Health Assessment Flashcards
inspection
Inspection occurs when interacting with a patient, watching for nonverbal expressions of emotional and mental status.
auscultation
listening for sounds within the body, usually with a stethoscope or an ultrasound blood-flow detector (Doppler)
palpation
Palpation involves using the sense of touch to gather information. Through touch you make judgments about expected and unexpected findings of the skin or underlying tissue, muscle, and bones.
percussion
Percussion involves tapping the skin with the fingertips to vibrate underlying tissues and organs. The vibration travels through body tissues, and the character of the resulting sound reflects the density of the underlying tissue. The denser the tissue, the quieter is the sound. By knowing how various densities influence sound, it is possible to locate organs or masses, map their edges, and determine their size.
skin turgor
Turgor refers to the elasticity of the skin. Normally the skin loses its elasticity with age, but fluid balance can also affect skin turgor. Edema or dehydration diminishes turgor. To assess skin turgor, grasp a fold of skin on the back of the forearm or sternal area with the fingertips and release
capillary refill
traditionally used to determine adequacy of peripheral blood flow to the digits
atrophy
Thinning of skin with loss of normal skin furrow, with skin appearing shiny and translucent; varies in size (e.g., arterial insufficiency)
jaundice
Yellow discoloration of the skin, mucous membranes, and sclera caused by greater-than-normal amounts of bilirubin in the blood.
pallor
Unnatural paleness or absence of color in the skin.
cyanosis
Bluish discoloration of the skin and mucous membranes caused by an excess of deoxygenated hemoglobin in the blood or a structural defect in the hemoglobin molecule.
clubbing
enlargement of the fingertips and flattening of the angle between the fingernail and the nail bed, a classic sign of long-term oxygen deprivation
edema
an accumulation of excess interstitial fluid, usually in the subcutaneous tissues
phlebitis
inflammation of a vein
purpura
a rash of purple spots on the skin caused by internal bleeding from small blood vessels.
-any of several diseases characterized by a purple rash.
Petechiae
a small red or purple spot caused by bleeding into the skin.