VS--

Question 0

Jaundice

Answer 0

Yellowing skin mucous membranes. Liver/gallbladder disease? Excessive RBC breakdown? First seen eyes–> skin mucous membranes. Dark skin- see in eyes oral membranes palms soles

Question 1

Pallor

Answer 1

Paleness skin- loss blood? Assessed all over body, may lips nail beds conjunctiva eye. Dark skin- ashen gray/slightly yellowish

Question 2

Erythema

Answer 2

Skin redness. Fever present, inflamm, allergy, sunburn?

Question 3

Eccymosis

Answer 3

Purple in skin,collection blood subcutaneous tissue

Question 4

Petechiae

Answer 4

Small red spots due capillary bleeding. Note location/ size documentation

Question 5

Lesions

Answer 5

Wounds scar bites scratches blisters warts moles acne burns rashes. Document size shape lost ion drainage odors assoc pain itching.

Question 6

Edema causese, pitting edema

Answer 6

Trauma heart disease pvd renal disease over hydration. If skin remains indented–pitting edema. 1+=no vis change, slight pitting 2mm trace 2+= no marked change shape of leg pitting deeper 4mm moderate 3+ leg visibly swollen deep pitting 6mm. 4+= leg very swollen very deep pitting 8mm

Question 7

Alopecia

Answer 7

Loss hair head or all of body. May be due hereditary infection inadeq. Nutrition chemo radiation therapy

Question 8

Hirsutism

Answer 8

Excessive hair. Causes often hormonal disorder

Question 9

Cheyenne stokes

Answer 9

B

Question 10

Orthopnea

Answer 10

B

Question 11

Crackles

Answer 11

B

Question 12

Wheezes

Answer 12

V

Question 13

When assessing lungs

Answer 13

Note presence quality & abnor sounds & location