Primary Physical Examinaton CMA
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show | The act of listening to body sounds, typically with a stethoscope, to assess various organs throughout the body
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show | An abnormal sound or murmur heard on auscultation of an organ, vessel, or gland
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show | Abnormal enlargement of the distal phalanges (fingers/toes) associated with cyanotic heart disease or advanced chronic pulmonary disease
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Colonoscopy | show 🗑
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show | A graphic record of electrical conduction through the heart
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show | The pathologic accumulation of air in the alveoli, which results in alveolar destruction and overall oxygen deprivation: In the lungs, the bronchioles becomes plugged with mucus and lose elasticity
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Gait | show 🗑
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show | The formation and development of blood cells in the red bone marrow
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show | A term referring to the area between cells
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Intracellular | show 🗑
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Manipulation | show 🗑
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show | Chewing
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Murmur | show 🗑
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show | Small lumps, or lesions, or swellings that are felt when the skin is palpitated
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show | The use of touch during physical examination to assess the size, consistency, and location of certain body parts
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Peristalsis | show 🗑
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Sclera | show 🗑
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Transillumination | show 🗑
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show | Physical injury or a wound caused by an external force or violence
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show | contractions of the muscles lining blood vessels, which narrows the lumen
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Anatomy | show 🗑
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show | Study of body functions
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show | Basic unit of life
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show | Cells of similar structure and function that are placed together
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show | makes up the skin, glands, and linings of body parts and organs
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show | flat
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show | square
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show | long/ narrow
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show | vary shapes that can stretch
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show | support and binds other body tissues. Types include: collagen, bone, cartilage, adipose, ligaments, tendons, blood, and lymph.
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show | produces movement
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Plasma Membrane | show 🗑
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Intracellular Area | show 🗑
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Nucleus | show 🗑
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show | (striated, voluntary) attached to bones, produces voluntary body movements when contracted
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Cardiac Muscle | show 🗑
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Smooth Muscle | show 🗑
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Nervous Tissue | show 🗑
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show | composed of two or more types of tissue bound together to form a more complex structure for a common purpose or function
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Systems | show 🗑
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Blood Cells, Organs, and Structures | show 🗑
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Blood Functions | show 🗑
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Cardiovascular Cells, Organs, and Structures | show 🗑
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show | circulatory system transports materials in the blood throughout the body, veins return deoxygenated blood to the heart, which pumps it into the lungs, oxygenated blood is pumped into the aorta and branching arteries to cells in the body
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Endocrine Cells, Organs, and Structures | show 🗑
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show | produces hormones that circulate in the blood to target tissue that stimulates a certain action
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Integumentary Cells, Organs, and Structures | show 🗑
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Integumentary Functions | show 🗑
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Gastrointestinal Cells, Organs, and Structures | show 🗑
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show | mastication, swallowing, digestion, absorption of nutrients, excretion of waste materials
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Lymphatic/Immune Cells, Organs, and Structures | show 🗑
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Lymphatic/Immune Functions | show 🗑
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show | bones, joints, muscles, tendons, ligaments, cartilage
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show | movement, posture, heat production, support protection, mineral storage, hematopoiesis
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Nervous Cells, Organs. and Structures | show 🗑
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Nervous Functions | show 🗑
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show | Female: estrogen/ progesterone, ovum, ovaries, fallopian tubes, uterus, vagina, vulva, mammary glands
Male: testosterone, sperm, epididymis, vas deferens, prostate gland, testes, scrotum, penis, urethra
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show | produces hormones, reproduction
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Respiratory Cells, Organ, and Structures | show 🗑
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show | responsible for inhalation of oxygen/ exhalation of carbon dioxide externally and exchange of oxygen/carbon dioxide internally at the cellular level; acid-base regulation
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Sensory Cells, Organs, and Structures | show 🗑
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Sensory Functions | show 🗑
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show | nephron unit, bilateral kidneys, ureters, urinary bladder, urethra
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show | filters waste material from blood; reabsorbs fluid/electrolytes as needed; excretes waste in urine; maintains electrolyte, water, and acid-base balances; regulates blood pressure; activates red blood cells
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show | treat patients of all ages for a broad ranges of diseases and complaints. qualified to provide care from birth to old age.
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show | determines the patients overall state of well-being. all major organs and body systems are checked during this time
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show | make sure patient feels comfortable. verify insurance information and necessary medical information (current medications, allergies, etc.)
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Room Preparation | show 🗑
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Patient Preperation | show 🗑
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show | hand instruments on request. alter lamp. position drape. collect and label specimens. conduct follow up. schedule post exam diagnostic procedures
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show | used to inspect the inner structures of the eye
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show | a flat, wooden blade used to hold down the tongue during a throat exam
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Otoscope | show 🗑
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Nasal Speculum | show 🗑
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show | used to check the patients auditory acuity and to test bone vibration
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show | measuring device, typically used to assess length/head circumference of infants or wound size
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show | used during auscultation to hear internal body sounds
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show | used to strike the tendons of the knee and elbow to test nuerologic reflexes
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show | used whenever the potential exists for contact with body fluid or contaminated items exist
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show | gauze, cotton balls, cotton tipped applicators, specimen containers, hemocult packets, pap smear supplies, lubricating jelly, and laboratory request forms must be readily accessible during the examination
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Inspection | show 🗑
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Palpation | show 🗑
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show | involves tapping or striking the body to elicit sounds/vibrations. can determine the position, size, and density of organs/cavities.
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show | the physician uses a stethoscope to listen to sounds that originate within the body. mostly used for sounds originating in the lungs, heart, and abdomen
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Mensuration | show 🗑
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show | the passive movement of a joint to determine the range of extension or flexion of a part of the body. may be performed using the range-of-motion (ROM) exercises
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show | the medical assistant is responsible for instructing and assisting the patient into various positions for the exam. do not place the patient in an uncomfortable position or a privacy compromising position. dont leave if patient is in a dangerous position
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Fowlers Position | show 🗑
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Semi-Fowlers Position | show 🗑
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show | performed by striking the body with a finger
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Indirect Percussion | show 🗑
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Supine (Horizontal Recumbent) Position | show 🗑
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show | individual (usually a patient) lies on their back with their knees bent up in an outward position while their feet are planted flat on the ground, a bed, table or resting platform allowing the pelvic area to be easily examined and observed.
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show | a supine position of the body with the legs separated, flexed, and supported in raised stirrups, originally used for lithotomy and later also for childbirth.
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Sims Position | show 🗑
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Prone Position | show 🗑
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show | individual rests on the knees and upper part of the chest, assumed for gynecologic or rectal examination.
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Tredelenburgs Position | show 🗑
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Principles of Body Mechanics | show 🗑
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show | body mechanics. wheelchair pt, chair close to table, wheels locked, foot rests lifted. support pt strong side. stepstool. pt close to your side. bend at knees. signal and lift. help step up with strong leg. shoulder or waist never neck.
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show | get help if heavy. maintain alignment. do not reach. bend at knees. keep weight close to body. keep back straight. slide, roll, push heavy item if possible
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Examination Sequence | show 🗑
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show | whether patient shows good health (disoriented, in distress, well nourished, answers questions with ease or confusion). the gait is body movements are monitored for unusual muscle action. posture is checked for pain, stiffness, or limb movement difficulty
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show | the body build and proportion is noted. any gross (immediately obvious) deformities are recorded. height/weight is recorded before the exam
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Speech | show 🗑
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Breathe Odors | show 🗑
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Skin | show 🗑
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Head | show 🗑
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Eyes | show 🗑
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Ears | show 🗑
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Nose/Sinuses | show 🗑
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Mouth/Throat | show 🗑
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show | ROM. thyroid gland for symmetry, size, texture. check thyroid through palpitation and swallowing. carotid artery palpitated. lymph nodes palpitated. lymphadenopathy=infection in face, head, neck.
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Reflexes | show 🗑
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show | sitting. exam for symmetric expansion. emphysema cause barrel shaped chest. percussion used to determine density of lung . stethoscope to auscultate lung sounds. abnormalities cause for further tests.
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Abdomen | show 🗑
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show | breasts are examined symptomatic or not. examined visually and palpated in supine and high fowler. breast cancer most common in women. males at 15 will receive testicular exam.
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Rectum | show 🗑
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Legal and Ethical Issues | show 🗑
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show | conversations can be overheard. guard confidentiality by ensuring privacy glass is closed, turn away from waiting room while on phone. physician schedule faced away from pt areas. medical records face door of exam room. EMR use, close files, lock computer
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Aphonia | show 🗑
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Aphasia | show 🗑
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Dysphasia | show 🗑
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show | the patients knows what he/she wants to say but cannot use muscles properly to speak
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show | the patient pronounces words easily but uses them inaccurately
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show | pupils are equal, round, respond to light, adjust/focus on objects
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