Exam (elaborations)
NU 518-Comprehensive Health Assessment
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NU 518-Comprehensive Health Assessment
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NU 518-Comprehensive Health AssessmentMANTRELS - ANSWER migration of pain, anorexia, nausea/vomiting, tenderness
in RLQ, rebound pain, elevation in temp, leukocytosis, shift to the left, aka Alvarado
score
Positive McBurney sign - ANSWER Rebound tenderness over McBurney's point in
the RLQ suggest appendicitis
Iliopsoas Muscle Test - ANSWER performed when you suspect appendicitis
because and inflamed appendix may cause irritation to the iliopsoas muscle.
Sister Mary Joseph's nodule - ANSWER a pearl like, enlarged and sometimes
painful umbilical nodule
Borborygmi - ANSWER long prolonged gurgles (stomach growlin)
Bruit - ANSWER a harsh or musical intermittent auscultatory sound, which may
reflect blood flow turbulence and indicate vascular disease.
Rigidity - ANSWER is a boardlike hardness of the abdominal wall overlying areas of
peritoneal irritation
Acute pain - ANSWER Pain of short duration and has sudden onset in association
with injury, surgery, or an acute illness episode. Inflammation helps sustain the pain
response.
Chronic pain - ANSWER Pain that lasts several months or longer, and is often
sustained by a pathophysiologic process (e.g. joint disease, chronic inflammation,
headache, or cancer).
Neuropathic Pain - ANSWER long-term pain associated with damage or
dysfunction of the central or peripheral nervous system (e.g. amputation, complex
regional pain syndrome).
Scoliometer - ANSWER Measures degree of rotation of the spine to screen for
scoliosis.
Monofilament test - ANSWER Used to test for loss of protective sensation, most
commonly on the plantar surface of the foot.
Calipers - ANSWER Measure thickness of sub-q tissue
Dermatoscope - ANSWER Skin surface microscope that uses epiluminescence
microscopy (ELM) w/ or w/o the application of oil on a skin lesion to magnify a lesion
for detailed inspection of the surface of pigmented skin.
, Wood's lamp - ANSWER Used primarily to determine presence of fungi on skin
lesions
Goniometer - ANSWER Used to determine the degree of joint flexion and extension
Transilluminator - ANSWER Consists of a strong light source with a narrow beam
that is directed to a particular body cavity and used to differentiate b/w various media
present in cavity.
Neurologic Hammer - ANSWER Used for testing deep tendon reflexes (similar to
percussion hammer)
Percussion (Reflex) Hammer - ANSWER Used to test deep tendon reflexes.
Tuning Fork - ANSWER Used to screen for auditory function and for vibratory
sensation as part of neuro exam
Nasal Speculum - ANSWER Use with penlight to visualize the lower and middle
turbinates of nose.
Tympanometer - ANSWER Assess the functions of the ossicular chain, Eustachian
tube, and the tympanic membrane, as well as the interrelation of these parts
Otoscope - ANSWER Provides illumination for examining the external ear canal
and the tympanic membrane
Amsler Grid - ANSWER Screening for those at risk with macular degeneration. Grid
consists of straight lines (like graph paper) and at the center is a black dot that acts
as a fixation point and the patients views the grid with one eye at a time and notes
occurrence of line distortion or actual scotoma
Snellen Alphabet - ANSWER Used to screen far vision; contains letters of
graduated sizes with standardized numbers at the end of each line of letters, which
indicate the degree of visual acuity when read from a distance of 20 feet (some
charts are standardized for 10 feet).
Tumbling E - ANSWER generally children 3-5 y/o. A nonalphabet version of the
Snellen chart, it has the letter "E" facing in different directions.
HOTV - ANSWER generally children 3-5 y/o. Consist of a wall chart composed of
H's, O's, T's and V's. The child is given a testing board containing a large H, O, T, V.
Point to letter on wall and ask child to point to the match on testing board.
LH Symbols (LEA Symbols) - ANSWER consists of four optotypes (circle, square,
apple, house) that blur equally. Child has to find a matching block or point to the
shape that matches the target presented.
Broken Wheel Cards - ANSWER consists of 6 pairs of cards with following acuities:
20/100, 20/80, 20/60, 20/40, 20/30, and 20/20. In each pair, one card has solid
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