Step2CS 2
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| components of MMSE | A&O, 3 things remember & have repeat, subtract 7 from 100 until 65, ask 3 things, show them pen, jacket, write command to follow, asked to write sentence, copy pentagon, 3step: take paper, fold, put on floor, say no ifs ands or buts, say pa, ta, ga | ||||
| how to remember parts MMSE | A&O, memory/concentration (3 items, serial 7s), things related to paper (ID pen, follow written command, write sentence, copy pentagon, 3 step comman), verbal (say no ifs/ands/buts, say pa/ta/ga) | ||||
| components of Neuro exam | MMSE, CN incl VA and fundo, motor strength, DTR, sensory (FT and PP), Coordination (F-N, H-S), Romberg, Gait | ||||
| components HEENT | PERRLA, EOMI, open mouth, LAD, thyroid | ||||
| components cardiac | JVD, carotid auscultation, feel for PMI, listen in 4 places and ask to hold breath, peripheral pulses | ||||
| components abd exam | insepct, auscultatex4, palpate incl Murphy's sign and rebound tenderness, percuss incl liver span | ||||
| components lung exam | inspect, palpate, auscultate incl e-a, percuss, fremitus **CVA tenderness | ||||
| what ask psyschosocial BATHE | background, how it's affecting, what's troubling most, how handling, empathy. Be sure assess suicide risk, ask abt social suport and affecting fxn | ||||
| what are components ROS | gen (fatigue, wgt, appetite, sleep), infxs, neuro, HEENT, CVS, pulm, GI, renal, GU, Heme, Skin, Musculo | ||||
| what ask for A&O part of MMSE | time: yr, season, month, day, date; location: state, county, city, hospital, floor |
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Created by:
ehstephns
on 2011-10-01