Assessment Techniques Flashcards
Inspection
concentrated watching
Palpation
sense of touch to assess: pain or tenderness, texture, temperature, moisture, organ location and size, swelling, vibration or pulsation, rigidity or spasticity, crepitation, lumps/masses
Percussion
tapping the person’s skin to assess underlying structures, map out organs size and density
Auscultation
listening to sounds produced by the body, such as heart, blood vessels, lungs, abdominal
Diaphragm
flat edge, for high pitched sounds
Bell
deep, hollow, cup-like shape for soft low pitch sounds
Resonant
medium-loud, low pitch, clear, hollow, moderate duration
e.g. over normal lung tissue
Hyperresonant
louder, lower pitch, booming quality, longer duration
e.g. over normal child’s lung tissue, abnormal in adults in lungs indicating emphysema
Tympany
loud, high pitch, musical and drum-like, sustained longest
e.g. over air-filled viscus (stomach or intestines)
Dull
soft, high pitch, muffled thud, short
e.g. relatively dense organ like liver or spleen
Flat
very soft, high pitch, dead stop of sound, absolute dullness, very short duration
e.g. when no air is present over thigh muscles, bone or tumor
BP is determined by…
Cardiac output, peripheral vascular resistance, volume of blood, viscosity of the blood, elasticity of the vessels