Full Course Description
Hands-On Physical Assessment: 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
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
- LIVE 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
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 Petroliloquy
- 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
- LIVE PARTNER DEMOS: Practice with sounds: Listen, assess, and learn
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
- How to identify?
- 7-point classification
- When does a murmur become pathologic?
- Strategies for detection of abnormal cardiac sounds
- LIVE PARTNER DEMOS: Practice and learn with examples
- Assess where and why vesicular, bronchovesicular and bronchial sounds can be normal or abnormal and the significance of the abnormalities.
- Interpret pathophysiology and differential diagnoses for crackles, wheezes, rhonchi and rubs.
- Discuss management of obstructive vs. restrictive lung disease.
- Practice a thorough 6-part neurological exam and document findings.
- Evaluate primary causes of mental status changes and patients most at risk for delirium for quick intervention.
- Distinguish whether abnormal S1 and S2 heart sounds are pathological or benign.
- Determine whether systolic and diastolic murmurs indicate cardiac disease.
Understanding Pathophysiology: Its Direct Impact on Patient Care
- Using clinical examples, explain the statement: “Virtually all human disease is ‘autoimmune’ in nature.”
- Outline an effective method to review options in pharmacologic therapy for any condition.
- Identify the self-destructive spiral of progressive chronic heart failure.
- Explain how the following drugs may abort or reverse the self-destructive spiral of heart failure: beta-blockers, angiotensin converting enzyme (ACE) blockers, angiotensin-receptor blockers (ARBS), aldosterone blockers, synthetic natriuretic proteins.
- Describe why the statin drugs significantly reduce a person’s risk of cardiovascular disease (MI and stroke), regardless of the serum cholesterol level.
- Describe the mechanism underlying death in asthma and identify a way to prevent it.
- Apply the “Three Question Approach” to interpretation of arterial blood gases.
- Breakdown the “common mechanism” for shock, regardless of the initial cause.
Endocrine and Metabolic Problems
- Pituitary disorders
- Free radicals — Essential in health, deadly in disease
- Diabetic ketoacidosis
- Adrenal gland dysfunction
- Addison’s disease
- 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
- Acid-base disorders
- 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
- 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