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Chapter 38

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Term
Definition
Patients with highly contagious infectious diseases must be examined under?   Isolation precautions  
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Which of the following might the physician use to check heart size?   Percussion  
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What ia the first step for providers to perform a general physical exam?   Examine a healthy patient to confirm an overall state of health and to provide baseline values for vital sings and measurements  
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What is the second step for providers to perform a general physical exam?   Examine a patient to diagnose a medical problem  
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To confirm a patient’s health status, physicians usually perform exams on a routine basis when?   Once a year  
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The organ system is indicated to the physician by the patient’s ?   Condition and chief of complaint  
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What is a clinical diagnosis?   A diagnosis based on the sings and symptoms of a disease, as well as the result of any ordered laboratory tests  
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What is a sign?   Objective information that can be detected by a person other than the affected person  
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What is a symptom?   Subjective information supplied by the patient. Example; Anxiety, back pain, abdominal pain and fatigues  
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Prognosis   A forecast of the probable course and outcome of the disorder and the prospects of recovery  
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__ standards and guidelines are designed to protect employees and make the workplace safe   OSHA  
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___establishes the guidelines intended to protect both patients and healthcare professionals in the medical office and the hospital setting   CDC  
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What is the first safety measures?   Perform a thorough aseptic hand washing before and after contact with each patient before and after procedure  
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Patients with high contagious infection diseases such as diphtheria or chickenpox, must be examined under?   Isolation precautions  
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Provide a summary of?   PPE based on specific diseases  
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To protect yourself from injury when helping to position a patient, always follow the basic rules of?   Body mechanics  
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Body Mechanics is?   The application of physical principles to help prevent stress and injury to healthcare practitioners who are helping patients  
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Describe the sitting position?   The patient sits at the edge of the examining table without back support  
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What is symmetry?   The degree to which one side is the same as the other  
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Describe the supine position   Patient lies flat o the back with the hands to the side or on the abdonen  
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Supine means?   Lying down face up  
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Recumbent means?   Lying down  
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Dorsal recumbent   Face up, with the back supporting all the weight. It is the same as the supine position, except the knees are drawn up and feet are flat on the table  
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Lithotomy   Patient lies on her back with her knees bent and her feet stirrups attached to the end of the examining table  
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Fowler’s position   Lies back on an examining table on which the head is elevated at a 45 degree angle  
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Prone position   Lying flat on the table, patient head is turned to one side, and the arms are placed at the sides or bent elbows  
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Sims position   Patient lies on the left side. The patient’s leg is slightly bent, and the left arm is placed behind the back so the patient’s weight is resting primarily on the chest  
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Knee-fest or Knee-elbow   Lying down on the table facedown. Supporting the body with the knees and chest. Thighs are 90 degree angle to the table and slightly separated  
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Proctologic   Used as alternative to the Sims. Patient is bent at the hips at a 90-degree angle  
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Trendelenburg position?   Lies supine with the feet elevated 15 to 30 degrees above the head  
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What is inspection?   Visual exam of the patient’s entire body and overall appearance. During inspection, the physician asses posture, mannerisms and hygiene  
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What is auscultation?   Process of listening to body sounds. Detect the flow of blood through an artery and perform auscultation extensively in the general exam to assess sounds from the heart, lungs and abdominal organs  
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What is palpation?   Assess characteristics such as texture, temperature, shape and the presence of vibrations or movements; may palpate (on the skin surfaces)  
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What is Percussion?   Involves tapping or striking the body to hear sounds or feel vibrations. Determines location, size, or density of a body structure or organ under the skin  
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Mesuration   Process of measuring. Ex; done to monitor the growth of the uterus during pregnancy or to note the length and diameter of an extremity or a wound  
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Manipulation   Systematic moving of a patient’s body parts. EX; Check for abnormalities that affect the movement. Determine a joint’s range of motion  
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