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Medical History + Physical Exam (Ch # 10)
| Question | Answer |
|---|---|
| Deformities | Abnormal shape to a body part, often from a broken bone |
| Contusions | Bruising or bleeding under the skin |
| Abrasions | Scrapes to the skin that rub off the top layers of the skin |
| Penetrations | Open wounds, gunshot or stablike wounds to the skin |
| Burns | Burning or blistering of the skin from heat, electrical current, or chemical exposure |
| Movement of a flail chest in which the chest wall moves in on inspiration and out on expiration | Paradoxical Movement |
| Lacerations | Cuts or open wounds into the skin |
| Sweelling | increase in size as a result of bleeding or fluids under or into the skin |
| Rapid Trauma Assessment | A rapid, orderly, head to toe assessment of a trauma patient. Provide RTA to the pt. with significant mechanism of injury, Altered level of consciousness, head/chest/abdomin traumas, unstable respiratory/pulse rates, shock. |
| Aspects of RTA | Rapid Trauma Assessment includes: inspection, palpation, auscultation |
| An assessment technique that involves listening to sounds inside the body with a steethoscope | Auscultation |
| A mnemonic assessment tool used to determine a person's mental status | AVPU. A-alert/orinted, V-verbal, P-painful, U-unresponsive. AVPU - is a mnemonic assessment tool used to determine a person's mental status. |
| Crepitus | A crunching or grating sound heard when broken bone ends rub together |
| A mnemonic used to identify injury to the body. | DCAPBTLS. D-deformities, C-contusions, A-abrasions, P-penetrations, B-burns, T-tenderness, L-lacerations, S-swelling |
| Distal pulses | Pulses taken at a point farther from the midline of the body, such as the pedal or radial pulse |
| Focused history | Information obtained from a patient regarding the person's medical history |
| An assessment technique that involves looking for injuries or problems | Inspection |
| Enlargement of the jugular veins on the sides of the neck | Jugular vein distention (JVD) |
| Palpation | An assessment technique that involves feeling for injuries during the patient assessment |
| Unequal movement of the chest wall may indicate rib fractures and may make breathing difficult for the patient | Paradoxical Movement |
| The ability to feel | Sensation |
| Tenderness | Complaints of pain caused by an injury. Tenderness cannot be seen, it is indicated by the patient |
| GCS | Glasgow Coma Scale- used for assess mental status. It includes AVPU (alert, verbal, painful, unresponsive) |
| Subcutaneous Emphysema | It is Crepitus or crackling feeling under the skin caused by air leakage |
| Guarding | Tensing of the muscles or other body parts to protect an area. Also, indicate of internal damage. |
| Assess of respirations includes | Rate, Quality, Pattern |
| Assess of pulse includes | Rate, Quality, rthythm |
| SAMPLE history includes | SAMPLE. S-signs and symptoms, A-allergies, M-medications, P-past medical history, L-last oral intake, E-events preceding |
| Difference between GCS and Vital Signs | GCS - documentation of the GCS score helps determine the patient's neurologic status and continued progress. Vital Signs - only determine the patient's response |
| Pneumatic Antishock Garment (PASG) | A patient who has palvic fractures and symptoms of shock |
| COPD | Chronic Obstructive Pulmonary Disease. It makes breathing more difficult for the patient. |
| Focused Trauma Assessment | FTA - using when a patient has an isolated injury without signs or symptoms of it, or alter in mental status, or mechanism of injury |