Physical Exam Terminology Flashcards
A&O
alert and oriented
A&O x3
alert and oriented to person, place and time
abduction
movement away from the midline
abrasion
scrape of the skin
abscess
collection of pus beneath the skin
accessory muscle usage
using extra muscles other than the diaphragm to help breathe
adduction
movement toward the midline
afebrile
without fever
affect
expressed emotional/social response
alert
awake and attentive
ambulatory
able to walk
anisocoria
unequal pupil size
antalgic gait
limping, gait that can develop to avoid pain while walking
anterior
in front of or directed to the front
arrhythmia
abnormal heart rhythm
AT/NC
atraumatic/normocephalic
ataxia
loss of coordination
atraumatic
without trauma
atraumatic/normocephalic
AT/NC
normal external head exam
atrophy
tissue breakdown or wasting away, typically due to degeneration of cells
auscultation
listening with a stehtoscope
body habitus
general appearance/state of a person’s body
bowel sounds
intestinal sounds by auscultation
bradycardia
decreased heart rate (HR<60)
bradypnea (bruh - dip - nee - uh)
decreased respiratory rate
bruit
whooshing sound of a vessel by auscultation
BS
bowel sounds
breath sounds
cachexia/cachectic
extremely thin, malnourished as a result of weight and muscle loss due to disease
caudal
toward the feet
cephalad
toward the head
cerumen
earwax
CN
cranial nerves
combative
agressive and uncooperative
constitutional
general appearance of a patient
costovertebral angle
abdominal flanks, anatomical angle of the body containing the kidneys, formed by the vertebral column and 12th rib
cranial nerve
peripheral nerve originating from the brain (CN 2-12)
crepitus
cracking palpable in a joint
C-spine
cervical spine (C1-C7)
CTAB
clear to auscultation bilaterally
CVAT
costovertebral angle tenderness
cyanosis
bluish color of skin due to hypoxia
dermatome/dermatomal pattern
area of skin that is supplied by a specific nerve branch
dislocation
displacement of a bone from a joint
distal
away from the limb root
distress
an aversive state in which a person is unable to completely adapt to stressors and their resulting stress and can show maladaptive behaviors
dorsiflexion
movement of the hands or feet toward the dorsum
DP pulse
dorsalis pedis pulse
DTR
deep tendon reflex
emaciated
extremely malnourished and frail
EOMI
extraocular movements intact
everted
turned outward
extension
straighten out
febrile
having or showing the symptoms of a fever
flat affect
monotone and unemotional
flexion
a bending movement where the angle between the bones of the limb and joint decreases
fluctuance
palpable fluid collection under the skin, common sign of abcess
friction rub
scratching sound of the heart via auscultation
frontal
anterior portion of scalp and forehead
gallop
extra heart sounds via auscultation (S3 or S4)
guarding
involuntary tensing of the abdominal wall muscles to protect internal organs in acute process
hemiparesis
unilateral weakness
hemiplegia
unilateral paralysis
hepatomegaly
enlargement of the liver
hernia
protrusion of tissue out of a body cavity
hyperesthesia
hypersensitivity of skin
hyperpigmentation
area of skin that is darker than surrounding skin
hypertension
elevated blood pressure
hypopigmentation
area of skin that is lighter than surrounding skin
hypotension
low blood pressure
icterus
yellowing of the sclera of the eyes
inconsolable
unable to be comforted; for example, inability to get an infant to stop crying.
induration
hardened area of tissue
inferior
lower, away from the head
inguinal
groin region
inverted
turned inward
irregularly irregular
heart sounds heard with atrial fibrillation
jaundice
yellowing of skin due to hyperbilirubinemia
jugular venous distention (JVD)
distention of the neck veins due to fluid overload or CHF
keloid
raised scar
kyphosis
forward rounding of the back
laceration
cut in or through the skin or other tissues
lateral
away from the midline, toward the sides
LLL
left lower lobe
LLQ
left lower quadrant
lordosis
curving inward of the lower back
L-spine
Lumbar spine, L1-L5
LUL
left upper lobe
LUQ
left upper quadrant
lymphadenopathy
enlargement of a lymph node
macular
flattened, erythematous spots on the skin
maculopapular
rash displaying flat, red areas with several raised areas
malnourished
poor nutritional state consistent with thin and frail appearance
McBurney point
point in the RLQ that is associated with appendicitis
medial
toward the midline/median plane
meningismus
stiffening of the neck muscles
midline
divides the body into left and right halves
morbidly obese
extremely overweight, BMI>45
mottled
description of skin with significant hypoperfusion (loss of circulating fluid); marked by hypotension and coldness of the skin
murmur
abnormal heart sound, graded on scale of I-VI
Murphy sign
pain with palpation of the RUQ with inspiration (tests for cholecystitis)
nasal flaring
enlargement of nostrils when breathing; sign of respiratory distress
nystagmus
involuntary eye movements where eyes appear to be shaking
obturator sign
pain in the RLQ with internal rotation of the right hip; indicative of appendicitis
occipital/occiput
posterior area of head/scalp
oriented x3
oriented to person, place, and time
oropharynx
posterior mouth meeting the superior aspect of the throat
pallor
unhealthy pale appearance; abnormal loss of color from skin
palmar
relating to the palm, interchangeable with volar
palpable
able to be felt and easily perceived
papilledema
swelling of the optic nerve sheath
papular
raised bumps, often associated with rash
percussing
tapping on the abdomen like a drum
peritoneal signs
exam findings indicating an acute abdomen
PERRL
pupils equal, round, reactive to light
petechiae
small purple or red skin discolorations that do not blance (petechiae appear when capillaries bleed, leaking blood into the skin)
pitting edema
swelling that retains an imprint upon palpation
plantar
relating to the sole of the foot
posterior
relating to the rear or the back, interchangeable with dorsal
pronate
turn the palm of the hand downward, turn out of anatomical position
prone
body position lying face down
proximal
closer to the limb root
psoas sign
RLQ pain with extension of the right thigh, sign of appendicitis
purulent
relating to pus
radial
aspect of the lateral forearm when in anatomic position
rales
wet crackling sound by auscultation of the lungs
rebound
pain when releasing from abdominal palpation, also called Blumberg sign
retractions
visible sinking of the skin between ribs during breathing, indicative of respiratory distress and use of accessory muscles
rhonchi
coarse rattling respiratory sound; often thick mucous sound by auscultation of the lungs
rigidity
stiffness of the abdominal wall muscles due to an acute abdominal process
RLQ
right lover quadrant
ROM
range of motion
Romberg sign
falling to one side when standing with feet together and eyes closed
Rovsing sign
pain in the RLQ when the LLQ is palpated (indicative of appendicitis)
RRR
regular rate and rhythm
RUQ
right upper quadrant
scoliosis
sideways curvature of the spine
serosanguinous
consisting of yellowish serum and blood (may also be spelled serosanguineous)
serous
consisting of yellowish serum
somnolent
appearing very drowsy
splenomegaly
enlarged spleen
straight leg raise
physical exam test to evaluate for sciatica
stridor
high-pitched upper airway sound
subluxation
partial dislocation
subungual
beneath a nail
sunken eyes
eyes appear to be depressed, consistent with dehydration
superficial
near to the surface
supinate
turning the palm facing upward or forward
supple
flexibel and freeely mobile; common descriptor in neck exam
suprapubic
lower central region of abdomen
T spine
thoracic spine; T1-T12
tachycardia
fast heart rate, >100
temporal
the sides of the head
tenting
slow return of skin to normal position after pinching the area - a sign of dehydration
turgor
skin elasticity
tympanic membrane (TM)
eardrum
tympany
bell-like sound when percussing the abdomen
ulnar
pertaining to the medial side of the arm when in anatomic position
uncooperative
does not follow commands
unkempt
poor self-hygiene
urticaria
hives, sign of allergic reaction
vesicle
fluid or air-filled cavity or sac
volar
relating to the palm/sole of the foot (interchangeable with palmar)
weal (pl. wheals)
often a description of an uticarial plaque (a red swollen mark on the body)
well-developed
normal state of body and mental development and wellness
wheezing
high-pitched lung sounds, often due to bronchospasm