MindMap Gallery Medicine - Health Assessment Physical Examination
Medical chest and lung examination mind map, including chest surface signs, inspection, palpation, , percussion, Auscultation, etc.
Edited at 2023-12-12 14:48:25This flowchart outlines a Monthly Internal Control Testing Execution Plan, detailing a structured approach to internal control walkthrough testing, deficiency tracking, and closure. The process is divided into six key stages. "Testing Plan Development" involves determining this month's testing scope, selecting key control processes, and assigning testing personnel responsibilities. "Walkthrough Testing Execution" focuses on executing full-process walkthrough testing, verifying key control point effectiveness, and collecting testing process evidence. "Deficiency Identification and Recording" includes identifying internal control deficiencies, grading deficiencies by severity, and documenting deficiency details. "Deficiency Remediation Tracking" assigns deficiency remediation owners, develops specific corrective actions, and monitors remediation progress. "Remediation Effectiveness Verification" involves retesting remediated items, evaluating remediation effectiveness, and confirming deficiency closure. Finally, "Monthly Summary Report" summarizes monthly testing results, analyzes internal control root causes, and proposes continuous improvement suggestions. This plan ensures comprehensive and systematic internal control testing and improvement.
This flowchart presents a Weekly Audit Working Paper Organization and Review Plan, detailing a systematic approach to managing audit working papers through collection, review, cross-review, issue rectification, archiving, and reporting. The process begins with "Working Paper Collection and Organization," which involves collecting weekly audit working papers, categorizing them by project, and indexing and creating an archiving directory. Next, "Working Paper Content Review" focuses on checking the completeness of paper content, verifying data accuracy, and confirming format compliance. "Cross-Review Execution" arranges cross-reviews among auditors, marks identified issues and deficiencies, and provides improvement suggestions feedback. "Issue Rectification Implementation" confirms identified review issues, develops a corrective action plan, and tracks rectification completion status. "Working Paper Archiving Management" formally archives working papers, updates the archiving directory index, and sets access permission controls. Finally, "Weekly Summary Report" prepares a weekly work summary, analyzes root causes of issues, and proposes next week's improvements. This structured plan ensures efficient and effective management of audit working papers.
This infographic outlines a structured plan for external audit coordination weekly meetings and data submission. It is divided into four key stages to ensure smooth audit progress. Pre-meeting Preparation: Involves notifying participants by sending calendar invites and confirming attendees from the audit team. It includes preparing a pre-review package by collecting pending issues from the last week and updating data request status. Logistics such as booking the meeting room/video link and assigning a minute-taker are also arranged. Meeting Agenda: Focuses on progress sync through audit team highlights for the week and internal team reports on submission rates. Issue discussion covers clarifying ambiguous data requests and coordinating cross-departmental resources. Risk identification flags items at risk of delay and assesses their impact on the audit opinion. Next steps confirm deadlines for the coming week and assign ad-hoc requests. Data Submission Management: Manages data inventory with a list categorized by audit area and owners assigned for each item. Timeline details initial response times and final submission deadlines. Quality & format considerations include file naming conventions and data anonymization rules. Status tracking monitors in-progress, pending review, and completed items, with a status table updated weekly. Post-meeting Follow-up: Includes distributing meeting minutes with decisions and action items, confirming the next meeting time. Action item tracking updates the action plan tracker and sends reminders. Escalation reports major blockers to management and requests additional support if needed.
This flowchart outlines a Monthly Internal Control Testing Execution Plan, detailing a structured approach to internal control walkthrough testing, deficiency tracking, and closure. The process is divided into six key stages. "Testing Plan Development" involves determining this month's testing scope, selecting key control processes, and assigning testing personnel responsibilities. "Walkthrough Testing Execution" focuses on executing full-process walkthrough testing, verifying key control point effectiveness, and collecting testing process evidence. "Deficiency Identification and Recording" includes identifying internal control deficiencies, grading deficiencies by severity, and documenting deficiency details. "Deficiency Remediation Tracking" assigns deficiency remediation owners, develops specific corrective actions, and monitors remediation progress. "Remediation Effectiveness Verification" involves retesting remediated items, evaluating remediation effectiveness, and confirming deficiency closure. Finally, "Monthly Summary Report" summarizes monthly testing results, analyzes internal control root causes, and proposes continuous improvement suggestions. This plan ensures comprehensive and systematic internal control testing and improvement.
This flowchart presents a Weekly Audit Working Paper Organization and Review Plan, detailing a systematic approach to managing audit working papers through collection, review, cross-review, issue rectification, archiving, and reporting. The process begins with "Working Paper Collection and Organization," which involves collecting weekly audit working papers, categorizing them by project, and indexing and creating an archiving directory. Next, "Working Paper Content Review" focuses on checking the completeness of paper content, verifying data accuracy, and confirming format compliance. "Cross-Review Execution" arranges cross-reviews among auditors, marks identified issues and deficiencies, and provides improvement suggestions feedback. "Issue Rectification Implementation" confirms identified review issues, develops a corrective action plan, and tracks rectification completion status. "Working Paper Archiving Management" formally archives working papers, updates the archiving directory index, and sets access permission controls. Finally, "Weekly Summary Report" prepares a weekly work summary, analyzes root causes of issues, and proposes next week's improvements. This structured plan ensures efficient and effective management of audit working papers.
This infographic outlines a structured plan for external audit coordination weekly meetings and data submission. It is divided into four key stages to ensure smooth audit progress. Pre-meeting Preparation: Involves notifying participants by sending calendar invites and confirming attendees from the audit team. It includes preparing a pre-review package by collecting pending issues from the last week and updating data request status. Logistics such as booking the meeting room/video link and assigning a minute-taker are also arranged. Meeting Agenda: Focuses on progress sync through audit team highlights for the week and internal team reports on submission rates. Issue discussion covers clarifying ambiguous data requests and coordinating cross-departmental resources. Risk identification flags items at risk of delay and assesses their impact on the audit opinion. Next steps confirm deadlines for the coming week and assign ad-hoc requests. Data Submission Management: Manages data inventory with a list categorized by audit area and owners assigned for each item. Timeline details initial response times and final submission deadlines. Quality & format considerations include file naming conventions and data anonymization rules. Status tracking monitors in-progress, pending review, and completed items, with a status table updated weekly. Post-meeting Follow-up: Includes distributing meeting minutes with decisions and action items, confirming the next meeting time. Action item tracking updates the action plan tracker and sends reminders. Escalation reports major blockers to management and requests additional support if needed.
Thoracic and lung examination
body surface markings on chest
Bone sign (triangle)
sternal angle
2nd costal cartilage
tracheal bifurcation
The upper edge of the atrium, the junction of the upper and lower mediastinum
5th thoracic vertebra
upper abdominal corner
>90°, super force type
=90°, positive force type
<90°, powerless type
costovertebral angle
kidney area
Natural pits and anatomical areas (four pits and three areas)
suprasternal fossa
supraclavicular fossa
subclavian fossa
armpit
suprascapular region
subscapular area
interscapular area
Manual marking (nine lines)
front center line
posterior midline
midclavicular line
scapular line
sternal line
parasternal line
anterior axillary line
Midaxillary line
posterior axillary line
Inspection
Thoracic Shape
flat chest
barrel chest
Emphysema
Rickets chest
chicken breast
pectus excavatum
Thoracic changes caused by spinal deformity
Osteoporosis
chest wall
vein
Superior vena cava: from top to bottom
Inferior vena cava: from bottom to top
intercostal space
respiratory movements
adult male, child
abdominal breathing
adult women
chest breathing
changes in breathing movements
Difficulty breathing
Breathing rate, depth
Tachypnea
>20 times/min
bradypnea
<12 times/min
Breathing shallowly and quickly
pneumonia
Breathe deeply
diabetic ketoacidosis
respiratory rhythm
tidal breathing
pause in breathing
suppressed breathing
Sighing breathing
palpation
Thoracic expansion
chest wall tenderness
normal
No tenderness
Tenderness/percussion pain
leukemia
subcutaneous emphysema
tactile tremor
Enhance
Consolidation of lung tissue
weaken
Too much air content
Pleural friction sensation
normal
No friction
early pleurisy
Disappears when pleural effusion occurs
percussion
Percussion method
percussion sound
normal percussion sounds
normal lungs
unvoiced
Below left axillary line
Drumming (gastric bubbles)
Right armpit
Slightly turbid (liver)
Abnormal percussion sounds
bronchial breath sounds
Strong sound and high pitch, "ha" sound
voiced/solid
Reduced gas content
Space-occupying lesions: tumors
Too unvoiced
Emphysema
Drum sound
pneumothorax
cavitary tuberculosis
Percussion of lung boundary
upper boundary of lung
Lung apex width: 4~6cm
anterior border of lung
Parasternal line 4th to 6th intercostal space
lower boundary of lung
Convert voiceless sounds to voiced sounds
Lower lung boundary movement range
Take a deep breath: lowest point
Deep exhale: highest point
Normal: 6~8cm
auscultation
normal breath sounds
Alveolar breath sounds
Inhale: strong sound, high pitch, long duration
Exhalation: weak sound, low pitch, short duration
bronchoalveolar breath sounds
mixed breath sounds
abnormal breath sounds
Abnormal alveolar breath sounds
weaken/disappear
Enhance
rough breath sounds
Abnormal bronchial breath sounds
Consolidation of lung tissue
large cavities in lungs
Compressive atelectasis
Abnormal bronchoalveolar breath sounds
rales
moist rales
Features
Terminal inhalation, short intermittent, constant position
Classification
Big water bubble sound
medium water bubbles
small bubble sound
Crepitus
clinical significance
Local: bronchiectasis, pneumonia, tuberculosis
Both lung bases: left heart failure, bronchopneumonia
Bilateral lungs: acute pulmonary edema, bronchopneumonia
Dry rales
Low-key dry rales
high pitched rales
Voice resonance
left and right comparison
pleural friction rub
Obvious at the beginning of exhalation