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-reduce anxiety -alert patient to your goal and what/how you will be proceeding -be systematic in your approach -good lighting -tailor assessment to developmental status and needs |
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-move from head to toe -patient: supine position -examiner:right side: jugular veins on right are more reliable for estimating venous pressure; apical pulse is on the right side; right kidney is more palpable |
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confirms points noted by inspection by using your sense of touch assesses: texture temperature moisture organ location and size swelling vibration or pulsation rigidity or spasticity crepitation presence of lumps or masses presence of tenderness or pain -palpate tender areas LAST "say99" |
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1. inspection 2. palpation 3. percussion 4. auscultation order is different in the abdomen-inspect-auscultate-percussion-palpate |
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concentrated watching always inspect first-general survey, each system good lighting is essential |
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-tapping the person's skin with sharp strokes to assess underlying structures -strokes yield a palpable vibration and a characteristic sound that depicts the location, size, and density of underlying organs INDIRECT is used more often |
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hyperresonnance (abn lungs) resonance (lung) tympany (stomach) dullness (dense organ) flatness (thigh, bone, tumow) |
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CONFIRMATION -listening to sounds produced -most sounds are soft and need to be channeled via a stethoscope -stethoscope does not magnify sound but blocks extraneous room sounds |
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funnels light into ear canal and onto tympanic membrane base serves as power source |
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illuminates internal eye structures enables you to look through the pupil at the fundus of the eye |
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double-based metal nasal spectrum penlight used or light in instrument used to view lower and middle turbinates and nasal mucosa |
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used to assess nutritional status by measuring thickness in mm of subcu fat |
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used to assess female reproductive system available in several sizes |
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a protractor with a movable and a fixed arm (axis)) used to assess joint motion |
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battery-operated consists of opthalmoscope handle and a translluminator head produces red glow when pressed against a body tissue in a dark room used to assess sinus contents-air, tissue, fluid |
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