PE Skills Grader Checklist Final-2012-s

7/24/2019 PE Skills Grader Checklist Final-2012-s

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Physical Examination Skills Complete PE Grader ChecklistStudent_____________________________________Reviewer____________________________________

Note: all tests marked ((( ))) areweighted heavily

General and Vital Signs:Introduce self as P studentEsta!lished reason for visit"""Saniti#ed hands before exam$$$%easure vital si&ns

'PPulseRR

Appearance and Orientation:General

appearance(development(a&e(etcssess orientation of patient to person)place) time) and situation

Integument:Inspection * palpation of hair(scalpInspection * palpation of skin for+texture) hair

distri!ution) edema) color) rash)tur&or) &ross temperature

Inspection * palpation of nails withcapillaryre,ll

ead ! "ace:Inspection * palpation of head * facePalpation of sinusesPalpation of salivary &landsPalpation) R-% of .%/ssess tone of %asseter * .emporalis"C01

2acial symmetry * movements "C0 1II$"wrinklin& forehead) smilin&) showin&teeth) pu3n& out cheeks) pursin& lipsand !lowin&) shuttin& eyes ti&htly$

4i&ht touch 2ace "C0 1 5 !ranches$

Pain Sensation 2ace "C0 1 5 !ranches$uscultation of temporal arteries w( !ellPalpation of temporal arteries

#yes:Inspect * palpate extraocular structuresInspect con6unctivae) sclerae) irides)

pupils)corneasSnellen 1isual cuity .estin& "C0 II$1isual 2ields .estin& "C0 II$E-%s and lid movements "C0 III) I1) 1I)1II$Conver&ence(accommodation "C0 III$Corneal li&ht re7ex "8irsch!er& test$

Cover(uncover test9irect(Consensual li&ht re7ex "C0 III$

Palpate or!s for extraocular pressure"""-phthalmoscopic exam with !racin&$$$

#ars:Inspection * palpation of externalstructures8earin& :hisper or ,n&er ru! "C0 1III$

:e!er "C0 1III$

Rinne "C0 1III$"""Inspection of auditory canal(.%(middleear with

'racin&$$$%o!ility of .%

Nose:Inspection * palpation of nose0asal patency !ilaterallyInspection of internal nares-lfaction "C0 I$

($ips% &outh and) 'hroat:Inspection lips)oral structures)oropharynxInspection of ton&uePalpation of oral structures"""8;GIE0E(S.09R9 PREC


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Neck:uscultation carotid artery w( !ell

""" Palpates carotid arteries$$$Inspection * palpation of trachea forposition

Inspection and palpation of thyroid>Palpation of lymph nodes+

-ccipitalPreauricularPostauricularSu!mentalSu!mandi!ularnterior cervical

Posterior cervicalSupraclavicularCspine+

Inspect lateral and posterior"symmetry)ali&nment) curvature$

Palpate spinous processes) name C?)paraspinous muscles

2lexion Stren&thExtension Stren&thR !endin& Stren&th

4 !endin& Stren&thR rotation Stren&th4 rotation Stren&th

.est Shoulder Shru& a&ainst resistance

ulmonary:Inspection * palpation of thoraxPalpation for thoracic expansionPalpation for tactile fremitusPercussion of chest for resonance

uscultation of lun& ,eldsuscultation for !ronchophonyuscultation for whispered pectorilo@uyuscultation for e&ophony

ardiovascular:Pt sitting:Inspection of precordiumPalpation of precordium

Palpation of apical impulse uscultation of heart+

%ust name each area

at least one time whileauscultatin&*Diaphragm Bell

orticPulmonicAndPulmonic.ricuspid%itral

Pt supine:uscultation of heart+

Diaphragm Bell

orticPulmonicAndPulmonic.ricuspid%itral

uscultation of mitral area with pt in leftlateral recum!ent position

Pulses:Each pair done simultaneously) popliteal

usually needs to !e done one at a timehowever>RadialPopliteal "only if una!le to palpate

distalpulse $

9orsalis pedisPosterior ti!ialis

A+domen:

Inspection of a!domen"""uscultation !efore palpation$$$uscultation of a!domen for !owelsoundsuscultation for a!dominal !ruits+

orticR renal

4renal


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R iliac4 iliac

Percussion of a!domenPercussion of liver for liver span"%ark skin) %easure with ruler$

Evaluation for Splenome&aly4i&ht palpation of a!domen9eep palpation of a!domen"""Bnees 7exed for palpation$$$Palpation of the liver "deep inspiration$Palpation of the spleen "deep inspiration$Palpation of the kidneys "deepinspiration$

Check for C1.

&usculoskeletal:Upper Extremities:Inspection "soft tissues) 6oints)musculature) symmetry) deformity$

Palpation "SC 6oint) clavicle) C 6oint)spine of scapula) supraspinatus)infraspinatus) rhom!oids) coracoidprocess) &reater tu!ercle of humerus)

deltoid) !iceps to tendon) triceps)olecranon process) medial and lateralepicondyles) forearm muscles) carpals)metacarpals) %CPs) phalan&es) PIPs)9IPs) thenar eminence) hypothenareminence) anatomical snu !ox$Palpate the axillary lymph nodesPalpate the epitrochlear lymph nodesShoulders 2lexionStren&th

Extension Stren&th!duction Stren&thdduction Stren&thInt Rotation Stren&thExt Rotation Stren&th

El!ows 2lexion Stren&th

Extension Stren&thSupination Stren&thPronation Stren&th

:rists

2lexion Stren&thExtension Stren&thRadial %otion Stren&th

$

Stand on each foot "!ilat$

Lower Extremities:InspectionDstandin& "ht of iliac crests) softtissues) 6oints) musculature of 4E


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proximal to knee for symmetry)deformity$PalpationDstandin& "SIS) iliac crest)

&reater trochanter of femur) sacroiliac6oint) anterior thi&h) posterior thi&h$

.rendelen!ur& .estInspectionDsittin& "soft tissues) 6oints)musculature of 4E from knee distallyincludin& soles of feet for symmetry)deformity$PalpationDsittin& "patella) medial andlateral 6oint lines) medial(lateral ti!ialcondyles) medial(lateral epicondyles of

femurs) ti!ial tu!ercles) popliteal fossae)&astrocnemius) medial(lateral malleoli)tarsals) metatarsals) %.P) IPs of toes)phalan&es$

Palpation of Popliteal lymph nodesPelvis(hips "supine$ 2lexion Stren&th

Int Rotation Stren&thExt Rotation Stren&th'duction Stren&th

9duction Stren&thPelvis(hips "prone$Extension Stren&th

Bnees "prone$ 2lexion Stren&thBnees "sittin&$

Extension Stren&thnkles "sittin&$ 9orsi7ex Stren&th

Plantar 7ex Stren&thInversion Stren&th

Eversion Stren&thRotation2eet * .oes "sittin&$ Curl .oes Stren&th

Extend toes Stren&thNeurologic:.e/e0es (-ilateral with grading)!dominal'iceps'rachioradialis.riceps

PatellarchillesPlantar

Sensory (.outinely% with pt1s* eyesclosed)


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.otal Points %issed_____

Comments+

%entorFs Si&nature_________________________

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PE Skills Grader Checklist Final-2012-s