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Asked by Gretaich
What are relevant questions to ask during the history of the skin/hair/nails and HEENT systems? How does the history alert you to assess for different abnormalities during the physical examination of the skin/hair/nails and HEENT? Does age, previous occupation, or environmental exposures play a role in your risk assessments and differential diagnoses? If so, how?
Why is an examination of the skin hair and nails important in the overall assessment? How can assessment of the skin, hair, and nails reveal other underlying conditions? Can you give examples of this? What areas of patient education are important to discuss with your patient as it relates to the examination and condition of the skin, hair, and nails.
What are some techniques that can make the examination of the eyes and the funduscopic exam easier for you to do? How does the eye exam “fit” into the overall integrated physical examination? What can a retinal exam reveal about other health problems such as hypertension and diabetes?
How would you conduct an ear exam for an individual with hearing aids? Ear pain? History of tympanostomy tubes? What abnormalities would you expect to see? What is the difference in the Weber and Rinne tests, and what hearing abnormalities are associated with these tests? What is the difference between sensorineural, conductive and mixed hearing loss and what exam findings would you expect to see for each of these?
When considering examination of the nose and oral cavity, what cues can you find to alert you to potential problems? What would be included in your differential diagnosis list for different chief complaints as relates to the nose and oral cavity? 6. How do the findings in the Head and Neck lymph nodes differ between an infection and a malignancy? How does your patient’s history guide your exam?
What is your differential diagnosis when your patient has a chief complaint of:
Breast discharge
Breast lumps
Shortness of breath
Cough
Why would you assess for tactile fremitus, egophany, bronchophany, and whispered pectoriloquy? What do the abnormalities mean? What is the difference between effusion and consolidation when you are examining the lungs? What findings are characteristic of each?
Why do the lung sounds and percussion notes change with different respiratory conditions?
COPD vs Asthma
Pneumonia vs Bronchitis
When should a breast exam be performed on women? Men? How does the exam differ between symptomatic and asymptomatic patients? Painful vs. non-painful breasts? Pendulous breasts? What relevant history and exam findings would signal you to consider cancer in your differential diagnosis list? What medications and other substances can cause abnormal breast findings such as gynecomastia or galactorrhea?
SCIENCE
HEALTH SCIENCE
NURSING
NUR 3233
