chapter 3 Flashcards
inspection
visual examination of the body, movement, and posture
exam of every body system
pt. is draped appropriately to maintain modesty
use of equipment to facilitate
palpation
use of hand to feel texture, size, shape, consistency, location of certain parts to identify painful/tender areas
finger pads
ulnar surface to hand to fifth finger is most sensitive to
vibration
dorsal surface is better for assessing
temp
assesing skin pulsations and tenderness you
light palpation. pressing to a depth of 1cm
determine organ size and contour
deep palpation pressing to a depth of 4cm w one or two hands
bimanual techinque
both hands. one anterior one posterior to entrap organ or mass between fingertips to assess size and shape
percussion is preformed to
evaulate size, borders, and consistency or internal organs
detect tenderness
determine extent of fluid in body cavity
direct percussion
strike or hand directly against patrints body
evaluate adult sinus by directly tapping finger on sinus
elicit tenderness over kidney by striking costovertebral angle directly with fist
indirect percussion
requires both hands methods
distal aspect of middle finger of the nondominant hand against skin over organ being percussed and strike distal joint with tip of middle finger
auscultation
listening to sounds within body
tympanic
probe to ears
temportal
infrared
diaphram is used for
high pitch sounds (breath, bowel, normal heart rate)
bell is used for
soft low pitch sounds (extra heart sounds, vascular sounds)
pulse oximentry
reflection used to estimate percentage of oxygen saturation in arterial blood and pulse rate
snellen chart
- chart places 20 feet away
- top number distance from chart
- bottom number- distance person with normal vision should be able to read
jaegar and rosenbaum
used for near vission, held 14 inches away
opthalmoscope
consist of lenses, mirrors, and ligh apeyures to insepct internal eye structures
used for dilation, to see if pallor of disc, hemmorhages, size
otoscope
audioty canal
