Pt Assessment
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| Extra Heart Sounds (systolic) | Heard btw S1 & S2Ejection: aortic stenosis, pulmonic stenosis, HTNClicks: MVP
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| Extra Heart Sounds (diastolic) | opening snap of mitral stenosis; physiologic or pathologic S3; or S4
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| pathologic S3 | caused by Myocardial failure, tricuspid or mitral regurgitation
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| S4/atrial gallop | caused by HTN, CAD, AS, cardiomyopathy, delayed AV conduction
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| Pericardial friction rub | scraping sound 3rd space LSB = inflammation of pericardial sac
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| Venous Hum | benign humming sound above clavicles = turbulence in the jugulars
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| Palpation (cardiovascular exam) | Apex; Left Sternal Border; Base; Apical Impulse; Thrill, Lift, Heave; Carotid artery
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| Common auscultation sites for bruits | Temporal; Subclavian; Carotid; Abdominal aorta; Renal/iliac/femoral
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| Acute occlusion (S/S) | paresthesia (occasionally paralysis)
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| Edema is associated with: | deep vein obstruction or valvular incompetence
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| Redness, thickening, & tenderness along a superficial vein suggests ____ | thrombophlebitis
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| Homan’s sign | Flex the knee slightly and dorsiflex the foot. Pain in the calf is a positive test
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| swelling, pain and tenderness over a vein suggests _______; confirm with _____ | DVT; Doppler ultrasound
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| Presenting problems for peripheral vascular | Leg Pain/Cramps; Dizziness; Severe Headaches; Swollen Ankles
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| visual acuity in the young | Term infants visual acuity <20/40012 months – acuity 20/50Age 4 and older – 20/30
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| Hordeolum | stye
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| Anisocoria | difference in pupil sizes
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| expected response(s) in near reaction | pupillary constriction and convergence
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| Ear development in the young | Inner ear development in first trimesterInfants external auditory canal shorter than adultsInfants eustachian tube wider, shorter, more horizontal than adults
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Created by:
Abarnard
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