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Health Assesment Test 1-ch6
ch6
15
Medical
Professional
09/12/2008

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Cards

Term
General Approach
Definition
-reduce anxiety
-alert patient to your goal and what/how you will be proceeding
-be systematic in your approach
-good lighting
-tailor assessment to developmental status and needs
Term
sequence of exam
Definition
-move from head to toe
-patient: supine position
-examiner:right side: jugular veins on right are more reliable for estimating venous pressure; apical pulse is on the right side; right kidney is more palpable
Term
palpation
Definition
confirms points noted by inspection by using your sense of touch
assesses: texture
temperature
moisture
organ location and size
swelling
vibration or pulsation
rigidity or spasticity
crepitation
presence of lumps or masses
presence of tenderness or pain
-palpate tender areas LAST
"say99"
Term
four techniques
Definition
1. inspection
2. palpation
3. percussion
4. auscultation
order is different in the abdomen-inspect-auscultate-percussion-palpate
Term
inspection
Definition
concentrated watching
always inspect first-general survey, each system
good lighting is essential
Term
Percussion
Definition
-tapping the person's skin with sharp strokes to assess underlying structures
-strokes yield a palpable vibration and a characteristic sound that depicts the location, size, and density of underlying organs
INDIRECT is used more often
Term
percussion notes
Definition
hyperresonnance (abn lungs)
resonance (lung)
tympany (stomach)
dullness (dense organ)
flatness (thigh, bone, tumow)
Term
auscultation
Definition
CONFIRMATION
-listening to sounds produced
-most sounds are soft and need to be channeled via a stethoscope
-stethoscope does not magnify sound but blocks extraneous room sounds
Term
otoscope
Definition
funnels light into ear canal and onto tympanic membrane
base serves as power source
Term
opthalmoscope
Definition
illuminates internal eye structures
enables you to look through the pupil at the fundus of the eye
Term
nasoscope
Definition
double-based metal nasal spectrum
penlight used or light in instrument
used to view lower and middle turbinates and nasal mucosa
Term
skin calipers
Definition
used to assess nutritional status by measuring thickness in mm of subcu fat
Term
vaginal speculum
Definition
used to assess female reproductive system
available in several sizes
Term
goniometer
Definition
a protractor with a movable and a fixed arm (axis))
used to assess joint motion
Term
transilluminator
Definition
battery-operated
consists of opthalmoscope handle and a translluminator head
produces red glow when pressed against a body tissue in a dark room
used to assess sinus contents-air, tissue, fluid
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