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CP Ch-31

Assisting with Primary Physical Examination

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? 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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