CLG 0010
left lateral decubitus - answerlisten for mitral stenosis (diastolic rumble)
with bell at PMI
PMI - answer5th ICS, midclavicular line
bell of stethoscope
absent red reflex - answerchildren: retinoblastoma, cataracts
adults: cataracts, retinal detachement
peritonsillar abscess (quinsy) - answercauses uvula deviation away from affected side/abscess
hot potato voice, drooling, trismus, severe unilaterla sore throat
drain and treat with ABX
transilluminated sinuses - answerclear sinuses/air filled = light travels
mass, congestion = fluid, mucus, mass
cover-uncover test - answerdetects strabismus
differentiates phorias from tropias
phoria - answertemporary/latent strabismus
occurs when you disrupt fixation
tropia - answerpersistent/manifest strabismus
present without interruption
, serous OM/OME - answerfluid behind eardrum in allergies, cold (no infection), with fluid-air
level visible
muffled sound, no systemic effects
squatting - answerincreases venous return, stroke volume, and cardiac output, snd SVR;
intensifies aortic stenosis murmur - increases LV volume and pressure, turbulence across valve
aortic stenosis - answerbest heard sitting up and leaning forward
intensified by squatting
relieved by valsalva and standing
HOCM - answerharsh systolic murmur
louder stand standing or valsalva (decreases return)
relieved by squatting/hand grip, leg raises (increase return)
tactile fremitus - answerfelt over consolidated lung (lobular pneumonia)
pleural effusion - answerpercussion is dull/flat - not resonant
pneumothorax - answerhyperresonant
valsalva - answerdecreases venous return
standing
squatting
hand grip
left lateral decubitus - answerlisten for mitral stenosis (diastolic rumble)
with bell at PMI
PMI - answer5th ICS, midclavicular line
bell of stethoscope
absent red reflex - answerchildren: retinoblastoma, cataracts
adults: cataracts, retinal detachement
peritonsillar abscess (quinsy) - answercauses uvula deviation away from affected side/abscess
hot potato voice, drooling, trismus, severe unilaterla sore throat
drain and treat with ABX
transilluminated sinuses - answerclear sinuses/air filled = light travels
mass, congestion = fluid, mucus, mass
cover-uncover test - answerdetects strabismus
differentiates phorias from tropias
phoria - answertemporary/latent strabismus
occurs when you disrupt fixation
tropia - answerpersistent/manifest strabismus
present without interruption
, serous OM/OME - answerfluid behind eardrum in allergies, cold (no infection), with fluid-air
level visible
muffled sound, no systemic effects
squatting - answerincreases venous return, stroke volume, and cardiac output, snd SVR;
intensifies aortic stenosis murmur - increases LV volume and pressure, turbulence across valve
aortic stenosis - answerbest heard sitting up and leaning forward
intensified by squatting
relieved by valsalva and standing
HOCM - answerharsh systolic murmur
louder stand standing or valsalva (decreases return)
relieved by squatting/hand grip, leg raises (increase return)
tactile fremitus - answerfelt over consolidated lung (lobular pneumonia)
pleural effusion - answerpercussion is dull/flat - not resonant
pneumothorax - answerhyperresonant
valsalva - answerdecreases venous return
standing
squatting
hand grip
