15. Secondary Assessment Flashcards
History of the present illness or injury (HPI)
Information gathered regarding the symptoms and nature of the patient’s current concern; the events and or mechanism leading up to the current problem.
Past medical history (PMH)
Information gathered regarding the patients health problems in the past.
Detailed Physical Exam
An assessment of the Head, Neck, Chest, Abdomen, Pelvis, Extremities, and Posterior of the body to detect sign and symptoms of injury.
- It Differs from the Rapid Trauma Assessment only in that it also includes examination of the face, ears, eyes, nose, and mouth during the examination of the head.
Distention
A condition of being stretched, inflated, or larger than normal.
Medical Patient
A patient with one or more medical diseases or conditions.
Priapism
Persistent erection of the penis that may result from spinal injury and some medical problems.
Rapid Trauma Assessment
A rapid assessment of the heck, neck, chest, abdomen, pelvis, extremities, and posterior of the body to detect signs and symptoms of injury
Sign
something regarding the patients condition that you CAN SEE.
Symptom
Something regarding the patients condition that the PATIENT TELLS YOU.
trauma patient
a patient suffering from one or more physical injuries
Reassessment
A procedure for detecting changes In the patient’s condition. Four Steps:
1. repeating the primary assessment
2. Repeating and Recording Vital Signs
3. Repeating the physical exam
4. Checking interventions
Paradoxical
Movement of a part of the chest in the opposite direction to the rest of the chest during respiration.
Stoma
A surgically created permanent opening into the body, as with tracheostomy, colostomy, or ileostomy
Tracheostomy
A surgical incision through the neck into the trachea held open by a metal or plastic tube.
