Physical Examination (Exam I) Flashcards
what is pronator drift
weakness or drift of arms when outstretched for short length of time
-high likelihood of large vessel occlusion
-mostly likely to be VAN positive
what is levines sign
a universal sign of ischemic chest pain, defined as an individual holding a clenched fist over the chest that has a low sensitivity but is relatively specific for ischemia
how do you test sternocleidomastoid muscle of pt? how do you test trapezius muscle of pt?
o Ask the patient to flex the neck with the chin to the chest.
o Movement of the head sideway so that the ear moves toward the shoulder.
what are spongy gums indicative of
vitamin C deficiency
what does leukoplakia
thick white patches on tongue. precancerous lesion due to smoking and alcohol
what s/s does cocaine and meth cause for surgery?
-cocaine= bleed and HTN, shift in auto regulation
-meth= low and hard to manage BP problems during surgery. need extra pressors
How deep would one palpate with light palpation technique?
Deep palpation technique?
- 1-2 cm
- 4-5 cm
What would be expected with tympanic, drum-like percussion?
- Air-containg space (puffed out cheek, gastric air bubble, etc.)
What would be expected with resonant, hollow sounding percussion?
- Normal lungs
What would be an expected finding with assessed hyper-resonant, booming percussive sounds?
- Emphysematous lungs
What would be an expected finding with assessed dull, thud-like percussive sounds?
- Softer organs (ex. Liver)
What would be an expected finding with assessed flat percussive sounds?
- Denser organs (ex. muscle)
What temperature does one need to be to go to PACU?
96°
Approximately what should the axillary temp be in comparison to a core temperature?
- 1° lower
What is Anthropometry?
- Scientific study of the measurements and proportions of the human body (height, weight, etc.)
What is Mediate or Indirect Percussion?
How is it performed and what is its purpose?
- Plexor (striking finger) & pleximeter (finger being struck).
- Evaluation of abdomen and thorax
What is Immediate percussion? What is it utilized for?
- Striking of surface directly with fingers of the hand.
- Adult sinus or infant thorax evaluation.
What is Fist percussion? What is it utilized for?
- Flat hand on area to be evaluated being struck with a fist.
- Used to evaluate the back & kidney for tenderness.
What are the three forms of percussion?
- Mediate/Indirect percussion
- Immediate percussion
- Fist percussion
When is circumoral cyanosis primarily seen?
How might circumoral cyanosis present on patients with darker skin tones?
- In infants primarily above the upper lip.
- gray or white rather than blue
What are situations that can cause jaundice?
- Acute liver inflammation
- Inflammation/obstruction of the bile duct
- Cholestasis
- Hemolytic anemia
- Gilbert’s syndrome
- Crigler-Najjar syndrome
- Dubin-Johnson syndrome
- Pseudojaundice
What causes pseudojaundice? How harmful is it?
- Harmless condition caused by excess carrots, pumpkins or melon consumption (↑ β-carotene)
What is Gilbert’s syndrome?
- Inherited condition where enzymes can’t process bile excretion.
What is Crigler-Najjar’s syndrome?
- Inherited condition where enzyme that processes bilirubin is ineffective.
