Term
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Definition
Under ribs of ULQ
Only palpable if enlarged
bend knees to relax |
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Term
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Definition
LRQ
McBurney's Point-2" from ASIS on line drawn from umbilicus
bend knees to relax |
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Term
| Borders of Abdominal Quadrants |
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Definition
| intersection of quadrants is at mid-epigastric (directly above umbilicus) |
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Term
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Definition
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Term
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Definition
Stomach
Spleen (behind stomach)
Pancreas (behind stomach along peritoneal wall in center of abdomen right below zyphoid process) |
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Term
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Definition
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Term
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Definition
| Descending and sigmoid colon |
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Term
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Definition
over air-filled viscera
Hollow-gallbladder, stomach, sm intestine, lg intestine, appendix |
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Term
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Definition
over solid organs adjacent to air filled structures
liver, spleen pancrease |
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Term
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Definition
| 2nd Intercostal space, R sternal border |
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Term
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Definition
| 2nd and 3rd intercostal space, L sternal border |
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Term
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Definition
| 4th intercostal space, L lower sternal border |
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Term
| Mitral (bicuspid) Auscultation |
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Definition
| 5th intercostal space, just inside midclavicular line. |
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Term
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Definition
| Coarse, loud, high pitched, predominately expiratory |
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Term
| Normal Bronchovesicular sounds |
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Definition
combination of bronchial and vesicular, normal in some areas
medium pitch/moderate intensity; inspiratory and expiratory; air moving through medium sized airways like the main stem bronchi |
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Term
|
Definition
low pitched, breezy
mostly inspiratory
air moving through smaller main stem bronchi |
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Term
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Definition
Pneumonia
sounds like strands of hair being rubbed together or balloons being rubbed together
brief and discontinuous |
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Term
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Definition
obstructed airway disease i.e. asthma
more produced during expiration
high pitched and continuous |
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Term
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Definition
obstruction
lower pitched than wheezing and continuous
run |
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Term
| Auscultation of Bowel Sounds |
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Definition
**Always do this before palpation and only need to hear in one quadrant
Normal: clicks/gurgling
Abnormal: high-pitched tinkling; rushing water; absent (after 5 min. listening) |
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Term
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Definition
pt. supine on table
Knee extended examiner passively DF pt's foot
(+) production of pain in calf (DVT)
(-) calf stretch, no pain |
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Term
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Definition
CN III: superior/inferior rectus, inferior oblique, medial rectus
CN IV: superior oblique
CN VI: lateral rectus |
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Term
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Definition
normal lighting-equal in size? round?
have pt look at distant target (relaxes iris)
Penlight-PEARL, shine light from below
shine light in one eye make sure they both constrict
afferent papilarry response-swinging from normal to injured constrict with each swing
abnormal if don't get proper response or not equal and round |
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Term
|
Definition
palpate around orbital fossa for blowout fx
palpate other facial features around eye |
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Term
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Definition
turn on light and darken room
ophthalmoscope held firmly against bony orbit (left hand, examiner's left eye, pt's left eye)
pt instructed to look up above ATs shoulder
begin farther away and get closer(approach from lateral side)
avoid shining light directly into pt's eye
turn to focus
observe optic disc, arteries, veins and retina |
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Term
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Definition
Use to detect abrasion with blue light
wet tip of strip with saline, lightly touch to eye surface
use blue light to check for defect (will appear green) |
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Term
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Definition
pull pinna back and up (straightens canal)
insert only as deep as you need to get a good view
protect against movement by resting hand holding otoscope against cheek |
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Term
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Definition
otitis externa-swimmer's ear
otitis media
tympanic membrane perforation
surfer's eary-bony exostoses |
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Term
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Definition
| use dull/sharp edge of tongue depressor |
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Term
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Definition
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Term
| Upper motor neuron lesion |
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Definition
refers to brain and spinal cord
injury with damage causes: weakness, increased muscle tone and spasticity
hyperactive deep tendon reflexes, clonus |
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Term
| Lower motor neuron lesion |
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Definition
refer to peripheral nerves
injury with damage causes: weakness, decreased muscle tone and flaccidity, decreased deep tendon reflexes, muscle atropy |
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Term
| Adequate Arterial Circulation UE |
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Definition
palpate UE pulses (carotid/radial)
temp. and color of UE
capillary refill in fingernails |
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Term
| Adequate Arterial Circulation LE |
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Definition
Palpate UE pulses (femoral, popliteal, dorsalis pedis, posterior tibial)
temp and color of LE
capillary refill in toes
inspect and palpate for dependent pitting edema
inspect for varicosities and signs of venous insufficiency v. aterial insufficiency |
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