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COMPREHENSIVE IHUMAN CASE STUDY:
62 - YEAR-OLD MALE WITH “I’M PEEING
ALL THE TIME” (CLASS 6550) | WEEK 10
FULL ANALYSIS WITH ALL SECTIONS |
2025 EDITION FOR GUARANTEED
SUCCESS
1: Physical Exam: #1 General Survey: Documentation should contain a statement regarding the patient's age, race, sex, orientation to time, place, person; overall appearance, whether or not they are in distress; the examiner's opinion regarding the patient's cognitive and emotional status. 1: Physical Exam: #2 General appearance, skin, hands, fingernails, toenails, color and pigmentation, temperature, moisture, texture and turgor are deliberately examined. 1: Physical Exam: #3 Upper and lower extremities are deliberately palpated bilaterally using the dorsum of the hand. 2: Head and Face: #1 Entire head, scalp and hair inspected. Hair should be separated in at least three areas to assess scalp. Entire head is deliberately palpated. 2: Head and Face: #2 Palpate temporal arteries bilaterally
2: Head and Face: #3 Maxillary and frontal sinuses are palpated (2pts) 2: Head and Face: #4 Cranial nerve V (CN V) Palpate temporal and masseter muscles while patient clenches teeth. 2: Head and Face: #5 Palpate temporomandibular joint while patient opens/closes mouth 2: Head and Face: #6 CN V Observe and palpate temporomandibular joint while patient
- opening and closing jaw widely
- moving side to side
- sticking jaw out all maneuversWith and Without against resistance of examiner's hand (3pts) 2: Head and Face: #7 CN V Test for light touch on face with wisp of cotton, comparing sides. Eyes should be closed. May do during neuro part of exam. 2: Head and Face: #8 Cranial Nerve VII (CN VII) Observe presence and symmetry of patient's facial muscle movements (7pts) ☐Close Eyes ☐Open Eyes Against Resistance ☐Frown ☐Lift Eye Brows ☐Puff Out Cheeks ☐Show Teeth ☐Smile
3: Eyes: #6 Extraocular muscles (EOM) (CN III, IV, VI) Six Cardinal Fields of Gaze 3: Eyes: #7 Fundi (CN II) is inspected using ophthalmoscope (5pts) Examiner using correct eye/providing appropriate directions to the patient Yes/No Lights off Yes/No Examiner ☐Right Eye (Right Hand)/ No ☐Left Eye (Left Hand)/ No Students speak aloud EXPECTED observations ☐Red Reflex ☐Vessels ☐Retinal Background ☐Disc ☐Macula No credit if tuning fork is banged on table/window sill!! 4: Ears: #4 Ears deliberately inspected and palpated ☐Right Ear ☐Left Ear
4: Ears: #5 Ear canals and tympanic membranes are examined using otoscope in an appropriate manner. Is the speculum on the instrument?☐Right Ear ☐Left Ear Pull ear up and back for ADULT 5: Nose: #1 Inspect nose using light and speculum of an otoscope? Speak aloud observation ☐Nasal Mucosa ☐Nasal Septum ☐Turbinates (3pts) 5: Nose: #2 Patency of Nostrils is assessed with Sniff Test. 6: Mouth and Throat: #1 Inspect oral cavity using tongue blade and light source. Use gauze and tongue blade to observe and inspect. Speak aloud observation. (5pts) ☐Lips ☐Buccal mucosa/lift up tongue ☐Teeth ☐Gums ☐Hard/Soft palate ☐ Occipital Is percussion performed correctly? ☐Yes ☐No
9: Anterior Thorax (Pulmonary): #5 Pulses are palpated bil. with patient lying flat (6pts) ☐ Brachial ☐ Radial ☐ Femoral ☐ Popliteal ☐ Posterior Tibial ☐ Dorsalis pedal Did student use skin-to-skin technique? ☐Yes ☐No 9: Anterior Thorax (Pulmonary): #6 Edema estimated in bilateral lower extremities using firm palpation 10: Abdomen: #1 Entire abdomen is deliberately inspected using light. Student to speak aloud areas of exam. Note contour, symmetry, skin characteristics, umbilicus, pulsations, hernia 10: Abdomen: #2 Auscultate with the diaphragm of the stethoscope in 4 quadrants (2pts) 10: Abdomen: #3 Vascular sounds assessed with the bell of the stethoscope. Area the locations for auscultation placement correct? (3pts) ☐ Aorta ☐ Renal Arteries - bilaterally ☐ Iliac arteries - bilaterally
10: Abdomen: #4 Entire abdomen is percussed in 9 quadrants. 10: Abdomen: #5 Light palpation of the entire abdomen. 10: Abdomen: #6 Deep palpation of the entire abdomen 10: Abdomen: #7 Liver, spleen, kidneys (bilaterally) are palpated from patient right side 11: Neuro: #1 Rapid alternating movements (2pts) ☐Upper extremity: Finger to nose ☐Lower extremity: Heel to shin 11: Neuro: #2 Sensory - Assess sharp and dull bilaterally with patients eyes closed: (6pts) ☐ Upper arms ☐ Lower arms ☐ Thumb/5th finger ☐ Thighs ☐ Lower leg ☐ Great toe/5th toe 11: Neuro: #3 Sensory-Vibratory 2 fingers of both hands and 2 toes of both feet Use tuning form 128. 11: Neuro: #4 Deep tendon reflexes (6pts) Assess side to side (L/R) ☐ Biceps (C5, 6)
11: Neuro: #10 Palpitation of spine 11: Neuro: #11 Spine ROM - Forward flexion, lateral bending, hyperextension and alignment 11: Neuro: #12 Hip hyperextension - standing; straight leg behind body without arching back ☐ Right ☐ Left
