Strength Testing

Test and contralaterally compare extremity muscle groups. Passive Motion Action Motion: Arms: Flexion (“pull in”), extension (“push out”); Wrists:  Flexion (“push down”), extension (“pull up”) Hands: “Spread your...

Physical Exam: How to do a quick physical exam

HOW TO DO A QUICK PHYSICAL EXAM 1. HEENT exam Head & Sinuses -Inspect and palpate head–for signs of trauma, scars, tenderness or abnormalities. And palpate sinuses for tenderness – I’m going to press on your forehead and cheeks. Please tell me if...

Glasgow Comma Scale

Mnemonic: See sth, Say sth, Do something. EVM Eye Opening (E) 4 = Open spontaneously 3 = Open to verbal command (to voice) 2 = Open to pain 1 = No response Verbal Response (V) 5 = Oriented, converses (normal conversation) 4 = Disoriented, converses (disoriented...

Progress Note (SOAP Note)

Subjective Patient comments or complaints, nursing comments Objective Vitals: BP, HR, RR, T, Wt, O2 sats. Ins/Outs: IVF, Po intake, emesis, urine, stool, drains Exam: Physical findings Meds: Pertinent routine or new meds Labs: New lab or procedure results Assessment...

A/P in Progress

Pneumothorax Uterine Bleeding Cardiac Arrest   Retropharyngeal Abscess / Also called hypopharyngeal abscess xxxx Diverticulitis xxxx Hypoglycemia in pt without DM www.uptodate.com/contents/hypoglycemia-in-adults-without-diabetes-mellitus-diagnostic-approach...