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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!  

Term
Definition
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  
🗑
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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