Term
| Five things to look at when you inspect? |
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Definition
Color
Symmetry
Size
Shape
Texture
Position |
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Term
| What part of fingers do you palpate with, test temperature, vibration? |
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Definition
| fingertips, dosum of fingers, palm or ulnar edge of hand |
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Term
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Definition
| Plush fluid filled tissues towards palpating hand so objects floats against fingertips |
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Term
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Definition
| inspect, palpate, percuss, osculate |
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Term
| order of assessment on abdomen? |
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Definition
| Inspect, osculate, percuss, palpate, |
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Term
|
Definition
Resonance- found with air filled tissue. Moderate to loud sound moderate duration (lungs)
Hyper resonance- Loud sound, longer duration, found with overinflated air-filled tissue (emphysema lungs)
Tympany- Loud, high pitched, long duration, found with enclosed air filled structures (bowel)
Dull - muffled soft, short duration, found with dense fluid filled tissue (liver)
Flat- soft, high pitched sound, very dense tissue (bones and muscles) |
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Term
Respiratory rate for each agegroup:
Newborn
1-4
5-12
adults |
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Definition
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Term
Normal Pulse ranges
newborns
1-4
5-12
adults |
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Definition
120-160
80-140
70-115
60-100 |
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Term
Normal Blood Pressure
newborns
1-4
5-12
adult |
|
Definition
65/41
90-99/60/65
110/110 - 56/60
<120/80 |
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Term
| Cheyne- Stokes Respirations |
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Definition
| periodic breathing characterized by rhythmic waxing and waning of the depth of respirations |
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Term
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Definition
| abnormally deep breathing |
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Term
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Definition
| abnormally rapid, deep breathing. You are giving off more CO2 so you cause alkalosis in your body because of a reduction in CO2 |
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Term
|
Definition
| reduced breathing - causes buildup of CO2 - causing respiratory acidosis |
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Term
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Definition
| (air hunger) marked increase in depth and rate |
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Term
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Definition
| inability yo breathe expect when trunk is in an upright position. |
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Term
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Definition
| portion of a lung deflates during inspiration. (this is opposite of normal) |
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Term
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Definition
| rate, depth or tidal volume changes markedly from one interval to the next. |
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Term
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Definition
| skin appears blue because of accumulation of un-oxygenated hemoglobin in the blood. |
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Term
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Definition
| high pitched sound associated with airway obstruction near the larynx |
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Term
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Definition
| Difference between systolic and diastolic readings. normally 30-40mmHg. |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| drooping of upper eyelids |
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Term
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Definition
| abnormal, involuntary, rapid eye movement |
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Term
|
Definition
| involuntary drifting of one eye out of alignment (lazy eye) |
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Term
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Definition
| test for visual acuity, normal is 20/20 |
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Term
| What do you do when assessing the ears in adults? |
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Definition
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Term
| When assessing the ears in infants |
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Definition
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Term
| Tympanic Membrane where is cone of light in each ear? |
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Definition
| cone of light at 5 oclock position right ear and 7 oclock position in left ear |
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Term
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Definition
| assesses bone conduction - place vibrating tuning fork in middle of forehead- make sure sound equally in ears |
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Term
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Definition
| Compares bone conduction with air conduction - vibrating tuning fork placed on mastoid process. air conduction should be greater than bone conduction by 2:1 ratio. if yes, it's positive |
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Term
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Definition
| vibration produced when client articulates "99" |
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Term
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Definition
| Assesses degree and symmetry of diaphragm movement. Percuss areas of resonance to dullness |
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Term
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Definition
| crackling or gurgling sounds commonly heard on inspiration. |
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Term
| Sonorous Wheeze (rhonchi) |
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Definition
| musical sounds or vibrations commonly heard on expiration |
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Term
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Definition
| Squeaky sounds heard during inspiration and expiration associated with narrowed airways |
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Term
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Definition
| Grating sound or vibration heard during inspiration and expiration. |
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Term
| Three Parts of normal breathing and where they are heard? |
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Definition
Vesicular - soft and low pitch sounds heard over peripheral lung
Bronchovesicular- medium pitched heard over mainstream bronchi
Bronchial- loud, sound heard over the trachea. |
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Term
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Definition
| When you are ascultating a persons lungs, "99" should become softer as you move to the peripheries. This is when it doesn't become softer. Could be from phenomia, from solidification around the bronchi- fluid in the alveoli |
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Term
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Definition
| When asculating lungs, patient is asked to say letter "e" but when listening this sounds more like the letter "a" This shows the patient might have phenomia. |
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Term
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Definition
| When ascultating p/t's lungs, when patient whispers it sounds louder due to consolidation of lung tissue (phenomia) |
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Term
|
Definition
| Right second intercostal space |
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Term
|
Definition
| left second intercostal space |
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Term
| Where is erbs point heard? |
|
Definition
| Third intercostal space and left of sternum |
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Term
|
Definition
| fourth or fifth intercostal space at lower left of sternal boarder |
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Term
|
Definition
| Fifth intercostal space, at left mid-clavicular line (apex of heart) |
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Term
| Point of Maximal Impulse (PMI) |
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Definition
| impulse of left ventricle felt most strongly. |
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Term
|
Definition
| lubb- beginning of ventricular systole, when tricuspid and mitral valve close |
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Term
|
Definition
| Dubb- close of aortic and pulmonic claces. onset of diastole, relation of atria then ventricles, |
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Term
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Definition
| turbulance within a heart valve. |
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Term
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Definition
| turbulance within a blood vessel |
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Term
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Definition
| Difference between apical and radial pulse |
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Term
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Definition
| Breast enlargement in men |
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Term
| What four arteries are osculated with the bell of the stethoscope? |
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Definition
| Aortic, renal iliac, femoral |
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Term
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Definition
| Inflammation of peritoneum |
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Term
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Definition
| assess sensory and motor pathways. always compare bilaterally, 0 =absent 4 =hyperactive |
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Term
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Definition
| meatus located on underside of penile shaft |
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Term
|
Definition
| meaturs localed on upper side of penile shaft. |
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Term
|
Definition
| Protrusion of rectal mucous membrane through anus |
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Term
|
Definition
| making up answers unrelated to facts |
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Term
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Definition
| involuntary repetition of words spoken by another person |
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Term
| When to use diaphragm vs. Bell |
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Definition
Diaphragm is high frequency
Bell is low pitched |
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