Physical Examination (General)

Question 1

Observation/Inspection

Answer 1

• What you see, hear, smell, and feel emotionally from the patient - Starts when you enter room and finishes when you leave

Question 2

Percussion

Answer 2

• Surface of the body is struck to emit sounds that vary in quality according to the density of the underlying tissues - Quieter tone means denser material

Question 3

Percussion Techniques (2)

Answer 3

1. Direct (striking directly against the body) 2. Indirect (Use dominant middle finger to strike DIP joint on non-dominant middle finger that’s placed firmly against the body)

Question 4

Percussion Uses (3)

Answer 4

1. Sonorous (density) 2. Definitive (mapping extent/border of area ex. liver) 3. Detection of tender areas

Question 5

Percussion Tones (5)

Answer 5

1. Tympany (gastric air bubble) 2. Hyperresonance (emphysemic lung) 3. Resonance (healthy lung) 4. Dullness (liver) 5. Flatness (muscle, thigh)

Question 6

Palpation and Uses (8)

Answer 6

-Use hands to feel certain areas of the body - Determines: 1. Texture 2. Moisture 3. Temperature 4. Masses (size, shape, consistency, motility, and pulsatile) 5. Crepitus 6. Tenderness 7. Vocal Fremitus

Question 7

Aspects of Palpation (4) and Part of Hand Used

Answer 7

1. Tactile sense (finger pads) 2. Vibratory sense (ulnar aspect of hands or palmer metacarpalphalangeal joints) 3. Postion and consistency (grasping fingers) 4. Temperature (dorm of hand)

Question 8

Vital Signs (4)

Answer 8

1. Temperature 2. Pulse 3. Respiration 4. BP