Order of Assessment ans: Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen
Comprehensive Health History ans: chief complaint, reason for visit, ROS, past medical and surgical history, social history and family history
Pediatric Body measurements ans: length, height, weig...
otoscope ans: adult-up and back, peds- down and back, using largest speculum that will fit comforably
tympanic membrane ans: Cone of light R-5 l-7
EOM testing ans: CN III, IV, VI
AP diameter of chest ans: 1:2 (AP less than transverse)
barrel chest ans: COPD
Flat or Dull percussion ans: effusion or pneumonia
normal resonant percussion ans: healthy lung
Hyperressonance (percussion) ans: trapped air
crackles/rales ans: high pitched, discontinuous
Wheezes ans: high-pitched whistling or squeaking sounds during inspiration or expiration
Rhonchi ans: snoring, rumbling sounds heard upon auscultation of the chest during respiration-low
pitched
tactile fremitus ans: • INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as with pneumonia)
- Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
Bronchophony ans: the spoken voice sound heard through the stethoscope, which sounds soft, muffled,
and indistinct over normal lung tissue, clearer over disease
, Egophony ans: abnormal change in tone of voice that is heard when auscultating the lungs EE-->AA
UE Arteries ans: radial-thumb side, ulnar pinky side
clubbing ans: bulbous enlargement of distal phalanges of fingers and toes that occurs with chronic
cyanotic heart and lung conditions
edema scale ans: 1+ = disappears rapidly. 2+ = last 10-15 seconds. 3+ = lasts more than one minute. 4+ =
lasts 2-5 minutes. These are signs used in what scale?
normal/abnormal findings spleen ans: normal=tympanic, dullness could be enlargement not normally
felt on exam
Blumberg Sign: Rebound Test ans: peritoneal inflammation, hurts more when release from palpation
shifting dullness ans: a sign of free peritoneal fluid wherein the dullness of percussion shifts, generally
from one side to the other, as the patient is turned from side to side.
Psoas sign ans: RLQ pain with extension of right thigh indicative of appendicitis
Obturator sign ans: RLQ on internal rotation of right thigh indicative of appendicitis
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.49. You're not tied to anything after your purchase.