Angelica F. Dizon – More Patients, Less Time

Head-To-Toe Approach
Find out how to quickly and precisely conduct a head-To-toe assessment.

• The most comprehensive assessment of the patient is the best.
• Analyze baseline data and determine patient status changes
• Use these tips and tools to make your exam more efficient without missing any key clues
• Assess the situation using proper skills such as inspection, palpation of percussions, and auscultation

Cardiac Exam
It is possible to pinpoint the disease process by knowing the specific murmurs and their location.

• Examination of the mitral and tricuspid, pulmonary and aortic valves
• Skills, sequencing, Auscultation Sites
• A functional murmur is characterized by certain characteristics
• 7-Point classification
• Is a murmur considered pathological?
• There are strategies to detect abnormal cardiac sounds
• First-Hand partner demos: You can practice and learn from the examples

Respiratory Examination
To narrow down your diagnosis, you will need to identify the different sounds of your breath and where they are located.

• A physical examination of the respiratory tract – important points of normal anatomy to keep in mind
• Lung sounds and identification of normal, abnormal, decreased, or absent breath
• Assessment and techniques for Tactile Fremitus.
• What you hear and what you should expect:
  • Bronchial, Broncho-Vesicular, Vesicular Sounds of Breath
  • Egophony, Bronchophony and Whispered Pctoriloquy
  • Absent Breath Sounds, Death Rattle
• Learn the adventitious sounds of Crackles, Rhonchis, Stridor, Wheezes, and how to use them
• What Lung Sounds to Expect in Different Disease States
• First-hand partner demos: Practice with sounds — listen, assess, and learn

Neurological Examination
The 6-In less time, you can get part of a Neuro Exam.

• The 6-Parts of a thorough Neurological Exam
• The ABCT Components for Mental Status
• Confusion Assessment Method Instrument (CAM) Key points and clues. What can be diagnosed?
• Analyze the normal and abnormal findings of altered mental status, cerebellar functions, motor, sensory, cerebellar function, reflexes to make an accurate and efficient assessment.
• What to look for in a physical examination?
• First-Demonstrations with hand partners: Use case studies to practice and get a proper assessment
  • Key clues you can’t miss
  • Risk factors, readings, subjective, and objective data
  • Plan of care

• Pituitary disorders
• Hypoglycemia
• Free radicals — essential in health, deadly in disease
• Diabetic ketoacidosis
• Apoptosis
• Dysfunction of adrenal gland
• Addison’s disease
• Jaundice
• The implications of hormones
• Thyroid disorders: Mechanism of onset and treatment

Heart and Renal Diseases

• Starling’s Law – normal capillary flow
• Heart failure
• Hypertension and cardiac disease are closely related
• Unraveling hypertension
• Conceptual basis for cardiogenic shock
• Atherosclerosis – The role of inflammation
• Anaphylaxis
• Acid-base disorders

Respiratory problems

• Exacerbations due to chronic obstructive-pulmonary disease
• Obstructive lung disease that impairs the mechanics of lung breathing
• Sudden death in asthma
• Acute lung failure/ARDS
• Arterial blood gases made simple

Shock

• All types of shocks share common mechanisms
• The crucial role of mediators in shock
• Newer therapies that are based on current pathophysiological knowledge
• End points of resuscitation
• Is this a shock?

The Immune System

• Inflammation – Acute Phase Response
• Systemic inflammation response
• Infection – Part of a larger picture
• Multiple organ dysfunction syndrome
• Stress response
• Autoimmune diseases