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Definition
the application of your hands to the external surfaces of the body to detect abnormalities of the skin or tissues lying below the skin |
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involves striking body parts with the tips of the fingers to locate structures, identify whether they are solid or hollow, detect areas containing air or fluid |
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Definition
listening to sounds produced by the body, by ear or with a stethoscope |
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ammonia or urine smelling breath |
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Definition
patient may have kidney failure or uremia |
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musty or sweet smelling breath |
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Definition
patient may have liver disease |
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fruit or acetone smelling breath |
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Definition
patient may have diabetes |
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Definition
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Definition
blood pressure, temperature, pulse, respirations, SpO2 and pain level |
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Definition
hardening of the arteries as we age |
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Definition
portion of the central nervous system that helps regulate body temperature and the automatic nervous system |
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Definition
control the respiratory rate |
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Definition
some control over blood pressure and pulse |
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assessing Level of Consciousness |
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Definition
Person, Place, Time, Situation (If able to answer questions to all 4 then AAOx$) |
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Definition
yellow color of the sclera (eyes) |
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Term
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Definition
tissue redness. may indicate inflammation or infection. |
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Definition
an opaque white ring around the outer edge of the cornea, may appear in the eyes of older adults |
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Definition
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Definition
drooping of the eyelid to one side |
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consensual reflex or response |
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Definition
simulation of the nerve by shining a light in either eye causing both pupils to rapidly constrict simultaneously and equally |
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Term
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Definition
holding your finger in front of the patient's face and asking them to follow it as you move it. |
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Definition
two eyes that are equally responsive are "pupils are equally reactive to light and accommodation" |
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Definition
fungus infection known as yeast. |
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pale pallor that encircles the lips, may indicate scarlet fever |
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Definition
patient may know what he or she wants to say, but cannot say the words |
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Definition
patient has difficulty coordinating and organizing word correctly in a sentence |
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Definition
difficultly breathing in the supine position |
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Term
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Definition
breathing is within normal parameters |
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Definition
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Term
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Definition
lumbar concavity is increased |
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Definition
convexity of the midthorax is increased |
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Definition
curvature to either the left or right |
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Definition
when the patient's chest wall appears depressed between the ribs or under the xiphoid process when the patient inhales |
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Term
Adventitious breath sounds |
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Definition
extra sounds superimposed over the normal breath sounds. includes crackles, rhonchi, wheezes, pleural friction rub, and stridor |
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Definition
discontinuous, usually heard during inspiration, may be either fine or coarse |
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Definition
snoring, rattling, gurgling, squeaking, wheezes caused by either secretions or partial occlusion of the airways |
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Definition
continuous melodious, musical, or whistling sound due to constriction of the airways, can be inspiratory or expiratory |
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Definition
grating, creaking sound, that is due to inflamed, edematous pleural surfaces rubbing together during breathing |
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Term
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Definition
can usually be heard with or without use of a stethoscope, and is a sign of life-threatening upper airway construction. it is a shrill, high-pitched, harsh, crowing sound and require immediate intervention. |
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Term
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Definition
numbness or decreased sensation in the skin |
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elderly patients have numerous yellowish-brown spots cause by years of sun exposure "liver spots" |
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Definition
a patient who is prespiring |
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defense mechanism of tightening the abdominal muscles |
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gurgling bowel sounds loud enough to be heard without a stethoscope |
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how long it takes for color to return to normal after pressure being applied (usually on the nail bed) less than 3 seconds is normal |
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tightening and shortening of the muscles that prevent full extension of the joints |
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Definition
A condition affecting the fingers and toes in which the extremities are broadened and the nails are shiny and abnormally curved. |
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Definition
swelling, the result of excess fluid shifting out of the cardiovascular space into the interstitial space between the individual cells |
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Definition
assessing the pulse in both wrists for strength and equality, rated on a scale of 0-3 |
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