The General Survey Flashcards

1
Q

Observations of the General Survey

A
  1. Physical Appearance
  2. Body Structure
  3. Mobility
  4. Behaviour
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2
Q

Physical Appearance

A
  • age
  • sex
  • level of consciousness
  • skin colour/ condition (even, rash, pallor, jaundice)
  • facial expressions (symmetry with movement)
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3
Q

Level of Consciousness

A

Alert and Oriented x 3
1. Who they are
2. Where they are
3. When they are (season, date, month)

Consciousness is lost in the reverse order: when –> where –> who

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4
Q

LOC: Alert

A

awake, readily aroused, oriented, fully aware of external and internal stimuli, responds appropriately

full range of controlled movement

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5
Q

LOC: Lethargic

A

not fully alert, drifts off to sleep when not stimulated, can be aroused when touched or name is called (in a normal tone of voice), responds appropriately but seems slow, inattentive

spontaneous movement decreased

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6
Q

LOC: Obtunded

A

transitional state between lethargy and stupor

difficult to arouse (needs a vigorus shake or loud shout), otherwise will only groan, mumble, or move restlessly

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7
Q

LOC: Stupor or Semicoma

A

spontaneously unconscious, responds only to persistent, vigorous shakes or pain

confused when aroused, mumbles, incoherent speech, moves restlessly

still responds to painful stimuli, moves reflexively

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8
Q

LOC: Coma

A

completely unconscious, no response to pain or other internal/ external stimuli

light coma: some reflex activity, but no strong movements

deep coma: no reflex activity and no motor response

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9
Q

LOC: Acute Confessional State (delirium)

A

clouding of consciousness, inattentive, incoherent, impaired recent memory

worse at night when visual stimulation decreases (less stimuli to provoke consciousness)

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10
Q

Glasgow Coma Scale

A

used to assess patients suspected of a brain injury –> 3 areas:
1. Eye opening response
2. Motor response
3. Verbal response

Max score of 15 points
13-15 = mild
9-12 = moderate
3-8 = severe

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11
Q

GCS Score: 13-15

A

mild brain injury

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12
Q

GCS Score: 9-12

A

moderate brain injury

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13
Q

GCS Score: 3-8

A

severe brain injury

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14
Q

Body Structure

A
  1. stature
  2. nutrition (healthy, cachectic, obese)
  3. symmetry (bilateral, proportional)
  4. posture (plumb line)
  5. position (tripod, resisting laying down, fetal)
  6. body build, cntour,
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15
Q

Nutritional Assessment

A

assessments used to determine a patient’s nutritional status

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16
Q

Posture

A
  • tripod sitting
  • fetal position
  • slumped shoulders
  • closed off, reserved
  • anxious
  • sitting tall
17
Q

Position

A
18
Q

Body Max Index (BMI)

A

an indicator of optimal weight according to height –> may indicate obesity or malnutrition

BMI = weight/ height (squared)

19
Q

BMI of <18.5

A

under weight

20
Q

BMI 18.5-24.9

A

normal

21
Q

BMI 25.0 - 29.9

A

over weight

22
Q

BMI 30+

A

obese

23
Q

What number can be used to best predict health outcomes?

A

waist circumference

24
Q

Height and Weight of Older Adults

A
  • shorten in stature due to compressed/ shortened vertebral discs
  • postural changes due to changes in knee and hip flexion
  • decrease in weight, bony prominences more visible
25
Q

Mobility

A
  1. Gait (stable, shuffling, uneven, dragging feet)
  2. Range of Movement (fully mobility of joints, smooth, coordinated)
26
Q

Behaviour

A
  1. Facial Expression
  2. Mood and Affect
  3. Speech
  4. Dress and Personal Hygiene