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chapter 38

What are 2 reasons a physician performs a general physical exam? to examine a healthy patient to confirm an overall state of health. To examine a patient to diagnose a medical problem.
What is a clinical diagnosis? a diagnosis based on the signs and symptoms of a disease.
What happens after a doctors initial diagnosis? the physicians may order lab test or other diagnostic testing.
What is differential diagnosis? Determining the correct diagnosis when two or more are possible.
What is a Prognosis? A forecast of a probable course and outcome of the disorder and the prospects of recovery.
What is symmetry? The degree to which one side is the same as the other.
What is supine? patients is lying flat on the back.(face-up)
What is dorsal? Same as supine except patients knees are drawn up and feet are flat on table.
What is lithotomy? lies on her back with her knees bent and her feet in stirrups. slides to edge of table.
How is a patient postioned in Fowler's? lies back head elevated to 90' angle.
Describe Prone position. laying flat (facedown) head turned to one side. arms are placed at his sides or bent at elbows.
Describe Sims's position. lies on left side, left leg is slightly bent, left arm is placed behind the back, right knee is bent and raised toward chest, right arm is bent toward head for support.
Describe Knee-chest position. laying facedown the thighs at a 90' angle to the table and slightly separated, head is turned to one side.
Whats the definition of a fenestrated drape? drape with a special opening provides access to the area being examined.
What is inspection? visual exam of the patients entire body and overall appearance.
What is Palpation? touch. Like texture, and shape.
What is percussion? involves tapping or striking the body to hear sounds or feel vibrations.
What is Auscultation? listening to body sounds.
What is mensuration? process of measuring.
What is Manipulation? systematic moving of a patients body parts.
How do physicians begin a general physical exam? Assessing the patients overall appearance and the condition of hair, skin, and nails.
What is the Snellen chart? most common screening for distance.
What is the Jeager Chart? most common for near vision.
What is the Ishihara chart? used for color vision.
What are common problems of the elderly? Incontinence, depression, lack of info on preventive meds, lack of compliance when taking meds.
Created by: Nookie23