Lesson 6 Flashcards
Why do we do a basic head-to-toe assessment as demonstrated in class?
Faster
Less likely to forget something
More comfortable for client
You look more professional
What is the normal sequence?
Inspection
Palpation
Percussion
Auscultation
Describe flow of head-to-toe assessment
General survey Level of consciousness HEENT (head, eyes, ears, nose, throat) Trachea Thorax Abdomen (*sequence changes!) Arms Perineum Legs
What do you look for in the general survey?
Physical appearance, body structure, mobility, behavior
What do you look for in the LOC?
If they are awake, alert, and oriented
HEAD: What are the tasks here?
Inspect hair, head size, and general appearance
HEAD: What is the statement for a normal sized head?
Normoalcephalic
HEAD: What are some abnormal statements during this part of the assessment and what do they mean?
Microcephalic: small head Macrocephalic: large head Alopecia: hair loss Hirusitism: Excessive amounts of hair Bell palsy: paralysis or weakness of the muscles on one side of your face
EYES: What are the tasks here?
Observe eyes, sclera conjunctiva
Measure pupil diameter
EYES: What are they normal statements for normal eyes?
Sclera white, conjunctive clear
Pupils equal, round, reactive to light directly and consensually (may also record actual pupil diameter)
EYES: There are 5 abnormal statements for the eyes. What are they?
Anisocoria, ptosis, sclera icterus, blue sclera, conjuctivitis (redness of sclera)
EYES: What does anisocoria mean?
Unequal pupil diameter
EYES: What does ptosis mean?
Drooping of the upper eyelid due to paralysis or disease
EYES: What does sclera icterus mean?
Jaundice; yellowing of sclera (actually it is the conjunctiva)
EYES: What does blue sclera mean?
Indication of osteogenesis imperfecta (brittle bone disease)