techiques of physical examination & pt assessment (group 2) Flashcards
What does physical examination consists of?
examination techniques
measurement of vital signs
assesment of vital signs
assesment height and weight
Four techniques commonly used in physical examination?
inspection
palpation
auscultation
percussion
What are significant findings on inspection?
hygiene
clothing
skin color
body language
position
Why do PARAMEDICS need to palpate?
to asses for the following:
texture
masses
fluids
crepitus and assessing
skin temparature
Define percussion?
Evaluation of the presence of AIR or FLUIDS in body tissues.
What divice is use for auscultation?
Stethoscope
What is auscultation used for?
blood pressure
evaluate breath sounds
evaluate bowel sounds and
heart sounds
Name the components of physical examination?
mental status
general survey
vital sings
neurological exam
chest
abdomen
extremities and posteriorly
What are the three main sings of distress in adult patients?
cardiorespiratory insuffiency
pain
anxiety
What are the possible causes of Pallor skin in adults?
shock
dehydration
fright
cardiorespiratory insuffiency
cold environment
cyanosis
What does yellow skin color indicates?
Liver disease
Heamolysis
What does red skin color indicates?
Fever
Inflamation
Carbon Monoxide poisoning
Name the blood pressure measurments sites?
Radial artery
Dorsalis pedis artery
Brachial artery
Posterior tibial artery
Where can temperature be measured on the human body?
Orally temp measurement
Axillary temp measurement
Tympanic temp measurements
Rectal temp measurements
What does a dilated or unresponsive pupil indicates?
Cardiac arrest
Central nervous system injury
Hypoxia or anoxia
Drug use
What does unequal pupils indicates (one dilated or unresponsive)
Cva
Head injury
Direct trauma to the eye
Eye medications
In abnormal nail findings, what does clubbing of the fingertips indates?
Chronic cardiac or respiratory disease
How can the paramedic assess visual acuity?
By asking the patients to read printed material
Count fingers
Distinguish between light and dark
Use of various eye charts
What organs can be palpated in the right upper quadrant?
Liver and galbladder
Duodenum
Head of pancreas
Right adrenal gland
Portion of right kidney
Portions of ascending and transverse colon
Pylorus
What findings are considered abnormal during a peripheral vascular assessment
Pale or cyanotic skin
Swollen or asymetrical extremities
Weak or diminished pulses
Skin cold to touch
Absence of hair growth
Pitting edema
What five categories does a neurological exam consists of?
Mental status
Speech
Cranial nerves
Motor and sensory system
Reflexes
What are the four priorities of patient assessment?
Initial assessment (recognize life threatening conditions)
Focused history
Detailed physical examanation
Ongoing assessment
What are the purpose of ongoing assessment?
Reassess mental status
Reassess airway
Monitor breathing for rate and quality
Reassess circulation
Reastablish patient priorities
Define anisocoria?
Uneqaul pupils
