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Advanced Health Assessment > Advanced Health Assessment Check-Off > Flashcards

Advanced Health Assessment Check-Off Flashcards

1
Q

Patient Instructions & Communications

DO NOT USE MEDICAL JARGON
TIME MANAGEMENT

A 
Wash Hands
Introduce Self  by name and greet PT
Explain prior to exam for each part (system)
Verbally ensure PT comfort during exam
Assist with position changes PRN
Provide Privacy (draping )
Minimal repositioning during exam
Minimize discomfort (instrumentation, exam steps)
Eye Contact with PT frequently
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2
Q

HEENT

Ears

A 
Inspect External Ears
Otoscope Exam
     auditory canals 
      tympanic membrane
Test auditory Acuity
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3
Q

HEENT

Nose

A 
Inspect 
     nasal vault
      septum
Palpate frontal sinus for tenderness
Palpate maxillary sinus for tenderness
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4
Q

HEENT

Mouth

A 
Inspect
      lips, gums
      buccal mucosa
      teeth
Inspect 
      tongue
      posterior pharynx (back of throat)
Inspect 
      floor of mouth  (under tongue)
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5
Q

HEENT

Neck and Thyroid

A 
Inspect
      Anterior Neck for symmetry
Palpate carotid pulses
Auscultate carotid arteries bilaterally
Palpate isthmus of thyroid gland
Palpate lobes of the thyroid gland
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6
Q

Cervical lymph nodes

A 
Preauricular (front of ear)
Post auricular & occipital
Mandibular chain
Sternomastoid chains
Supraclavicular
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7
Q

Abdominal

Use appropriate general exam techniques

A 
Inspect
      symmetry, skin lesion, color
Auscultate bowel sounds
Percuss 
      localized tympany or dullness
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8
Q

Abdominal

A 
Palpate for tenderness 
      light  then deep
  *****obseve pt's face during palpation
Palpate lever edge
Palpate spleen tip
Examine 
      Murphy's sign
      Rebound tenderness
Percuss over costovertebral angle
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9
Q

Lung and Thorax
Use appropriate general exam maneuvers
Correct use of Stethoscope
Listen throughout inspiration and expiration

A

***Instruct pt to take slow deep breaths with open mouth for auscultation.

Auscultate upper anterior chest
Check chest expansion bilaterally
Percuss posterior lungs/ thorax
Auscultate posterior lungs/thorax
Auscultate lateral lung fields
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10
Q

Cardiovascular
Use appropriate general exam maneuvers
Correct use of Stethoscope

A 
Inspect jugular venous pulsation
Palpate Cardiac Apical Impulse
Auscultate 
      Aortic area
      Pulmonic area
      Tricuspid area
      Mitral area
Tricuspid area
 Mitral area
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11
Q

Vascular

Upper extremity

A

Palpate pulses
Radial
Ulnar
Brachial

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12
Q

Vascular

Lower extremities

A 
Palpate pulses
      Femoral
      Popliteal
      Posterior Tibial
      Dorsalis Pedis
Palpate Inguinal lymph nodes bilaterally
Inspect for cyanosis/vascular changes
Examine for leg edema
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13
Q

Eye

A 
Inspect external ocular structures
Check visual acuity
Evaluate extra ocular movement
Check convergence
Test visual fields
Check pupillary response to light
FUNDOSCOPIC EXAM (Retinal)
Identify Macula
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14
Q

Musculoskeletal

Spine

A 
Inspect Spine
      Cervical
      Thoracic
      Lumbar
Percuss over C/T/L/S vertebrae
Test ROM
      Cervical
      Lumbar
Perform Straight Leg Raise
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15
Q

Musculoskeletal

Hips

A

Test hip flexion
Test internal/external rotation
Test Abduction/Adduction

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16
Q

Musculoskeletal

Knees

A 
Test flexion/extension
Palpate
      crepitus
      medial/lateral joint line tenderness
      patellar tenderness
Examine for joint Effusion
17
Q

Musculoskeletal

Shoulders

A

Test ROM

Palpate for crepitus

18
Q

Musculoskeletal

Elbows

A

Test ROM

Palpate medial/lateral epicondial tenderness

19
Q

Musculoskeletal

Wrists

A

Test ROM

Palpate for tenderness

20
Q

Musculoskeletal

Hands

A

Test hand/finger ROM

Palpate finger joints for tenderness

21
Q

Neurological

Motor Strength

A 
TEST
elbow flexion (bicepts, C5-C6)
elbow extension (tricepts, C6-C8)
hand grip (C7-T1)
finger abduction (C8-T1)
hip flexion (illiopsoas, L2-L4)
hip extension (gluteus maximus, S1)
knee flexion (hamstrings, L4-S2)
knee extension (quadricepts, L2-L4)
ankle dorsiflexion (L5)
ankle plantarflexion (S1)
22
Q

Neurological

Motor Reflexes

A 
Test reflexes
bicepts
tricepts
brachioradialis
patellar
Achilles
Plantar Response ( Babinski's)
23
Q

Neurological
Sensory
Proprioception

A

Test position or vibratory sensation i
Distal lower extremity
Distal upper extremity

24
Q

Neurological
Sensory
Pain & Temperature

A

Test pain or temperature sensation
Distal lower extremity
Distal upper extremity

25
Q

Neurological
Sensory
Light Touch

Other

A

Test light touch sensation
Distal lower extremity
Distal upper extremity

Test discriminative sensation

26
Q

Neurological

Coordination

A 
Test
      Finger-to-nose
      Heel-to-Shin
      Rapid alternation movements
Test balance Rhomberg Maneuver
Test for pronator drift
27
Q

Neurological

Gait

A 
Examine 
      Normal gait
      Tandem gait (heel-to-toe)
      Walking on toes
      Walking on heels
28
Q

Neurological

Cranial Nerves

A 
Test Cranial Nerves 
      V sensory function
      V motor function
      VII 
            upper division
            lower division
      IX, X  gag reflex
      XI motor function
      XII

Advanced Health Assessment (5 decks)

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