CLINICAL OSPE

Identity

(Literally , That is me the next month …)

fatigue

identify ?

disease name ?

chest pain

angina pectoris (heart cant get enough oxygen)

identify ?

causes ?

palpitation

identify ?

Difficulty or awareness of breathing

identify ?

caused by ?

syncope

caused by decrease of the blood flow to the brain

identify

cough

identify ?

types ?

Identify

Dysphagia : Difficulty and pain in swallowing

Identify ?

combination of ?

Dyspepsia

indigestion, pain, distension, acidity , nausea , hunger pains

Idenify

anorexia (reduced appetite)

Identify

vomiting

Identify

Hematemesis

Identify

how much ?

diarrhea

>200-300 gm/day

>3 times / day - liquid consistancy

Identify

how much ?

constipation

hard stool , reduced frequency of less than 3 times per week

hematochezia ?

describe it

rectal bleeding fresh blood passes from the rectum or anus

melena ?

describe it

dark blaack tarry stool that are associated with upper gastrointestinal bleeding (digested blood)

Identify

Toxic Face

Identify

Emaciated

Identify

Moon Face

Identify

Ape Like

Identify

Down syndrome

Identify

used for ?

skin fold Calliper

indicator for fat

A TRICEP SKINFOLD OF LESS THAN 5MM ALMOST ALWAYS REFLECTS LOW BODY FAT

Identify

describe it ?

mid arm circumference

its a non stretchable insertion tape

Identify

def ?

Identify

def ?

Identify

def ?

Identify

def ?

Identify

squatting position

Identify

heart attack i guess ?

Identify

used for ?

other sites ?

types ?

pallor

gives idea about level of HG or blood perfusion

true or false

Identify

causes ?

central cyanosis

cardiac or respiratory causes

Identify

sites ?

Identify

generalized cyanosis

Identify

perioral cyanosis

Identify

differential cyanosis : Cyanosis in one half and normal in other half

identify

important slide

Identify

conc. of the cause ?

jaundice : yellowish discoloration to skin and deep tissues .

high accumulation of bilirubin (serum bilirubin conc. is above 50 micromol/ L (3mg / dl))

Identify

whats special about this place ?

jaundice

eye sclera (one of first sites of detection)

Identify ?

which is more accurate in measurement ?

which one is used for measurement ?

Measurement of Jugular venous pressure

Internal jugular

External jugular with 45 degree

?

clubbing : painless enlargement of distal phalanges

which degree ?

1st

which degree for each one ?

?

causes ?

pitting edema

cardiac disease

renal disease

liver disease

nutritional hypoalbuminemia

?

cause ?

non pitting edema

lymphatic filariasis

Identify

pulse oximetry

?

sphygmomanometer

?

aneroid

Identify

Digital

?

korotkoff sounds

what is the type of fever ?

what is the type of fever ?

what is the type of fever ?

what is the type of fever ?

what is tachycardia rate ?

What is bradycardia rate ?

heart rate more than 100

heart rate less than 60

types of ?

Identify the way

Identify the way

Identify the way

Identify the way

?

pregnancy test (chemical)

Identify

Urine analysis …. Biochemical test

Identify

Stool test …. Biochemical test

Identify

acetone test (chemical)

what is the type of test ?

Examples ?

Microbiological tests

Culture and sensitivity

serological tests

Identify

Serological test or Antibody test

Identify

fine needle aspiration

Identify

Respiratory Rate

identify

Apical pulsation

identify

Equality on Both sides

identify

popliteal

identify

radial artery

identify

Brahial artery

identify

Carotid artery

radial artery

Sites of pulse examination in lower limb

posterior tibial artery

Identify

Blood tests

what is Hematological test ?

Identify

true cut needle

Identify

fluid aspiration

Identify

Xray

Identify ?

consists of ?

fluoroscopy

X-ray source and a fluorescent screen between which the patient is placed (used to optain real-time moving images of the internal structure of the patient)

Identify planes

Identify planes

?

CT scan done with a (contrast (dye)) to make a particular organ more visible

?

used material ?

Positron emission tomography (PET CT)

used material is a safe injectible radioactive chemical called RADIOTRACER

identify ?

what is used in this test

echocardiography

sound waves are used to produce live images of your heart the formed image is called echocardiogram

?

uses ?

endoscope

its a long thin tube with a small camera passed into the body through natural openings as mouth to look inside your body

?

used for ?

electrocardiography

a recording of the heart electrical activities through repeated cardiac cycles

?

used to ?

spirometry

used to differentiate between different lung diseases & assess severity and response to treatment

Identify

Angiogram

?

audiometry

to test hearing

?

used to ?

skin prick test

to detect allergens in bronchial asthma, allergic rhinitis, allergic conjunctivitis , urticaria

?

used to ?

Nerve Conduction Study (NCS)

measures how fast an electrical impulse moves through our nerves, it can identify nerve damage

?

what is done if cervical spine injury is suspected ?

agonal breathing ?

describe ?

when does it occur ?

its a heavy, noisy, or gasping breathing (its recognized as a sign of cardiac arrest)

occurs shortly after the heart stops in up to 40% of cardiac arrests

Identify

aim ?

recovery position

1- gravity assistance to the clearance of physical obstruction of the airway by the tongue

2- gives a clear way for fluids like vomit to drain from the air way

3- there is a room for the chest to rise and fall freely

Identify

mouth to mouth breath

Identify

face shield

Identify

mouth to barrier device