Physical Assessment 1/21-1/23 Flashcards
Test 1
Who must participate in anesthesia time out?
Pt or a family member
Oral/axilliary temperature should be 1 degree ______ than core temperature
less
How many packs of cigarette per day is problematic?
0.5 to 1
There are 20 in a pack
Whats the difference between light and deep palpation?
light: feel under the skin
-1-2cm
deep: detect and masses
-4-5 cm
-fingers held at greater angle
What do we use bimanual palpation for? What else should we consider?
Eval spleen, kidney, breasts, uterus, ovary
may want to consider other imaging
When would we use immediate vs indirect percussion?
indirect: abd or adult thorax
immediate: sinus or infant thorax
Describe sound: Tympany
Loud & high pitch
location: air containing space
-enclosed area
-gastric bubble
-puffed out cheek
Describe sound: Resonance
Moderate - loud & low pitch
location: normal lungs (hollow)
Describe sound: hyper resonance
Very loud & very low pitch
Location: emphysema lungs
Describe sound: dullness
Soft - moderate & high pitch
Location: liver
Describe sound: Flatness
Soft & high pitch
location: Muscle
Half of the body cynanotic means ____
PE
Yellow is a ______ problem & orange is a ______ problem
liver
pancreas
If I suspect a problem with the liver, what else should I be fearful of?
Clotting abilities
________ is a harmless form of jaundice. What causes this?
Pseudojaundice
excess beta-carotene
What are 2 inherited condition that cause jaundice?
Crigler-Najjar syndrome
-Dubin-Johnson syndrome
Vitiligo is an ___________ disorder.
Autoimmune
______ Is the opposite of nail clubbing. It is also know as _________. What is this a sign of?
Koilonychia
Spoon nails
iron-deficiency anemia
Nail clubbing is associated with heart and ______ diseases
lung
_________- is an inflammation of the skin around the nail due to staph or fungus
Paronychia
Beau’s lines on the nails are commonly associated with _______
Systemic illness
-prolonged exposure to start an environmental factors
-chronic disease
What can cause hirsutism?
Polycystic ovary syndrome
-Cushing syndrome (high levels of hormone cortisol)
-congenital adrenal hyperplasia
-tumors
-medications
An orbital fx is a ________. Why?
Medical emergency
entrapped ocular muscle
What is Exophthalmos?
abnormal protrusion of one or both eyeballs from the eye socket
What is Strabismus?
cross eyed
Ectropion of the eyelid is when it ________ and entropion is when it _______
turns out
turns in
What is anisocoria?
pupils 2 different sizes
How does succs affect the eye?
Increases IOP
What eye condition is succ contraindicated in?
Any open globe Sx
_______ constricts pupils & _________ dilates them
opioids
Anticholinergics
What is the visual acuity test called?
Snellings test
How does corneal abrasions vs damage to the optic nerve affect your vision?
Corneal abrasion: blurry vision
Optic nerve injury: can’t see at all
_____________ agents interact with glaucoma
Anticholinergic
T/F: glaucoma affects peripheral vision
T
T/F: cataracts affects peripheral vision
F
It decreases visual acuity
What can cause peripheral vision loss?
Glaucoma
-retinitis pigmentosa
-eye strokes or occlusions
-detached retina
-stroke
-optic neuritis
-compressed optic nerve head
-concussion
If we look in their ears and see a bulging tympanic membrane, what does that mean?
Increased ICP
What are the hearing test called?
Webber’s test
RINNES test
What do we use to pre-treat for nasal intubation?
AFRIN
Why don’t we use nitrous oxide in our crani or Neuro patient?
It diffuses into the sinuses and increases ICP
__________ is a thick white patch that is a _________ lesion in the mouth
Leukoplakia
precancerous
White tongue is _______ & bright red tongue is ___________-
Dehydration
Deficiency of iron B12 or niacin
What color are your lips with carbon monoxide poisoning?
Cherry red
What are leukoplakia caused by?
Smoking and alcohol
Spongy gum that bleed easily is what kind of deficiency?
vitamin C
If someone doesn’t have a normal gag reflex, what should I be fearful of?
Increase risk of aspiration
-maybe history of stroke
-difficulty swallowing
Where is your apical pulse?
L sternum - 5th ICS mid clavicular