NUR303 Head To Toe
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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Skin | color; turgor; temperature; moisture
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Head | Hair (distribution, texture); face- symmetry- eyebrows, eyes, nasolabial folds, sides of lips; TMJ (tender, clicking)
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Eyes | pupil size (3-5mm); accommodation; pupillary light reflex; red reflex; visual fields of confrontation (CN II); Diagnostic Positions Test (CN III, IV, VI)
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Ears | Auricle (tender, lesions, swelling); ear canal (edema, discharge, erythema, tender); TM (color, intact, cone of light, position); Conversation Test (CN VIII); Whisper Test (CN VIII)
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Nose | septum (intact, not deviated); turbinates (color, swelling, polyps); mucosa (color, moist)
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Mouth | Lips (moist, lesions); tongue (midline, pink, moist, no leukoplakia) (CN XII); mucosa (moist, pink, leukoplakia); tonsils (grade, crypts, color)
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Neck | carotids(palpate each and grade);thyroid(enlarged, nodules);lymph nodes(preauricular, post auricular; tonsillar, submandibular, submental);trachea(midline);ROM of neck (lateral bending, flexion, extension, hyperextension & rotation);muscle strength(CN XI)
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Cardiac | S1, S2 (where do you hear it best and which valves are closing); pretibial edema, peripheral pulses (radial, dorsal pedis, posterior tibial); capillary refill
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Lungs | symmetrical chest expansion; AP diameter; Breath sounds (listen to posterior, anterior, identify any adventitious sounds)
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Abdomen | contour; hernias (half crunch); bowel sounds (listen to BS x4); palpation in all 4 quadrants; CVA
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Extremities | muscle strength- upper (arms, wrists), lower (thighs, feet); range of motion- upper (shoulders, elbows, wrists, fingers); lower (thigh ankle, feet)
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Neurological | Romberg; rapid alternating movements (RAMS)- 1 upper & 1 lower; reflexes (radial patellar) (grade); spinothalmic tract (pain or light touch); posterior column tract (vibration or position); tactile discrimination (stereognosis or graphesthesia)
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Hair | distribution, texture
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Face | symmetry- eyebrows, eyes, nasolabial folds, sides of lips
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TMJ | tender, clicking
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Pupil size | 3-5mm
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Visual fields of confrontation | CN II
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Diagnostic Positions Test | CN III, IV, VI
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Auricle | tender, lesions, swelling
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Ear canal | edema, discharge, erythema, tender
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TM (tympanic membrane) | color, intact, cone of light, position
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Conversation Test | CN VIII
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Whisper test | CN VIII
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Septum | intact, not deviated
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Turbinates | color, swelling, polyps
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Mucosa | color, moist
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Lips | moist, lesions
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Tongue | midline, pink, moist, no leukoplakia
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Mucosa | moist, pink, leukoplakia
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Tonsils | grade, crypts, color
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Carotids | palpate each and grade
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Thyroid | enlarged, nodules
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Lymph nodes | preauricular, post auricular, tonsillar, submandibular, submental
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Trachea | midline
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ROM of Neck | lateral bending, flexion, extension, hyperextension & rotation
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Muscle Strength | CN XI
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S1, S2 | where do you hear it best and which valves are closing
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Peripheral pulses | radial, dorsal pedis, posterior tibial
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Breath sounds | listen to posterior, anterior, identify any adventitious sounds
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Hernias | half crunch
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Bowel sounds | listen to BS X4
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Muscle Strength- Upper | arms, wrists
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Muscle Strength- Lower | thighs, feet
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Range of Motion- Upper | shoulders, elbows, wrists, fingers
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Range of Motion- Lower | thigh, ankle, feet
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Rapid Alternating Movements (RAMS) | 1 upper & 1 lower
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Reflexes | radial, patellar (grade)
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Spinothalmic Tract | pain or light touch
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Posterior column tract | vibration or positions
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Tactile discrimination | stereognosis or graphesthesia
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Created by:
katelynreid
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