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CP Ch-31
Assisting with Primary Physical Examination
| Question | Answer |
|---|---|
| Organ | composed of two or more types of tissue bound together to form a more complex structure for a common purpose or function. |
| System | composed of several ORGANS and their associated structures. |
| Ophthalmoscope | Used to inspect the inner structures of the EYE. |
| Tuning Fork | Used to test auditory acuity. Tests bone VIBRATION. |
| Otoscope | Used to examine the external auditory canal and tympanic membrane. |
| Percussion Hammer (Reflex Hammer) | Tests neurologic reflexes of the knee and elbow. |
| Palpation | Sense of touch used to examine. |
| Mensuration | Process of measuring. (height, weight, wound) |
| Sims | Also called lateral. Used for SIGMOID EXAM and PERINEAL EXAM. |
| Lithotomy | Pt on back with knees in stirrups. (Pap) |
| Trendelenburg | Positioning used for patients in SHOCK or HYPOTENSION. Foot of table is 90 degrees. |
| PEARL | Pupils are equal and Respond to Light |
| Transillumination | Inspection of cavity or organ by passing light through its walls. |
| What is a bruit and how is it found? | Abnormal sound or murmur. Heard by AUSCULTATION or an organ, vessel, or gland. |
| Sequence of a general physical exam | Give pt brief explanation; 1)Presenting Appearance; 2)Nutrition and Stature (height/weight); 3) Speech; 4) Breath Odor; 5)Skin; 6)Head (and now moving towards feet) 7)Eyes; 8)Ears; 9)Nose/Sinuses; 10) Mouth/Throat; 11)Neck; 12)Reflexes; 13)Chest; 14)Abdom |
| Types of examinations in physical exam (6) | (1) Inspection; (2) Palpation; (3) Percussion (tapping); (4) Ausculation (stethoscope); (5) Mensuration (Measuring; (6) Manipulation (range of motion of joint) |
| Manipulation | Forceful, passive movement of a joint. Range of motion (goniometer) |
| Patient positioning for SHOCK | Trendelenburg |
| Patient position for Sigmoid | Sims |
| Patient position for someone with trouble breathing. | Fowler's |
| Subjective vs. Objective | Subjective: pt's words Objective: Things like vitals, labs |
| SOAPE (Return to the clinic in 2 weeks) | PLAN |
| SOAPE (my throat hurts when I swallow) | SUBJECTIVE |
| Body mechanics: Twisting? | Don't twist. Turn feet to face the object. |
| Body mechanics: How do you move heavy objects? | PUSH..do not pull. Use your leg muscles more. |
| What would you ask a patient before transporting him/her to a wheelchair? | If they have a weak side. |
| Best position for examining heart, breasts, and abdominal organs | Supine (horizontal recumbant) |
| Best position for proctological exam | Knee chest |
| Which position is used to check Reflexes? | high Fowlers and supine |
| Reflex terms for KNEE and ANKLE | Patellar; Achilles |
| Reflex often used to check babies | Babinski |
| What is absolutely essential for an abdominal exam? | Relaxation of the abdominal muscles. Dorsal recumbant best for this. |
Created by:
sev3414
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