Health Assessment Flashcards

1
Q

Primary Health Promotion

A

Protection to prevent occurrence of disease
Example: immunization, nutrition, exercise

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2
Q

Secondary Health Promotion

A

Early ID of disease before It becomes symptomatic to hold the progression of pathological process.
Example: Screenings, self-exams ie. scoliosis, skin cancer, mammogram

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3
Q

Tertiary Health Promotion

A

Minimize severity and disability from disease through appropriate therapy for chronic disease. Example diabetes management, cardiovascular rehab)

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4
Q

Types of Assessments (CPESS)

A

-Comprehensive (head to toe/physical)
-Problem Based (severe cough)
-Episodic
-Shift (f/up)
-Screenings (disease detection)

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5
Q

Subjective Data

A

Symptoms reported from patient

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6
Q

Objective Data

A

Signs observed, felt,, heard, or measured.

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7
Q

Clinical Manifestations

A

Presenting signs and symptoms

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8
Q

Biological Data

A

Name, DOB, Gender, Race, Martial Status, Occupation

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9
Q

Reason for Seeking Care

A

If ill, Hx of present illness, including OLDCARTS

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10
Q

Present Health Status

A

Scale poor-excellent, Ht/wt, allergies, meds

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11
Q

Present Health History

A

Childhood illness, injuries, surgeries, hospitalization, immunization, last exams

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12
Q

Family History

A

Including: Integumentary, Head, Eyes, Ears, Nose, Mouth, Neck, Breast, Heart, Peripheral Vascular, Respiratory, GI, Urinary, Genitalia, Musculoskeletal,CNS, Endocrine,

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13
Q

Personal & Psychosocial Status/Hx

A

Mental health, support system, health promotion, drugs,tobacco, alcohol use

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14
Q

ROS

A

Integumentary, Head, Eyes, Ears, Nose, Mouth, Neck, Breast, Heart, Peripheral Vascular, Respiratory, GI, Urinary, Genitalia, Musculoskeletal,CNS, Endocrine,

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15
Q

ISBAR

A

I- Self Intro
S- Situation
B-Background
A-Assessment
R-Recommendations

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16
Q

Culture

A

Knowledge, beliefs, art, morals, laws, customs specific to a group of people

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17
Q

Ethnicity

A

Shared culture characteristics, languages, and beliefs Example (Filipino, Viet, Mexican)

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18
Q

Race

A

Asian, Caucasian, Hispanic, Black

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19
Q

Mental Status

A

Degree of intellectual, emotional, psychological, and personal competence. Involves memory, calculating, communication, judgment & reasoning.

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20
Q

Standard Drink

A

-12 oz of regular beer
-8-9 oz of malt liquor
-5 fl oz of table wine
-1.5 shots of spirits

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21
Q

Screening Tools

A

-PHQ-9 (Depression)
-C-SSR (Columbia-Suicide Severity Rating Scale)
-COWS (Drugs, Clinical Opiate Withdrawal Scale)
-AUDIT (Alcohol Use Disorders ID Test)
-SADQ (Severity of Alcohol Dependence Questionnaire)
-Human Trafficking

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22
Q

CLAS

A

Culturally and Linguistic Appropriate Services. Eliminate racial and ethnic disparities

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23
Q

A&Ox4

A

Awake, Alert, and Oriented to Person, Place, Time, and Event

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24
Q

Prone

A

Lying on stomach with hands flexed under head over a pillow
Area Assessed: Musculoskeletal

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25
Q

Supine

A

Laying on your back
Area Assessed: Head, Neck, Anterior Thorax & Lungs, Breast, Axilla, Heart, Abdomen, Extremities, Pulses

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26
Q

Sim’s

A

On your stomach with one leg up
Area assessed: Rectum and Vagina

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27
Q

Semi-Flower’s

A

Elevated to at least 30 degrees

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28
Q

Normal VS: Infant

A

HR: 100-160
Respiratory Rate: 30-53
BP:
-Systolic: 72-104
-Diastolic: 37-56

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29
Q

Normal VS: Toddler

A

HR: 98-140
RR: 22-37
Systolic: 86-106
Diastolic: 42-63

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30
Q

Normal VS: School-Age Child

A

HR: 75-118
RR: 18-25
Systolic: 97-115
Diastolic: 57-76

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31
Q

Normal VS: Adolescent

A

HR: 60-100
RR: 12-20
Systolic: 110-131
Diastolic: 64-83

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32
Q

Normal VS: Adult

A

HR: 60-100
RR: 12-20
BP: <120/<80

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33
Q

Assessment

A

A systematic method of collecting and analyzing data of for the purpose of planning patient centered care

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34
Q

3 levels of health promotion

A

Working out, eating healthy, sleeping, taking vitamins

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35
Q

Culture Competence

A

Adapting to your clients culture, acknowledge own biases and avoid stereotypes, non biased care

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36
Q

Ways to increase cultural sensitivity

A

learn about different cultures, respect opinions, and ask questions

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37
Q

CSSRS

A

Columbia Suicide Severity Rating Scale

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38
Q

COWS

A

Clinical Opiate Withdrawal Scale

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39
Q

CIWA & SADQ

A

Clinical Institute Withdrawal Assessment for Alcohol-Revised
Severity of Alcohol Dependence Questionnaire

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40
Q

PHQ-9

A

Patient Health Questionnaire for Depression

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41
Q

Nursing Proccess

A

A-Assessment
D-Decision
P-Process
I-Implementation
E-Evaluation

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42
Q

L.E.A.R.N

A

Listen, Explain, Acknowledge, Recommend, Negotiate

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43
Q

Mental Status

A

Degree of competence that a person shows in intellectual, emotional, psychological, and personality. A&Ox4

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44
Q

Mental Health

A

How the patient is doing, able to realize and recognize their own abilities and cope with normal stressors.

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45
Q

Interpersonal violence

A

Human trafficking screening tool

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46
Q

Open Ended Question

A

Done at the beginning of the exam if you or patient needs to describe something

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47
Q

Close Ended Questions

A

Short quick answers for medical history

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48
Q

Directive Questioning

A

Answer to a specific question such as “what is your eye color?”

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49
Q

Strategies to make Pt comfortable during challenging moments in an interview

A

-be comfortable
-“many patients use illicit drugs”

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50
Q

Personal and Psychosocial Status

A

“Have you had any thoughts of harming yourself or others? Do you feel safe at home and in your relationships?”

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51
Q

Health History Components

A

Biographical Data, Chief Complaint, Mental Status, Hx of present illness, Present Health Status, Past Health History (illnesses, surgery, immunizations, last ann phy, & menstrual cycle), Psychosocial Status (family and social relationships, support system, tobacco, illicit drugs, & alcohol use, ROS

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52
Q

Stethoscope

A

Auscultation do the heart and other organs & body cavities

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53
Q

Pulse Ox

A

O2 saturation

54
Q

Otoscope

A

Ear Light

55
Q

Opthalmoscope

A

Eye Light

56
Q

Rine & Weber Test (Hearing) CN VIII

A

Tuning Fork
Rine: On Bone, evaluate bone and air conduction
Weber: Top of the head, evaluate lateralization of sound

57
Q

Snellen Chart (optic) CN II

A

Test for distance in vision stand 20 feet away

58
Q

Jager/Rosenbaum (optic) CN II

A

For reading (nearsightedness) Hold 14 inches away

59
Q

Pen light

A

PERLA and to look in body cavities

60
Q

PERRLA

A

Pupil Equally Round, Reactive to Light and Accommodating

61
Q

Accommodation (oculomotor) CN III

A

Pupils React to Distance

62
Q

Consensual Response (oculomotor) CN III

A

Cover half the face, shine light on one eye, check other eye for dilation

63
Q

Goniometer

A

Check degree of flex ion or extension of joints

64
Q

Calipers

A

Skin Fold thickness & body fat

65
Q

IPPA

A

-Inspection: Visually Inspect patient
-Percussion: Evaluate size, boarders and consistency of internal organs, detect tenderness, fluid in body cavity
-Palpation: Use of Hands to feel texture, size, shape, consistency, location of certain body parts and identity painful or tender areas
Auscultation- Listening to sounds in the body, intensity, pitch, duration, and quality

66
Q

Palpation Types

A

Palmar surfaces of fingers and finger lands are more sensitive than fingertips, ulnar surface of the hand is most sensitive to vibration, dorsal is better for temperature

67
Q

Direct Percussion

A

Striking finger or hand directly against patients body

68
Q

Indirect Percussion

A

Two Types:
Fist
Fingers

69
Q

Tympanic Percussion Tone

A

Heard over the abdomen & stomach (tympanic, loud, Hugh, medium, drum like)

70
Q

Hyperresonant Percussion Tone

A

Heard in inflated lungs (emphysema), very loud, very low, longer, booming

71
Q

Dull Percussion Tone

A

Heard of the liver, medium, medium high, medium, thudlike

72
Q

Flat Percussion Tone

A

Bone and Muscle, Flat, Soft, High, Short, Extremely Dull

73
Q

Resonant Percussion Tone

A

Lungs, Loud Intensity, Low Pitch, Long Duration, Hollow Quality

74
Q

Reasons for falsely altered BP readings

A

High BP, Thyroid Issues, Cardiac Output, Peripheral Vascular Resistance, Volume of Circulating Blood, Age, Sex, Race, Diurnal Rhythm, Meds, Smoking, Diet

75
Q

Describe the Purpose BP

A

Purpose: Checks the force of blood circulating through our system
Force of blood pressing against the arterial wall

76
Q

Systolic Pressure

A

Max pressure exerted on arteries when ventricles contract or eject blood from the heart

77
Q

Diastolic Pressure

A

Minimum pressure exerted by the vessels, ventricles relax and fill with blood

78
Q

Partial Pressure

A

Difference between systolic and diastolic pressure. Ranges from 30-40 mm Hg

79
Q

Routes to Measure Temperature

A

Oral- Common and Accurate way.
Rectal- Invasive but Inaccurate
Tympanic- Ears
Axillary- Fold of the Arm
Temporal- Temple of head across the forehead

80
Q

Purpose of Measuring HR

A

Indicate patients health status check for any illnesses

81
Q

Methods of Measuring HR

A

Carotid- Sternocleidomastoid muscle in front of the neck
Apical-Chest (Peds)
Radial- Wrist (Thumb)
Ulnar-Wrist (Pinky)
Femoral-Base of Hip/Leg
Popliteal- Behind Knee
Dorsalis Pedis- Top of foot btwn first & second toe
Posterior Tibial- Behind the Tibia bone on the foot

82
Q

Sitting Position

A

Areas Assessed: Head, Neck, Back, Posterior Thorax and Lungs, Breast, Axilla, Heart, VS, upper extremities
Rationale: Expansion of Lungs and better visualization of symmetry
Limitations: Pt may be unable to sit. Use supine position in bed HOB elevated

83
Q

Supine Position

A

Lying on Back
Areas Assessed: Head, Neck, Anterior Thorax and Lungs, Breast, Axilla, Heart, Abdomen, Extremities, Pulses
Rationale: Most Relaxed Position. Easy access to pulse site
Limitations: Pt w/ respiratory problems, SOB. Raise head of bed

84
Q

Dorsal Recumbent

A

Supine Position with hands raised above and under head, knees propped and feet flat facing outward on the table
Areas Assessed: Head and Neck, Anterior Thorax, Lungs, Breast, Axilla, Heart, Abdomen
Limitations: unable to stay in position for long

85
Q

Lithotomy Position

A

Supine Position with waist at edge of bed, legs raises and propped on stand
Area Assessed: Female Genitalia & Genital Tract
Rationale: Max exposure of genitalia and facilitates insertion if vaginal speculum
Limitations: Embarrassing and Uncomfortable. Drape patient to keep them covered

86
Q

Sims Position

A

On stomach with left knee slightly raised
Areas Assessed: Rectum and Vagina
Rationale: Flexion of hip improves exposure of rectal area
Limitations: Joint deformities hinders patients mobility

87
Q

Prone Position

A

Laying on stomach arms directly on head
Areas Assessed: Musculoskeletal System
Rationale: Asses extension of hip joint only
Limitations: Pt w/ respiratory problems

88
Q

Lateral Recumbent Position

A

Laying on side
Areas Assessed: Heart
Rationale: Detects murmurs
Limitations: Pts w/ respiratory problems

89
Q

Knee Chest Position

A

All fours, thighs upright position with hips raised above body level
Areas Assessed: Rectum
Rationale: Max exposure of rectal area
Limitations: Embarrassing and Uncomfortable. Minimize time and keep pt covered

90
Q

Actions to take with abnormal VS

A

Retake vitals, Compare with Baseline, Consult Dr.

91
Q

Respiratory Measurement Across Life Span

A

Men, Infants, Children: Breathe using abdomen, diaphragmatically
Women: using chest, thoracic

92
Q

Assessing Respiratory Rates and Breathing

A

Rhythm: Regular, Irregular, Regularly Irregular (infants)
Depth: Excursion of chest wall
-Deep: full lung expansion with full exhalation
-Shallow/Normal: small volume of sir movement in and out of lungs
Effort: Labored or Unlabored
Quality: Clear & Quiet, Wheezing, Whistling

93
Q

Amplitude (Force) Ratings:

A

Easily Palpable, smooth, and upstroke
Ratings:
0+ Absent (dead)
+1 Diminishes, barely palpable
+2 Normal
+3 Full Volume (walking upstairs)
+4 Bounding, Hyperactive

94
Q

Screening Tools for Pain:

A

Wong Baker: Kids, Faces, 3 years or older
Numeric Rating Scale (NRS): Adolescent, Adults, scale 1-10, cultural barriers
Faces Pain Scale Revised (FPSR): Kids, Faces, 6 years or older
Face, Legs, Activity, Cry, Consolability (FLACC): Non verbal pt unable to report self pain

95
Q

Appropriate inspection techniques

A

Present pain scale, Be Gentle, Look for clear signs, OLD CARTS, ICE

96
Q

OLDCARTS

A

ONSET: When did the pain begin? Begin Gradually or Suddenly?
LOCATION: Where do you feel the pain? Can you point to the pain?
DURATION: Is the pain constant or does it come and go? How often does it occur and last?
CHARACTERISTICS: Describe the pain? Sharp, Burning, Aching, Cramping, Throbbing?
AGGRAVATING FACTORS: What makes the pain worse? Does the pain seem worse when you feel depressed or anxious?
RELATED SYMPTOMS: When do you experience the pain? Do you notice any symptoms at the same time? Increased HR, SOB, Sweating, Rapid Breathing, Nausea
TREATMENT: What have you done to alleviate the pain? How do you cope?
SEVERITY: Describe the intensity, strength, or severity of the pain. How severe do you let it get before seeking pain relief?
**Ask pt about response to pain. Anger, Crying, Frustration.

97
Q

Examination of the Head: Expected Findings

A

-Normocephalic: Uniform shape, size, and intact
-Affect Facial Expressions
-Intact skin, scalp, and hair
-Face: Symmetrical, Skin matches rest of body, No bumps, mumps, lumps, or masses
CN V Trigeminal: Motor, Jaw Opening, Clenching, Chewing
CN VII Facial: Facial Expressions

98
Q

Examination of Head: Abnormal Findings

A

-Skull:
Microcephaly: Abnormally Small Head
Macrocephaly: Abnormally Large Head
Acromegaly: Abnormal Growth of Face, Feet, Hands
-Asymmetrical
-Infestation, Scaliness, Hair Loss
-Uneven Skin

99
Q

Examination of Neck: Normal Findings

A

-No bumps, mumps, or lumps on Trachea, Thyroid Gland, or Lymph nodes
-Trachea is in the middle of the neck
-Range of Motion: Flexion, Extension, Lateral Bend, Lateral Rotation
-Muscle Strength
CN XI Spinal Accessory: Motor, turning head, shrug shoulder w/ and w/o resistance

100
Q

Examination of Neck: Abnormal Findings

A

-Lumps, Mumps, and Masses that are also firm and not movable
-Limited Range of Motion
-Muscle Weakness and Tenderness
-Bruit Sounds in the arteries (turbulent flow in diaphragm)

101
Q

Examination of Eyes: Normal Findings

A

-Symmetry of Eyebrows, Eyelashes, Eyes
-Outer Canthus is aligned with Pina of ear
-No discoloration or discharge of conjunctiva, lacrimal puncta, cornea, iris
-Blinking
-White Sclera
-Traction of Direction
-Dilation of Pupil
-Light reactivity
CN II Optic: Sensory, Visual activity and fields
CN III Oculomotor:
~Motor, Raise eyelid, traction
~Parasympathetic, Pupillary Constriction, Change in lens shape

102
Q

Examination of Eyes: Abnormal Findings

A

-Flakiness, loss of eyebrows, eyelashes, scaling
-Alignment is off
-Asymmetrical
-Abnormal shape and bulging
-Discoloration and Discharge
-Failed Consensual, Accommodation, and Pupil Dilation

103
Q

Examination of Ears and TM: Normal Findings

A

-Able to respond during conversation
-No infection from earrings or piercings and quantity
-External Ear Symmetry and Shape
-No discharge, odor, or discoloration
-No lumps, bumps, or masses
CN VIII Vestibulocochlear: Sensory, Hearing and Equilibrium (balance)
~TM:
-Flat and pearlescent in color
-Malleus: umbo and short process intact
-Asses for cone of light (reflux)

104
Q

Examination of Ears & TM: Abnormal Findings

A

-Hard of Hearing
-Tenderness
-Low Set Ears (Down syndrome) or Asymmetrical
-Darwin Tubericle
-Abnormal bumps, lumps, masses, or tags
-Ear Pit
-Bloody or clear discharge
~TM
-Absence or distortion of landmarks (umbo light canal)
-Discolored TM

105
Q

Examination of Nose: Normal Findings

A

-Patency
-Symmetry, No discharge, skin is smooth and intact
-Septum and Nasolabial folds are intact and symmetrical
-Nares not flaring or narrowed
-No pain or tenderness around frontal and maxillary sinuses
-Pig nose: Septum,Turbinates, Lateral Walls, and meatus are intact and pink, clear mucosa
CN I Olfactory: Sensory, smell reception and interpretation

106
Q

Examination of the Nose: Abnormal Findings

A

-Deviated Septum
-Perorated Septum
-Inflammation of the internal nose
-Abnormal secretions (color, odor, consistency,crust)
-Epistaxis (nose bleed)
-Obstruction of airflow
-No patency
-Asymmetrical nares nasolabial folds
-Tenderness or Pain during Palpation

107
Q

Examination of the Mouth and Throat: Normal Findings

A

-Pink lips, symmetrical vertically and laterally, smooth and have linear markings, vermillion border
-Teeth (32 or 28) condition, color, alignment
-Able to clench teeth, pink & healthy gums (observe under dentures)
-No lesions, odors, discharge
-Salivary Glands (submandibular, sublingual, parotid p) are pink and vascular
-Tongue movements and resistance
-buccal mucosa, tonsils, and pillars are pink and symmetrical
-Tongue: able to visualize dorsal, ventral taste buds
CN V Trigeminal: jaw opening and clenching
CN VII Facial:
Motor: Labial Speech and Portray Emotions
Sensory: Taste
Parasympathetic: Secretion of saliva and tears
CN IX Glossopharyngeal:
Motor: Swallowing & Speech sounds
Sensory: Sensation of nasopharynx, gag reflex, taste
Parasympathetic: Secretion of Salivary Glands & Carotid Reflex
CN X Vagus:
Motor: Voluntary swallow and phonation (speech sounds)
Parasympathetic: Secretion of digestive enzymes
CN XII Hypoglossal: Tongue movement, articulation, and swallowing

108
Q

Examination of the Mouth and Throat: Abnormal Findings

A

-Cleft Lip
-Missing Teeth, Denture Care
-Oral Lesions
-Discoloration on the outside and inside of mouth
-Limitations in mouth movements (tongue, facial expressions, swallowing, speech)
-Exudate from pharynx and tonsils
-Nodules on both palates
-Irregular patches on tongue

109
Q

Problems & Diseases: Head

A

-Psoriasis
-Alopecia
-Brain Tumors
-Bell’s Palsy: Half face is frozen
-Stroke: Half or whole cannot move

110
Q

Problems & Diseases: Eyes

A

-Glaucoma
-Nearsightedness & Farsightedness
-Strabismus (lazy eye)
-Conjuctivits

111
Q

Problems & Diseases: Nose

A

-Epitaxies
-Chronic Sinus Problems
-Deviates Septum

112
Q

Problems & Diseases: Ears

A

-Conductive Hearing Loss
-Obstructed Canal

113
Q

Problems & Diseases: Mouth and Throat

A

-Dysphagia (difficulty swallowing food or liquid)
-Strep Throat
-Tonsillitis
-Deviated Trachea

114
Q

Problems & Diseases: Neck

A

-Swollen Lymph nodes
-Unable to shrug shoulders
-Limited ROM
-Pregnant women: enlarged thyroid

115
Q

Head Palpation

A

Gently, look at hair and line for infestation, scaliness, hair loss, bumps.
Infants: Measure Head, Fissures close around 2 yo.
Temporal Arteries should be smooth and not tender. NOTE PULSATION.

116
Q

Neck and Throat Palpation

A

-Trachea
-Thyroid Gland, (Anterior: flex neck slightly forward, Posterior: fingers on either side of trachea SWALLOW TEST )
-Lymph nodes (sub mental, sub mandibular, preauricular, postauricular, occipital, anterior & posterior cervical, deep & superficial cervical, supraclavicular, infraclavicular)

117
Q

Eye Palpation

A

Palpate when eyes are closed & lacrimal puncta

118
Q

Mouth Palpation

A

Visually inspect teeth, mucosa, lips, gums, and tongue

119
Q

Nose Palpation

A

-Front and Maximal Sinus
-Use pen light to inspect inside

120
Q

CN Tests: Head

A

CN V Trigeminal:
Sensory: Cotton ball to various locations of face with pt eyes closed
Motor: Place clean hand on pt face over master muscle and clench jaw
CN VII Facial:
Have patient make smile, frown, raise eye brows, puff cheeks, close eyes

121
Q

CN Test: Neck

A

CN XI Accessory: Shrug shoulders with and w/o resistance

122
Q

CN Test: Eyes Visual Acuity

A

CN II Optic: Distant Vision, Use Snellen Chart & Nearsightedness, Jaeger Chart, Confrontation
-Ask pt if they wear glasses or corrective lenses
Have patient stand at 20 ft away. Cover one eye and read from 20/20 if patient is able to read more than 50%, move down to smallest line they can read. If less than 50%, move up to the next line they can see. Switch eyes and perform same steps.
-If needed use Jaeger chart. Ask patient what’s the smallest line they can read while holding card 14 inches away from eye
-Confrontation test: Get close to patient, cover same eye. Assess peripheral vision.

123
Q

CN Test: Eyes Oculomotor, Light Reflection of Cornea

A

CN III:
~Hirschberg Test (Middle Eye Test)
-Stare straight ahead and shine penlight toward bridge of nose.

124
Q

CN Test: Eyes, Oculomotor, EOM

A

CN III Oculomotor, CN IV Trochlear, CN VI Abducens
~EOMS, Extra Ocular Eye Movement:
-SIX Cardinal Fields of Gaze
Have patient fixate on pen and without moving their head, make a snowflake with pen

125
Q

CN Test: Eyes, Oculomotor. PERRLA

A

CN III Oculomotor: PERRLA (Pupils Equally Round Reactive to Light and Accommodating)
-Inspect if Pupils are Equal and Round
~Corneal Light Reflex (Hirschberg):
-Have patient stare straight ahead and shine light in the middle of the eyes. LOOK FOR LIGHT REFLECTION IN BOTH EYES
~Consensual Response: Pupil react to light
-Place hand in middle of the face, shine light in one, then check the other eye for dilation of pupil (eye with no light). Do for both eyes.
~Accommodation: Pupil react to distance
-Have patient fixate on a distance object then focus back to pen. Check for constriction when focused on far object and dilation when focusing on near object

126
Q

Red Reflex

A

Use Opthalmoscope to check RED REFLEX.
-Shine light in pupil while looking through viewing lens. See red glow

127
Q

Eye Coordination

A

Light Reflection or Cover Uncover Test

128
Q

CN Test: Ears

A

CN VIII: Vestibulocochlear Sensory and Equilibrium
Weber: Bone Conduction
-Use tuning fork and place on midline of skull. Ask patient which ear sound is louder. Normal should be equal bilaterally
Rinne:
-Use tuning fork place on bone behind ear and begin counting till they can’t hear, then switch fork facing the ear and continue count. Normal is 2:1 Ratio
Whisper Test & Finger Rub Test

129
Q

CN Test: Mouth and Throat

A

CN IX Glossopharyngeal, CN X Vagus
-Have patient say “ahh”. Use tongue depressor if needed, Look for rise and fall of uvula
CN VII Facial
-Taste test with eyes closed
CN IX Glossopharyngeal, CN X Vagus, CN XII
-Swallow test by standing behind patient, fingers on either side of trachea. Should move freely during swallowing

130
Q

CN Test: Neck

A

CN XI Spinal Accessory
-Have patient shrug shoulders with and without resistance

131
Q

CN Test: Nose

A

CN I: Olfactory
-Sniff Test, have patient close eyes, nostril at a time