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Clinical Exam Ch. 24
LECOM OMS1
18
Medical
Professional
09/23/2011

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Cards

Term
What can limit accuracy in a patients report?
Definition
Sensory deprivation, Emotional constraints, Language barriers, Cultural barriers, Unresponsive/comatose patient
Term
What are the goals of the examination sequence?
Definition
Process flows smoothly, minimizes the number of times that the patient has to change positions, and conserves patient energy
Term
True or false: general inspection of a patient can begin in the waiting room.
Definition
True
Term
Where do you palpate the liver boarder?
Definition
Right costal margin
Term
Where do you palpate the spleen?
Definition
Left costal margin
Term
Where do you palpate the kidneys?
Definition
Laterally at the flanks
Term
Where do you palpate for aortic pulsation?
Definition
At the midline
Term
What tasks test fine motor function and coordination in the upper extremity?
Definition
Touch nose with alternating index fingers
Rapidly alternate fingers to thumb
Rapidly move index finger b/t the patients nose and the examiners finger
Term
What tasks test fine motor function and coordination in the lower extremity?
Definition
Run heel down tibia of the opposite leg
Alternately and rapidly cross leg over opposite knee
Term
What is the Apgar score and when is it taken?
Definition
Provides insight to the baby's in utero, intrapartum, and immediate postnatal experience. Taken at 1-5 minutes of age
Term
True or false: most babies have blue fingers and toes.
Definition
True. This is why color is the least reliable of Apgar observations
Term
What characteristics lower the Apgar score?
Definition
Depressed heart rate, respiratory difficulty, loss of muscle tone, and decreased reflex
Term
What does the Apgar score NOT address?
Definition
Increased irritability, tachypnea, or tachycardia
Term
What are indicators of gestational age?
Definition
creases on the sole of the foot, breast nodule, presence of cartilage in the helix of the ear, position of testes, rugae. At 36 weeks these things are underdeveloped, by 40 weeks they are more developed
Term
What is the "social smile" in an infant?
Definition
Smile that you know is meant for you, expected to see from 2-3 months of age
Term
What are ADLs?
Definition
Activities of daily living. Commonly assessed in older patients
Term
What are the basic ADLs?
Definition
Bathing, dressing , tolieting, ambulation, feeding
Term
What are instrumental ADLs?
Definition
Housekeeping, grocery shopping, meal preparation, medication compliance, communication skills, money management
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