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health assessment test 2 ch12
ch12
39
Medical
Professional
10/11/2008

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Term
assessment of hair
Definition
inspection
quantity
distribution
texture
pattern of loss
Term
assessment of scalp
Definition
inspection
scaliness
lumps
lesions
Term
assessment of skin
Definition
inspection
color
pigmentation
texture
thickness
hair distribution
lesions
Term
assessment of skull
Definition
INSPECTION AND PALPATION
general size
shape/contour
symmetry
position
abnormalities: hydrocephalus
microcephalus
acromegaly
Term
assessment of face: inspection
Definition
facial expressions: parkinson's scleraderma
symmetry: stroke, cleft lip, bells palsy
abnormal movements
lesions
hair
edema of masses
Term
assessment of face: palpation
Definition
TMJ
edema or masses
Term
assessment of face: abnormalities
Definition
acromegaly
myxedema
nephrotic syndrome (eyes)
cushing's syndrome (endocrine gland)
parkinson's disease
parotid gland enlargement (suck a lemon)
Term
assessment of nose
Definition
position
deformity
septal deviation
discharge
flaring (copd)
Term
assessment of paranasal sinuses: inspection-frontal and maxillary
Definition
edema, discoloration
Term
assessment: paranasal sinuses: palpation
Definition
for sinus tenderness
press up on frontal sinuses from under bony brows
acoid pressure on eyes
press up on maxillary sinuses
Term
assessment: paranasal sinuses: percussion
Definition
to frontal and maxillary sinuses if tenderness
Term
assessment of mouth and phaynx: inspection of lips
Definition
color (cyanosis, pallor)
moisture
lumps, ulcerations, cracking, scaliness
Term
inspection of oral mucosa
Definition
use tongue blade
color, ulcers (stomatitis:inflammation of oral mucosa), white patches, nodules, irritation
Term
inspection of gums
Definition
color of gums, gum margins, swelling, ulceration
Term
inspection of teeth
Definition
missing or loose, discolored, position
Term
inspection: roof of mouth
Definition
color
architecture or hard palate (cleft palate)
Term
inspection of tongue and floor of mouth
Definition
stick out tongue, color, texture, symmetry, test of hypoglossal nerve (CNXII)
Term
Palpation: lips and tongue
Definition
tenderness
muscle tone
lesions
Term
inspection: oropharynx
Definition
say "ah" of use tongue blade mid-tongue to visualize pharynx
note rise in soft palate (test of vagus nerve-CN X)
test gag reflex
Term
assessment of neck
Definition
neutral, hyperextended and swallowing for masses, symmetry, condition of the skin, ROM
bruit
Term
inspection of neck
Definition
symmetry, masses, scars, enlarged glands or lymph nodes
trachea-position, alignment
thyroid gland-symmetry
Term
palpation: neck
Definition
thyroid gland: consistency, masses, tenderness
Term
inspection of trachea
Definition
trachea midline
ask pt to swallow some water
watch upward movement of thyroid cartilage, cricoid cartilage, and thyroid
note contour and symmetry
Term
palpation of trachea
Definition
place your finger along one side of trachea
note space between trachea, and sternomastoid muscle
compare for symmetry
abnormality: deviation, mass, atlectasis, pneumothorax
Term
palpation of thyroid
Definition
examiner behind pt
place fingers of both hands on pt's neck with index fingers just below carotid
ask pt to sip water, feel for glandular tissue rising under your finger pads
note size, contour, consistency of gland
Term
preauricular lymph
Definition
in front of the ear
Term
occipital lymph
Definition
at the base of the skull
Term
postauricular lymph
Definition
behind the ear, over the outer surface of the mastoid bone
Term
hydrocephaly
Definition
enlargement of the skull due to inadequate drainage of the cerebrospinal fluid
Term
acromegaly
Definition
enlargement of the bones, and facial features due to increased growth hormone
Term
bell's palsy
Definition
a temporary disorder affecting cranial nerve VII and producing unilateral facial paralysis. my be caused by a virus, onset is sudden, adn usually resolves sponatneously in a few weeks without residual effects
Term
cushing's syndrome
Definition
increased adrenal hormone production leading to a rounded "moon" face, ruddy cheeks, prominent jowls, and excess facial hair
Term
down syndrome
Definition
chromosomal defect causing varying degrees of mental retardation and characteristic facial features such as slanted eyes, a flat nasal bridge, flat nose, a protruding tongue, and short, broad neck
Term
parkinson's disease
Definition
a masklike expression occurse
the disease results from a decrease in dopamine, a neurotransmitter
Term
torticollis
Definition
a spasm of the sternocleidomastoid muscle on one side of the body, which often results from birth trauma
Term
hyperthyroidism
Definition
excessive production of thyroid hormones. results in enlargement of the gland, exophtalamos (bulging eyes), fine hair, weight loss, diarrhea,
Term
goiter
Definition
enlargement of the thyroid gland
Term
graves' disease
Definition
the most common type of hyperthyroidism, no known cause
Term
hypothyroidism
Definition
occurs when there is a decrease in production of thyroid hormones which results in lowerd basal metabolism
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