Cardio

• ‘Mentions 2’ ⇒ End of Bed (anaemia, ECG leads), Hands (janeway lesions, osler nodes), Eyes (xanthelasma, corneal arcus, malar flush)

Respiratory

• ‘Mentions 2’ ⇒ End of Bed (accessory muscle usage, medical paraphernalia), Hands (clubbing, tar staining, tremor), Eyes (horner’s syndrome, conjunctival pallor)
• Neck = JVP → Trachea → Cricosternal Distance
• Auscultating → breath in and out through your mouth
• Auscultation + Percussion = 3 levels and axilla anteriorly, 4 levels posteriorly

Abdominal

• ‘Mentions 2’ ⇒ End of Bed (anaemia, jaundice, medical paraphernalia), Hands and Arms (leukonychia, koilonychia), Mouth (apthous ulcers, stomatitis, glossitis), Chest (spider naevi, gynaecomastia), Abdomen (scars, distension)
• Ask patient to cough
• Ask about tattoos or bruising
• Offer blood pressure in both arms, lying and standing (do for cardio, resp, abdo)
• Inspect arms
• Neck = JVP + Virchow’s Node (full lymph node exam)
• Percuss for shifting dullness (percuss away, roll towards)
  • Palpate (light, deep, liver, spleen, kidneys, bladder, aorta) → Percussion (liver, spleen, shifting dullness) → Auscultation (bowel sounds, bruits)

Neuro (Upper Limb)

• If can’t elicit reflex first time → ask patient to clench their teeth