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Physical Exam Terminology

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Term
Definition
What are the 5 vital signs?   Temperature, pulse, respirations, blood pressure, oxygen saturation  
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Auscultation   Listening with a stethoscope by the provider  
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Palpation (NOT palpitation)   The act of pressing on an area of the body by the provider  
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Cachectic, cachexia   Thin/muscle wasting  
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Scleral icterus   Yellowing of the eyes, indicative of liver failure  
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Pale conjunctiva   Pale in the inside of the lower eyelids , indicative of anemia  
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Epistaxis   Nosebleed  
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Rhinorrhea   Runny nose  
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Dry mucous membranes   Dryness of the tongue/inside of mouth, indicative of dehydration  
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Lymphadenopathy   Swollen lymph nodes  
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Thyromegaly   Enlarged thyroid  
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Tachycardia   Heart rate >100 beats per minute (bpm)  
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Bradycardia   Heart rate <60 beats per minute (bpm)  
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Irregularly irregular rhythm   Rhythm heard with atrial fibrillation  
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Extrasystoles   Extra heart beats  
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Carotid, Radial, Femoral, Dorsalis Pedis, Posterior Tibialis   Pulse points  
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Tachypnea   Increased breathing rate  
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Hepatomegaly   Enlarged liver  
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Splenomegaly   Enlarged spleen  
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Heme positive   Stool test positive for occult blood  
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Melanotic   Black, tarry appearance of stool  
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Pedal edema   Swelling of the feet  
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Pallor   Pale skin (concern for anemia)  
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Jaundice   Yellow skin (liver failure)  
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Urticaria   Hives  
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Petechiae/Purpura   Pinpoint red/purple dot rash - concern for serious bleeding problem  
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Erythema   Redness  
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Ecchymosis   Bruising  
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Describe normal findings for "constitutional"   Well developed, well nourished, no acute distress  
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Describe normal findings for "eyes"   EOMI, PERRL, normal conjunctiva  
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Describe normal findings for "ENT"   TMs clear, moist mucous membranes  
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Describe normal findings for Cardiovascular   Regular rate and rhythm, no gallops, murmurs, or rubs  
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Describe normal findings for respiratory   Lungs clear to auscultation bilaterally, no wheezes, rhonchi, or rales.  
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Describe normal findings for abdominal   Soft, nontender, nondistended, no masses, no hepatosplenomegaly  
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Describe normal findings for musculoskeletal   Full ROM, no edema, no tenderness.  
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Describe normal findings for skin   Warm, dry, no rashes or bruises. No suspicious lesions  
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