Secondary suvery (done) Flashcards
what to look for in the lower limbs
general inspection bruising or deformeties assessing for short or rotation (signs of a NOF) differences in strength and movement movement, sensory and circulation
lower limbs can give alot of clues of medical problems
what is priapism
male pt constant irrection due to all the blood vessel dilating
what are the signs of a broken pelivs
often breaks in 2 places
could have frog legs
what to look for in the pelvis
genral inspection palpate for tenderness signs f deformity bruising or swelling priapism
what to look for in the abdomen
general inspection location of the abnormalities palpation's of the abdomen assessing for tenderness, guarding, rigity or masess assuclatate the abdomen
what to look for in upper limbs
general inspection
difference in grips
tenderness of bones, ligaments an joints
movmemnt, sensory, circulation
what to look for in the back inspection
general inspection minimal movement hidden wounds palpate for pain or tenderness along the thoracic and lumbar vererbrae collection of fluid or blood blood on clothes
what to look for in respiratroy
accessory muscle use reccession nasal flaring RR spo2
what is venous engorgement
raised jugular pressure
what is laryngeal crepitis
damage to the laranyx (vocal cords)
new onset of horsness or pain when talking
what is surgical emphysema
bubbling on the skin (little pocket of air)
what is tracheal deviation as sign of
collapsed lung or bleeding leads to pushing organs to the side
what does the acronym TWELVE stand for
T-tracheal deviation W- Wound, Bruising or swelling E- Surgical emphysma L- laryngeal Crepitis V- venous engorgement E- exclude- pneumothorax, fail segment, haemothorax
what to look for in the chest
general inspection
chest expansion
accessory muscle use
what to look for in the neck
general inspection
raised jugular venour pressure
palpate for any tenderness in cervical vertebrae
