Lesson 3 Flashcards
A process to obtain objective data from the patient
Physical Examination
Determine changes in a patient’s health status and how to respond to a problem as well as promote healthy lifestyles and wellbeing
Physical Examination
Term for “Beginning the examination”
Setting the stage
Term for “making the patient comfortable”
Establish rapor
How do most patients view the physical examination
They view it with some anxiety
If you find anything that is unusual or disturbing, what would you do?
Talk with your clinical instructor
Beginning the examination, 4 ways to do:
Preparing the physical examination
Reflect your approach to the patient
Adjust the lightning and the environment
Make the patient comfortable
Visualize one area of the body at a time ; covering a patient
Draping a patient
Prevent transmission of hiv, hepatitis b /hbv, and other fluids that are infectious
Universal precaution
Based on the principle that all blood, body fluids, secretions except sweat, non itact skin may contain transmissible infectious agents
Standard and MRSA precaution
Precaution with the use of hand hygiene, use of protective equipment
Standard and MRSA Precaution
Visualize one area of the body at a time
Draping the patient
Close observation of the details of the patient’s appearance, behavior, and movement
Inspection
Tactile pressure from the palmar fingers or fingerpads
Palpation
Surface of the hand used to detect vibration
Metacarpal/Phalangyeal joint
General assessment order
Inspection
Palpation
Percussion
Auscultation
What are the cardinal techniques of examination
Inspection
Palpation
Percussion
Auscultation
Pattern for abdominal examination
Inspection
Auscultation
Percussion
Palpation
Use of the striking or plexor finger
Percussion
Evoke a sound wave such as resonance or dullness from the underlying tissue or organs
Percussion
Use of the striking or plexor finger
Percussion
What finger is usually used in percussion
Third
Use of the diaphragm and bell of the stethoscope
Auscultation
Detect the characteristics of heart, lungs, and bowel sounds, including location, timing, duration, pitch, and intensity
Auscultation
Optimal for inspecting structures such as jugular venous pulse, the thyroid gland, and the apical impulse of the heart
Tangential lightning
Measure visual acuity
Snellen Eye chart
What is the normal vision?
20/20
It measures human height
Stadiometer
It help visualize and examine the condition of the ear canal and eardruk
Otoscope
Ear infection
Otitis
Allow to look into the back of the eyes
Ophthalmoscope
Visualize the retina
Ophthalmoscope
Measure the blood pressure
Sphygmomanometer
Used in auscultation to convey sounds from the heart, lungs, bowel movement
Stethoscope
Used to test the deep tendon reflex
Reflex hammer
Measures the oxygen level and the pulse
Pulse oximeter
Used to check hearing acutiy
Tuning fork
What are the test that will used a tuning fork?
Weber’s Test and Rinne’s Test
Inserted to the nostrils
Nasal speculum
Check the reaction of the pupils in light whether thry constrict or relax
Penlight
Used to detect blood flow
Doppler’s Test
Dilated pupils
Mydriasis
Normal bp
120/80
The heart contracts
Systole
The heart relaxes
Diastole
Normal respiratory rate
12-20
Normal pulse rate
60-100
