Lesson 1Exam documentation: describing abnormal findings and communicating significance to supervising clinicianDis section teach precise, objective documentation of abnormal physical findings, use of accepted terminology, organization of exam notes, and clear communication of clinical significance and urgency to supervising clinicians and the care team.
Objective versus subjective exam languageDescribing location, size, and qualityStandard abbreviations and terminologyLinking findings to likely diagnosesFlagging urgent or critical abnormalitiesSBAR and other communication formatsLesson 2Musculoskeletal and rheumatologic screening fi inflammatory causes of fatigueDis section address targeted musculoskeletal and rheumatologic screening in patients wid fatigue, focusing on joint inspection, palpation, range of motion, inflammatory signs, functional assessment, and patterns suggesting systemic rheumatic disease.
Screening history fi inflammatory symptomsJoint inspection and palpation basicsActive and passive range of motionDetecting synovitis and enthesitisFunctional assessment and gait reviewRed flags fi systemic rheumatic diseaseLesson 3Cardiovascular exam: inspection, palpation, heart sounds, JVP, peripheral perfusionDis section focus on a targeted cardiovascular exam, covering inspection, palpation, auscultation of heart sounds, jugular venous pressure, peripheral pulses, edema, and perfusion to identify heart failure, valvular disease, and shock states.
Precordial inspection and palpationAuscultation of S1, S2, and extra soundsMurmur timing, location, and radiationEstimating jugular venous pressurePeripheral pulses, temperature, and colorPeripheral edema and perfusion gradingLesson 4Vital signs interpretation wid attention to orthostasis and feverDis section explain accurate vital sign measurement and interpretation, wid emphasis on orthostatic assessment, fever patterns, and integration of heart rate, blood pressure, respiratory rate, and oxygen saturation into early risk stratification.
Standardized vital sign measurementOrthostatic blood pressure and heart rateFever patterns and diagnostic cluesTachycardia, bradycardia, and pulse qualityRespiratory rate and oxygen saturationVital sign red flags requiring escalationLesson 5Skin and lymphatic exam fi pallor, bruising, rashes, or lymphadenopathyDis section review systematic skin and lymphatic examination to detect pallor, bruising, rashes, and lymphadenopathy, emphasizing pattern recognition, red-flag findings, and correlation wid hematologic, infectious, autoimmune, and malignant disease.
Structured skin inspection head to toeRecognizing clinically significant pallorPatterns of bruising and petechiaeMorphology and distribution of rashesLymph node stations and palpation techniqueRed-flag skin and lymphatic findingsLesson 6Neurologic screening: mental status, cranial nerves, motor strength, reflexes, sensationDis section review a concise neurologic screening exam, including mental status, cranial nerves, motor strength, reflexes, sensation, and coordination, emphasizing detection of focal deficits, symmetry, and indications fi urgent neuroimaging.
Rapid mental status and cognition checkScreening cranial nerve examinationMotor bulk, tone, and strength testingDeep tendon reflexes and pathologic signsLight touch and pinprick sensationCoordination, gait, and Romberg testingLesson 7Abdominal exam fi hepatosplenomegaly and masses linked to systemic diseaseDis section detail focused abdominal examination fi hepatosplenomegaly and masses, including inspection, auscultation, percussion, and palpation techniques, wid emphasis on systemic disease clues and indications fi urgent imaging.
Abdominal inspection and contour assessmentAuscultation fi bowel sounds and bruitsPercussion fi organ size and dullnessPalpation of liver edge and consistencyPalpation of spleen and splenic tipCharacterizing abdominal masses and tendernessLesson 8Focused sleep and airway exam: oropharynx, neck circumference, Mallampati fi sleep apnea riskDis section cover focused airway and sleep-related examination, including oropharyngeal inspection, neck circumference, Mallampati scoring, and craniofacial features dat increase obstructive sleep apnea risk and guide further testing or referral.
Airway-focused history fi sleep symptomsOropharyngeal inspection and tonsil sizeMallampati classification techniqueMeasuring and interpreting neck circumferenceCraniofacial and nasal obstruction findingsWhen to refer fi sleep study evaluationLesson 9Neck and thyroid examination: inspection, palpation fi goiter, nodules, bruitsDis section cover systematic neck and thyroid examination, including inspection fi asymmetry, palpation fi goiter and nodules, assessment fi tenderness and consistency, and auscultation fi bruits suggesting increased vascularity.
Neck inspection fi symmetry and massesMidline and lateral neck palpationThyroid size, contour, and consistencyDetection and description of nodulesThyroid tenderness and compressive signsAuscultation fi thyroid and carotid bruitsLesson 10Pulmonary exam: auscultation fi consolidation, COPD, effusion signsDis section explain pulmonary examination techniques, emphasizing auscultation fi consolidation, COPD, and effusion, along wid inspection, palpation, and percussion to integrate breath sounds wid respiratory distress assessment.
Inspection of work of breathingChest wall expansion and tactile fremitusPercussion fi hyperresonance or dullnessNormal versus abnormal breath soundsCrackles, wheezes, and rhonchi patternsSigns of pleural effusion and consolidation
