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Mod 2 Ch. 36

Fundamentals Of Assisting Test #2 Ch 36 Physical Exam

Inspection (1/6) visually examining the exterior surface of the body
Palpation (2/6) using hands to feel the skin, underlying organs, and tissues
Percussion (3/6) using the fingertips to tap the body lightly but sharply to gain information about the position and size of underlying body parts.
Auscultation (4/6) -listening to the sounds within the body -sounds by heart, lungs, stomach, and bowel are assessed for strength and rhythm.
Mensuration (5/6) use of special tools to measure the body or specific body parts (calipers to measure body fat)
diagnose determine the cause and nature of a disease or injury
clinical diagnosis -aka working diagnosis -preliminary presumptive diagnosis made by the physician based on health history and physical exam.
differential diagnosis the process of determining which, of multiple possibilities, is the cause of the problem.
prognosis predicting the course of the condition and determining the recovery rate.
supine position -aka horizontal recumbent -patient lies flat on back with hands at their sides
dorsal recumbent position patient lies flat on back with knees bent and feet flat on the table
lithotomy position Similar to dorsal recumbent position, but pt's feet are in stirrups (when the Physician is in room and ready)
Fowler's position Patient sits on exam table with head of table raised to a 90 degree angle
Semi-Fowler's position Patient sits on exam table with head of table raised to a 45 degree angle
prone position Patient lies face down on table, flat on stomach, with head turned to the side
Sim's position -aka lateral recumbent position -patient is placed on their left side with the right leg bent sharply upward
knee-chest position Patient is placed in the prone position and then asked to pull their knees up to a kneeling position with their thighs at a 90 degree angle to the table
Trendelenburg position -Only used in the case of shock or low blood pressure -Foot of bed is raised above the level of the patient's head
Proctologic position -aka jack-knife position -Pt. lies face-down with hips at hinge of table
Sitting position -used to examine the head and chest (anterior and posterior) -patient sits on table with legs hanging off side
ROS Review of Symptoms
Manipulation (6/6) passively assessing the range of motion of a joint
Chief Complaint -CC -presenting problem
signs -objective and measurable
symptoms -subjective -stated by patient and quoted in chart
present illness -PI -provides a more complete, expansive description of the CC.
family medical history record of the health problems of the patient's BLOOD relatives
social history -Lifestyle patterns that could affect the health status of the patient -smoking, drinking, drug-use, occupation, marital status, and sexual preference.
ophthalmascope equipment used to examine the interior of the eye
otoscope equipment used to examine the ears
reflex hammer -aka percussion hammer -equipment used for testing reflexes
tuning fork equipment used to test for hearing loss
laryngeal mirror -aka dentist's mirror -equipment used to visualize the larynx and throat
Created by: vanstellee