Health Assessment Flashcards

1
Q

What does PQRSTUAAA stand for?

A
p - provokes
q - quality/quantity
r - region/radiation
s - severity
t - timing
u - understanding perception 
a - associated factors
a - alleviating factors
a - aggravating factors
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2
Q

What does a complete health history entail?

A
biographical data
reasons for seeking care
history of current illness
past health
family history
review of systems
functional assessment
vital signs
measurements
IPPA
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3
Q

What does a general survey entail?

A

physical appearance
body structure
mobility
behaviour

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4
Q

What does a mental health assessment entail?

A

appearance
behaviour
cognition
thinking

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5
Q

What does a quick neuro. check entail?

A

LOC
orientation
communication
motor response

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6
Q

What are some developmental consideration in skin assessment for infants?

A
lanugo 
vernix 
milia
eccrine glands not functioning
insufficient subcutaneous layers
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7
Q

What are some developmental consideration in skin assessment for adolescents?

A

increased secretion from apocrine glands
sebaceous glands more active
subcutaneous fat increases

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8
Q

What are some developmental consideration in skin assessment for pregnant persons?

A

linea nigra
cholasma
striae gravidarum

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9
Q

What are some developmental consideration in skin assessment for older persons?

A

decreased elasticity, subcutaneous fat, and muscle tone
sweat and sebaceous glands decrease in number and function
decreased melanocytes
hair distribution changes

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10
Q

What does a subjective assessment of the integument entail?

A
previous history of skin disease
change in pigmentation
change in mole
excessive dryness or moisture
pruritus
excessive brusing 
rash or lesion
medications
hair loss
change in nails
environment or occupation hazards
self-care behaviours
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11
Q

What does an objective assessment of the integument entail?

A

Inspect & palpate the skin:
colour, temperature, moisture, texture, thickness, edema, mobility and turgor, vascularity, bruising, lesions
Inspect & palpate hair & nails:
colour, texture, distribution, clubbing

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12
Q

When promoting skin self-assessment, what are we telling people to look for?

A
asymmetry
border irregularity 
colour variation
diameter >6mm
elevation and evolution
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13
Q

What are annular, confluent, and discrete lesions?

A

annular - circular, ring worm
confluent - grows into each other, hives
discrete - acne

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14
Q

What are grouped, gyrate, and target lesions?

A

grouped - cluster, no overlap
gyrate - snake-like, parasitic skin infection
target - bullseye, lime disease

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15
Q

What are linear, polycyclic, and zosteriform lesions?

A

polycyclic - annual lesions that are starting to grow together
zosteriform - linear, but follows a nerve route, shingles

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16
Q

What is a macule vs. patch lesion?

A

both flat with colour change, patch is >1cm

17
Q

What is a papule vs. plaque vs. nodule lesion?

A

all elevated, plaque >1cm, nodule >1cm also extends into dermis

18
Q

What is a wheal lesion?

A

raised and red

19
Q

What is a tumour?

A

> 1cm, extends into dermis, malignant

20
Q

What is a vesicle vs. bulla lesions?

A

Both elevated and contain clear fluid, bulla >1cm

21
Q

What is a cyst?

A

encapsulated, can extend into dermis, tense elevation

22
Q

What is a pustule?

A

elevated, fluid is not clear

23
Q

What is the different between a primary and secondary lesion?

A

primary is direct results of disease or trauma, secondary happens because of primary

24
Q

What structures are you assessing in a the head and neck?

A
skull
muscles
salivary glands
temporal artery
lymph nodes
trachea
thyroid gland
25
Q

What are some developmental considerations in head and neck assessment for infants?

A

fontanels
caput succedaneum
cephalhematoma
molding

26
Q

What are some developmental considerations in head and neck assessment for pregnant persons?

A

thyroid gland may enlarge

27
Q

What are some developmental considerations in head and neck assessment for older persons?

A

bony facial appearance

28
Q

What are the functions of the musculoskeletal system?

A
support
movement
protection
red blood cell production
storage for essential minerals