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Validation 3
Musculoskeletal, Neurological, Skin, Hair, and Nails Assessment
30
Nursing
Undergraduate 2
11/14/2013

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Cards

Term
1. Inspect posture
Definition
Erect vs. kyphosis, lordosis, scoliosis
Term
2. Palpate spine
Definition
Pain?
Masses?
Nodules?
Term
3. Neck ROM
Definition
Up and down
Side to side
Ear to shoulder
Term
4. Shoulder ROM
Definition
Marilyn Monroe
Bra strap
Hug yourself
Term
5. Elbows ROM
Definition
Flex and extend
Pronate and supinate
Term
6. Wrist ROM
Definition
Circles
Term
7. Fingers ROM
Definition
Open and close
Term
8. Hips ROM
Definition
Stand up: bend over, stand up straight, rotate
Lie down: Abduct and adduct, forward and back with leg
Term
9. Knee ROM
Definition
Sitting: flex and extend
Term
10. Ankles ROM
Definition
Flex and point
Term
12. Toes ROM
Definition
Flex and point
Term
13. Assess strength
Definition
Same ROM movements with resistance
Term
Musculoskeletal assessment
Definition
Posture
Palpation of spine
Palpation of joints: Symmetry, erythema, crepitus, heat
ROM
Strength
Term
Neurological assessment
Definition
Neuro
Sensorineuro
Cerebellar function
Reflexes
Gait and coordination
Cranial Nerves
Term
1. A&O x3
Definition
Person
Place
Time
Term
2. Memory
Definition
Recent and remote
Term
3. Knowledge
Definition
Judgment
Abstract
General
Term
4. Sensory neruo
Definition
Stereognosis: object in hand
Graphesthesia: write on hand
1, 2 point discrimination
Sharp and dull
Term
5. Cerebellar function
Definition
Fingers to thumb
Pronate and supinate hands on thighs
Nose to finger
Heel to shin
Term
6. Reflexes
Definition
Biceps
Triceps
Patellar
Achilles
Term
7. Gait and coordination
Definition
Regular walk
Heal to toe walk
Romberg
Term
8. Cranial Nerves
Definition
1-12
Term
Skin Inspection
"Stops Blevec"
Definition
Scars
Tattoos
Odor
Piercings
Striae
Birthmarks
Lesions
Edema
Varicosities
Ecchymosis
Color
Term
Skin Palpation
"MMMETTT"
Definition
Mobility
Masses
Moisture
Edema
Turgor
Texture
Temperature
Term
Hair Inspection
Definition
Color
Distribution
Length
Hygiene
Term
Hair Palpation
Definition
Texture
Term
Head/Scalp Inspection
"CLO"
Definition
Color
Lesions
Other (infestations, dandruff, etc.)
Term
Head/Scalp Palpation
Definition
Lesions
Mobility
Pain
Term
Nails Inspection
"LACH"
Definition
Length (+artificial? painted?)
Angle (clubbing)
Color
Hygiene
Term
Nails palpation
Definition
Texture
Capillary refill
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