PE Checklist

.pdf

School

Health Career Institute *

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Course

HSA123

Subject

Health Science

Date

Jan 9, 2024

Type

pdf

Pages

Uploaded by AmbassadorPowerBee32

A Physical Exam checklist is below in this syllabus and also posted under the Course Library – you are expected to perform everything on this checklist. A video example of a complete PE is posted in the Course Library . Students must pass with a grade of B or 80% (94 points out of 118 available points) in order to continue in the clinical setting. Skills Validation Physical Exam Checklist (each area is worth 2 points) Student Name ________________________ Who Performed Evaluation ____________________________ Date _____________ Total Points Eligible: 118 Minimum Score Required: 94 points out of 118 (80%) SKIN, HAIR and NAILS: (2 points) Inspect skin, hair and nails (including capillary refill) throughout entire exam HEAD (16 points) Inspect and palpates head and scalp Inspect face at rest and with movement (CN VII) Palpate sinus areas Test forehead, cheeks, jaw for pain and light tough (CN V) Palpate temporomandibular joints Test jaw clenching (CN V) EAR (10 points) Inspect and palpate auricle Test hearing with whisper test (CN VIII) Perform Weber test for lateralization (CN VIII) Perform Rinne test for air and bone conduction (CN VIII) Inspect ear canals and tympanic membrane NOSE & MOUTH (12 points) Inspect nose and olfactory sense (CN I) Inspect the entire mouth for lesions. Note dentition. Examine Wharton’s and Stensen’s ducts Test tongue movement (CN XII) Test swallow, gag, palate and uvula motion (CN IX, X) Assesses taste (anterior CN VII, posterior IX) EYE (12 points) Inspect external ocular structures, including lacrimal apparatus, conjunctiva, sclera, cornea, iris Observe pupillary response to light (direct and consensual) and accommodation (CN III) Test visual acuity (CN II) Assess visual fields by confrontation (CN II) Evaluate external ocular muscle function, eye alignment (CN III, IV, VI) said 3, 4 and 6 Inspect the lens and retina with ophthalmoscope

NECK (10 points) Palpate and names lymph nodes (preauricular, postauricular, occipital, tonsillar, submental, submandibular, superficial cervical, deep cervical, and supraclavicular) Inspect and palpate thyroid with swallowing Inspect jugular neck veins for distention with HOB elevated 30 degrees Palpate and auscultate carotid arteries Test shoulder shrug and head strength (CN XI) CHEST (14 points) Inspect costal angle and AP/Lateral ratio Palpate for symmetrical tactile fremitus Percuss the chest systematically for resonance Auscultate lung fields Palpate cardiac for heaves, thrills, location of PMI Auscultate all 4 areas for cardiac sounds Palpates arterial pulses ABDOMEN (18 points) Inspect abdomen for pulsations or peristaltic waves Auscultate in all 4 quadrants for bowel sounds Auscultate aortic, iliac, renal and femoral arteries for bruits Percuss the abdomen in 4 quadrants Percuss the liver to determine size Percuss for CVA tenderness (lateral towards back) Percuss spine Perform superficial and deep palpation including liver and spleen Palpate for inguinal lymph nodes MUSCULOSKELETAL (8 points) Inspect for joint symmetry, alignment, bony deformities and swelling Determines range of motion of 1. upper extremities, 2. lower extremities, 3. spine, and 4. neck Touch toes, assess spine Tests for strength of upper and lower extremities NEUROLOGICAL (16 points) Test DTR’s (biceps, triceps, brachioradialis, patellar, Achilles) Inspect gait Test motor function by having patient walk on toes and heels, hop in place, perform shallow knee bends Assesses cerebellar function by having patient perform tandem walking, and Romberg Assess coordination by having patient perform rapid alternating movements, point-to-point testing, heel-shin Assess pain, light touch and vibratory sensation Assess stereognosis, graphesthesia and proprioception Assess cerebral function/mental status

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