Angelica F. Dizon – More Patients, Less Time

Head-to-Toe Approach
Learn tips, tricks, and tools to conduct a quick and precise head-to-toe assessment.

• Assess the patient using the most comprehensive approach
• Evaluate baseline and identify patient status changes
• Devise tips and tools to perform a more efficient exam without missing key clues
• Conduct proper assessment skills – inspection, palpation, percussions, auscultation

Cardiac Exam
Knowing the different murmurs, their presentation, sounds and location to accurately pinpoint the disease process.

• Examination of mitral, tricuspid, pulmonary, and aortic
• Auscultation sites, sequencing and skills
• Characteristics of a functional murmur
• 7-point classification
• When does a murmur become pathologic?
• Strategies for detection of abnormal cardiac sounds
• First-hand partner demos: Practice and learn with examples

Respiratory Exam
Identifying the different breath sounds and their locations to narrow down diagnosis

• Physical assessment of the respiratory system – key points of normal anatomy to remember
• Identification of normal, abnormal, decreased or absent breath and lung sounds
• Assessment and techniques of Tactile Fremitus, percussion, lung auscultation
• Interpreting what you are hearing and what you should expect to hear:
  • Bronchial, Broncho-vesicular, Vesicular Breath Sounds
  • Bronchophony, Egophony, Whispered Pectoriloquy
  • Death Rattle, Absent Breath Sounds
• Learning the adventitious sounds like Crackles, Rhonchi, Stridor, Wheezes and what to do with them
• What Lung Sounds to expect in different disease states
• First-hand partner demos: Practice with sounds — listen, assess, and learn

Neurological Exam
Mastering the 6-part components of a Neuro exam in less time.

• Unraveling the 6-Part components of a thorough Neurological Examination
• ABCT Components of Mental Status
• Key points and clues of using Confusion Assessment Method (CAM) Instrument and what can be diagnosed as a result
• Evaluate an efficient and accurate assessment of normal vs. abnormal findings for: altered mental status, cranial nerves, motor, sensory, cerebellar functions, reflexes
• Danger Signs for abnormal findings and how to identify diseases by physical examination
• First-hand partner demos: Practice with case studies and 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
• Adrenal gland dysfunction
• Addison’s disease
• Jaundice
• Implications of hormones
• Thyroid disorders – mechanism of onset affects treatment

Cardiovascular and Renal Problems

• Starling’s Law – normal capillary flow
• Heart failure
• Relationship between cardiac diseases and hypertension
• Unraveling hypertension
• Current concept on cardiogenic shock
• Atherosclerosis – the role of inflammation
• Anaphylaxis
• Acid-base disorders

Respiratory Problems

• Chronic obstructive pulmonary disease exacerbations
• Obstructive lung diseases affecting the mechanics of lung ventilation
• Sudden death in asthma
• Acute lung failure/ARDS
• Arterial blood gases made simple

Shock

• Common mechanisms of all types of shock
• The cardinal role of mediators in shock
• Newer therapies based on current pathophysiological understanding
• End points of resuscitation
• What type of shock is this?

The Immune System

• Inflammation – acute phase response
• Systemic inflammatory response
• Infection – part of a bigger picture
• Multiple organ dysfunction syndrome
• Stress reaction
• Autoimmune diseases