilirubin build-up (often seen with
jaundice)
-Subconjunctival hemorrhage - -Bright red patches in conjunctiva of eyes
due to ruptured blood vessels
-Extraocular Movements Intact (EOMI) - -Appropriate function of the
extraocular muscles, tested with "follow my finger"
-Pupils equal, round and reactive to light (PERRL) - -Normal evaluation of
the size, shape of the pupils and their reaction to light
-Papilledema - -Swelling of the optic disk due to an increase in intracranial
pressure
-Fundi sharp - -Non-swollen optic nerve on exam of fundus (back of eye)
with opthalmoscope
-Visual acuity - -Acuteness/sharpness of vision as measured by the eye
chart
-Eyelid eversion - -Flipping the eyelid for exam underneath the eyelid
– 155 Questions and Answers
Somnolent - -Drowsy or sleepy disposition
-Cachetic/Emaciated - -Physically wasting ( extremely thin)
-Nontoxic Appearing - -Well-appearing patient in minimal distress (often
used to describe well-appearing pediatric patients)
-Normocephalic - -Normal appearance and size of head
-Atraumatic - -No signs of trauma present
-Cyanosis - -Bluish discoloration of the skin due to a lack of oxygen
-Pallor - -An unhealthy paleness of the skin
-Erythema - -Superficial reddening of the skin
-Jaundice - -Yellowing of skin due to abnormal bilirubin build-up
-Abrasion - -Superficial wound to the top most layer of the skin
-Contusion - -A region of skin in which blood capillaries are ruptured; AKA
bruise
-Ecchymosis - -An area of ruptured blood vessels similar to a contusion; AKA
bruise
-Laceration - -A cut in the skin
-Puncture - -A small hole in the skin
-Wheal - -Round, localized area of edema on the skin
-Wheal-and-flare - -(a reaction) rash or hives (irregular, blanch raised areas
with redness)
-Urticaria - -hives or wheals which are either redder or paler than the
surrounding areas and are often accompanied by itching
-Maculopapular - -rash or hives (flat red area covered with small confluent
bumps)
, -Pustules - -Small collection of pus under the skin
-Bullae - -Fluid-filled blisters
-Petechiae - -A small round flat dark-red spot caused by bleeding into the
skin or beneath the mucus membrane
-Purpura - -Purple spots or blotches (don't turn white when pressed)
-Induration - -A hardened area of normally soft tissue
-Fluctuance - -Movable and compressible
-Hemangioma - -A benign tumor consisting of blood vessels
-Cornea - -The transparent coat of the eyeball that covers the iris and pupil,
lets light into the eye
-Sclera - -The dense, fibrous, opaque outer coat enclosing the eyeball -
except the part covered by the cornea
-Conjuctiva - -White area of the eyes
-Icterus - -Yellowing of the sclera due to bilirubin build-up (often seen with
jaundice)
-Subconjunctival hemorrhage - -Bright red patches in conjunctiva of eyes
due to ruptured blood vessels
-Extraocular Movements Intact (EOMI) - -Appropriate function of the
extraocular muscles, tested with "follow my finger"
-Pupils equal, round and reactive to light (PERRL) - -Normal evaluation of
the size, shape of the pupils and their reaction to light
-Papilledema - -Swelling of the optic disk due to an increase in intracranial
pressure
-Fundi sharp - -Non-swollen optic nerve on exam of fundus (back of eye)
with opthalmoscope
-Visual acuity - -Acuteness/sharpness of vision as measured by the eye
chart
-Eyelid eversion - -Flipping the eyelid for exam underneath the eyelid
