Chapter 6 Content Flashcards
Normal Sequence for Head to Toe Assessment
1.Inspection 2.Palpation 3.Percussion 4.Ausculation
What do you do first?
General Survey: *Physical appearance *Body Structure *Mobility *Behavior
LOC?
Level of Consciousness: Awake, Alert, Oriented( Person, place, time)
If Disoriented what order do they lose their orientation?
1.Time 2.Place 3.Person
HEENT?
Head, Eyes, Ears, Nose, Throat
balding?
Alopecia
Female presents with facial hair
Hirsutism
Half the face is strained, one eye is closed, half the mouth is smiling
Bell’s Palsy
Pink Eye
Conjuctivitis
Conjunctiva turns yellow (jaundice)
Scleral icterus
Child abuse
Non accidental trauma
One eye dilated. What is it called and must you ask?
Anisocoria. How long have you had this?
Drooping of the upper eyelid
Ptosis
Where is one place to push on the ear to asses pain?
The Targus
When the trachea is not midline?
Caused by pneumothorax- collapsed lung pushes trachea laterally. This is an emergency!!
How does COPD affect the thorax?
Barrel chest
Thorax looks sunken in
Pectus excavatum
pigeon-chested, front of boat
Pectus carinatum
hunch back
kyphosis
Twisted back
Scoliosis
what sound?
sibilant wheeze high pitch
what sound?
sonorous wheeze (Rhonchi) lower pitch
what sound?
mild stridor- obstruction of larynx
what sound?
severe stridor- obstruction of larynx
what sound?
crackles/ Rales
what sound?
fine crackles
what sound?
coarse crackles
what sound?
pleural rub- inflammation in pleura
Where is tricuspid?
Right atrioventricular valve (remember God placed his trade mark (TM) on the heart. M is Mitral)
Abdominal Sequence?
Inspection
Auscultation
Palpation
Percussion
digital clubbing worry about?
heart or respiratory problem
splinter hemorrages? Worry about?
Endocarditis
ankle pulse is?
posterior tibial pulse
Foot pulse is called?
Dorsalis Pedis Pulse
