AMLS
Left should pain - answerDiaphragm irrition, ruptured spleen, myocardial jnfart
Right should pain - answerLiver irritation, gallbladder pain, diaphragm irrational
Right scapular pin - answerLiver and gallbladder
Epigastric - answerStomach, lung, cardiac
Umbilical - answerSmall intestine, appendix
Back - answerAorta, stomach, pancreas
Flanks to groin - answerKidney, uriter
Perineal - answerBladder
Suprapubic - answerBladder, colon
Secondary survey - answerPhysical exam
Rhonchi - answerCoarse low pitched, may clear with cough
Wheeze - answerWhistling high pitch
Bronchial - answerCoarse, loud, heard with consolidation
Rub - answerScratchy, high-pitched
Crackles - answerFine crackling, high pitched
Bronchovesicular - answerCombination bronchial and vesicular normal on some areas
Vesicular - answerHigh pitched breezy
Blood pressure - answerFlow*resistance
McBurney point - answerArea over R side of ABD that is 3rd of the distance from
anterior superior iliac spine to umbilicus. Tenderness acute appendicitis
Rovsing sign - answerPalp LLQ makes pain in RLQ indicates appendicitis
Upper ABD - answerT7, T8 and T9
, Lower ABD - answerT10 and T11
Cremasteric - answerT12, L1 and L2
Planter - answerL4, L5 S1 and S2
Babinski - answerCheck Nero in conscious pt. run pen along bottom of foot and toes
move toward nose is a positive
Neurogenic shock - answervasodilation
Neurogenic shock - answerWarm, dry, pink skin, Hypotension, Bradycardia and
bradypnea, May have normal cap refill
Septic Shock - answervasodilation
Septic Shock - answerHypotension, Altered mental status, Hyper or hypothermic
Anaphylaxis Shock - answervasodilation
Anaphylaxis Shock - answerHypotension, Tachycardia, Anxiety, Urticaria, angioedema,
Wheezing
Hypovolemic Shock - answerloss of plasma or blood
Hypovolemic Shock - answerCool, pale, clammy skin, Hypotension - late sign, Altered
mental status, Delayed cap refill
Cardiogenic shock - answerloss of pump function
Cardiogenic shock - answerCool, clammy, pale skin. May also be cyanotic, Increased or
decreased heart rate or dysrhythmia, Hypotension, Altered mental status, Decreased
cap refill, May have pulmonary edema - crackles
Obstructive shock - answertamponade, tension pneumo, pulmonary embolus
Obstructive shock - answerJVD, Tracheal deviation in pneumothorax, Muffled heart
tones in tamponade, Pulsus pardoxus
Compensated shock - answerthe renin-angiotension-aldosterone system is activated
when the blood pressure drops. This causes an increase in preload through
reabsorption of water and sodium. Increased preload will also increase afterload.
COPD patients - answeracute onset of SOB may have a pulmonary embolism
Left should pain - answerDiaphragm irrition, ruptured spleen, myocardial jnfart
Right should pain - answerLiver irritation, gallbladder pain, diaphragm irrational
Right scapular pin - answerLiver and gallbladder
Epigastric - answerStomach, lung, cardiac
Umbilical - answerSmall intestine, appendix
Back - answerAorta, stomach, pancreas
Flanks to groin - answerKidney, uriter
Perineal - answerBladder
Suprapubic - answerBladder, colon
Secondary survey - answerPhysical exam
Rhonchi - answerCoarse low pitched, may clear with cough
Wheeze - answerWhistling high pitch
Bronchial - answerCoarse, loud, heard with consolidation
Rub - answerScratchy, high-pitched
Crackles - answerFine crackling, high pitched
Bronchovesicular - answerCombination bronchial and vesicular normal on some areas
Vesicular - answerHigh pitched breezy
Blood pressure - answerFlow*resistance
McBurney point - answerArea over R side of ABD that is 3rd of the distance from
anterior superior iliac spine to umbilicus. Tenderness acute appendicitis
Rovsing sign - answerPalp LLQ makes pain in RLQ indicates appendicitis
Upper ABD - answerT7, T8 and T9
, Lower ABD - answerT10 and T11
Cremasteric - answerT12, L1 and L2
Planter - answerL4, L5 S1 and S2
Babinski - answerCheck Nero in conscious pt. run pen along bottom of foot and toes
move toward nose is a positive
Neurogenic shock - answervasodilation
Neurogenic shock - answerWarm, dry, pink skin, Hypotension, Bradycardia and
bradypnea, May have normal cap refill
Septic Shock - answervasodilation
Septic Shock - answerHypotension, Altered mental status, Hyper or hypothermic
Anaphylaxis Shock - answervasodilation
Anaphylaxis Shock - answerHypotension, Tachycardia, Anxiety, Urticaria, angioedema,
Wheezing
Hypovolemic Shock - answerloss of plasma or blood
Hypovolemic Shock - answerCool, pale, clammy skin, Hypotension - late sign, Altered
mental status, Delayed cap refill
Cardiogenic shock - answerloss of pump function
Cardiogenic shock - answerCool, clammy, pale skin. May also be cyanotic, Increased or
decreased heart rate or dysrhythmia, Hypotension, Altered mental status, Decreased
cap refill, May have pulmonary edema - crackles
Obstructive shock - answertamponade, tension pneumo, pulmonary embolus
Obstructive shock - answerJVD, Tracheal deviation in pneumothorax, Muffled heart
tones in tamponade, Pulsus pardoxus
Compensated shock - answerthe renin-angiotension-aldosterone system is activated
when the blood pressure drops. This causes an increase in preload through
reabsorption of water and sodium. Increased preload will also increase afterload.
COPD patients - answeracute onset of SOB may have a pulmonary embolism
