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Sinclair Paramedic 2105 > 2- Advanced Assessment > Flashcards

2- Advanced Assessment Flashcards

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1
Q

What to look for with General Appearance (10)

A
  • Hygiene
  • Posture/Walking
  • Facial expression
  • Facial Appearance
  • Speech
  • Skin color
  • Eye contact
  • Estimated weight
  • Work of breathing
  • BO/breath odors
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2
Q

Brain Function (4)

A
  • Thought process
  • Thought content
  • Speech
  • Affect (Mood)
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3
Q

How to test memory

A

-List of random words, recheck randomly

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4
Q

2 signs of Basilar skull fracture

A
  • Battles sign
    • Mastoid ecchymosis
  • Racoons eyes
    • Periorbital ecchymosis
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5
Q

What to assess with the eyes (4)

A
  • Examine sclera and conjunctiva
    • Jaundice, Injection (Blood shot eyes)
  • Palpate orbital bones
    • Stability

-Check temporal pulse

  • Pupils
    • PERRLA
    • Nystagmus (Fluttering of the eye)
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6
Q

What to assess with the nose (2)

A
  • Septum and obstructions

- Deformity, air movement

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7
Q

What to assess with the ears (2)

A
  • Drainage

- Hearing

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8
Q

What to assess with the mouth (5)

A
  • Opens mouth willingly
  • Jaw tension
  • Mucosa color
  • Moisture
  • Upper airway potency
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9
Q

What to assess with the neck (4)

A
  • JVD
  • Trachea midline
  • ROM
  • Symmetry
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10
Q

What to assess with the heart (4)

A
  • Inspection
  • Palpation
  • Auscultation
  • Percussion
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11
Q

Cardiac inspection-Head (2)

A
  • Diaphoresis

- Cyanosis

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12
Q

Cardiac inspection-Chest

A
  • Differential Cyanosis (Abdominal=AAA)

- Scars, pace makers

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13
Q

Cardiac inspection-Hands

A
  • Peripheral cyanosis
  • Splinter hemorrhage
  • Clubbing
  • Oslers nodes/lesions
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14
Q

Cardiac palpation (3)

A
  • 5th cis, midvascular
  • Carotid artery
  • Peripheral pulses
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15
Q

Bruit

A

-Fluid sloshes back in the vein

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16
Q

Define Pulsus Alternans

A

-Alternating strong and weak pulses

(Severe ventricular failure)

17
Q

Define Pulsus Paradoxus and what it can indicate (3)

A

-Decrease in BP greater than 10mmHg during inspiration

  • Tamponade
  • Pericarditis
  • Severe lung disease
18
Q

Define Homans sign

A

-Deep vein thrombosis

19
Q

Respiratory Assessment- Inspection (5)

A
  • Breathing problem
  • Cyanosis
  • Accessory muscle use
  • Nasal flaring
  • Pursed lip breathing (expiration)
20
Q

What is a sign of Kussmaul respiration’s and what is it

A
  • DKA

- Quick deep breaths

21
Q

How to assess Respiration-Chest (3)

A
  • Pectus carinatum
  • Pectus excavatum
  • Barrel chest
22
Q

What is Tactile Fremitus

A

-“99” as you feel the back for vibration

23
Q

Order of dense material in the lungs from least to most

A
  • Air
  • Fluid
  • Mucous
  • Pus
24
Q

Greys-Turners Sign

A

-Internal bleeding located on the flanks of the abdomen

25
Q

Cullens sign

A

-Above the umbilicus indicative of ectopic pregnancy

26
Q

Murphys sign

A

-Curl fingers under ribs and inhale to indicate gal bladder and liver inflammation

27
Q

Psoas sign

A

-Flex right hip up with resistance, indicates acute appendicitis

28
Q

Rovsings sign

A

Rebound tenderness in RLQ, acute appendicitis

29
Q

Kehrs sign

A

-Referred pain in left shoulder with recent trauma

30
Q

Levels of pitting edema (#+)

A
  • 0+-No edema
  • 1+-Slight
  • 2+-Mild
  • 3+-Moderate
  • 4+-Sever
31
Q

Discharge and indication- Hematochezia

A
  • Separate blood and feces

- Lower GI bleed

32
Q

Discharge and indication- Melena

A
  • Mixture of blood and feces

- GI bleed

33
Q

Discharge and indication- Hematemesis

A
  • Blood in vomit

- Ulcers, esophageal varacies

34
Q

Discharge and indication- Coffee-grounds

A
  • Mix of blood in vomit, dark brown around lips

- GI bleed

35
Q

Discharge and indication- Hematuria

A
  • Blood in urine, orangish in color

- Kidney damage

36
Q

Discharge and indication- Purulent discharge

A
  • Pus discharge

- Infection

Sinclair Paramedic 2105 (9 decks)

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