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Step2CS 2

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
Created by: ehstephns



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