examinations Flashcards
normal capillary refill time
< 3seconds
protective sensation based on monofilaments #
5.07
ABI calculation
tibial systolic blood pressure / brachial systolic blood pressure
normal ABI value
1.0
melanoma exam (ABCDE)
A = asymmetry : when half mole doesn't match other half B = Border: irregular edges C = color : color varies throughout D = diameter : > 6mm E = elevation or evolving
wound basic exam components
location size, shape, girth tissue characteristics (color, temperature) exudate characteristics tunneling or undermining presence sensory integrity signs of infection pain
sanguineous exudate
red, bloody discharge
serous exudate
clear, watery discharge
purulent exudate
yellow/tan/green, infection potentially
pruritus
itching
common in diabetes, drug hypersensitivity, hyperthyroidism
urticaria
smooth, red, elevated patches of skin
hives
allergic response!
nail clubbing indicative of
Cardiac disease often - cyanosis lung pathology biliary cirrhosis neoplasm GI involvement often present at birth = normal
cyanotic skin indicative of
LACK OF OXYGEN
congestive heart failure
advanced lung disease
venous obstruction
pallor skin indicative of
lack of color/paleness anemia internal hemorrhage lack of sunlight exposure temporary pallor see with arterial insufficiency, chills, shock, nervousness
yellow skin indicative of
JAUNDICE liver disease most common aging uterine or liver malignancies pregnancy