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Vital Signs & PE
Lecture 2 (Vital Signs PE Technique)
33
Medical
Graduate
10/04/2013

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Term
History
Definition
Of the following which is most important?: History, Assesment and Plan, Physical or Laboratory & Imaging studies
Term
wash your hands
Definition
What shuold you do before and after you touch the patient
Term
Head to Toe
Definition
How should you usually examine the patient?
Term
Inspection, Palpation, Percussion and Auscultation
Definition
What is the order of examination techniques?
Term
Inspection
Definition
Which examination technique should be applies throughout the entire examination and interview process?
Term
Palpation
Definition
Which examination technique involves use of your hands and fingers to gather information through touch?
Term
up to 1 cm
Definition
Press in ______ for light palpation.
Term
4 cm
Definition
after light palpation, follow by pressing by _____ for deep palpation
Term
Deep, because they are hard to hurt
Definition
Would you do light or deep palpation on abdomen? Why?
Term
palmar surface & finger pads
Definition
Use ___________ for sensitivity when palpating when palpating
Term
ulnar surface
Definition
Use _________ of hands to discern vibration when palpating
Term
Dorsal surface
Definition
Use _________ of hands to discern temperature when palpating
Term
Percussion
Definition
This examination technique uses sound waves to detect body tissue density and is the hardest skill for students to learn
Term
middle distal phalanx
Definition
during percussion firmly place ______ on body surface
Term
Tympanic
Definition
What percussion tone is:
Intensity: Loud
Pitch: High
Duration: Moderate
Quality: Drum-like
i.e. - Gastric Bubble
Term
Resonant
Definition
What percussion tone is:
Intensity: Loud
Pitch: Low
Duration: Long
Quality: Hollow
i.e. - Healthy lung tissue
Term
Hyperresonant
Definition
What percussion tone is:
Intensity: Very Loud
Pitch: Low
Duration: Long
Quality: Boom like
i.e. - Emphysematous lungs
Term
Dull
Definition
What percussion tone is:
Intensity: Soft to moderate
Pitch: Moderate to high
Duration: Moderate
Quality: Thud like
i.e. - Liver
Term
Flat
Definition
What percussion tone is:
Intensity: Soft
Pitch: High
Duration: Short
Quality: Very dull
i.e. - Muscle
Term
resonance / tympany; dullness
Definition
Percussion: Always proceed from areas of _______ / ______to areas of ______
Term
liver, kidney, & GB tenderness
Definition
Fist percussion used to elicit what?
Term
Auscultation
Definition
What examination technique do you Listen for intensity, pitch, duration & quality of sound?
Term
closing your eyes
Definition
How can you narrow the perceptual field of auscultation?
Term
Last except for children which you should do this first for them and abdomen so other findings will contribute to interpretation
Definition
When should auscultation be performed? Exceptions?
Term
Bell
Definition
transmits low frequency sounds (when held lightly against the area of auscultation)
Term
Diaphragm
Definition
transmits high frequency sounds
Term
Bruit
Definition
a low-pitched sound that is created when there is turbulent flow
Term
Occlusion; carotid stenosis
Definition
In vessels, bruits occur when there is ________. What is an example?
Term
Bell
Definition
Which side of the stethoscope do you use to listen for temporal, thyroid and carotid bruits?
Term
hold their breath for a few heartbeats so respiratory sounsd will not interfere with auscultation
Definition
What should you ask the patient to do when checking for carotid artery bruits?
Term
diaphragm
Definition
Which side of the stethoscope should you use to perform pulmonary auscultation?
Term
Listen Anteriorly, posteriorly, and laterally comparing one side to another
Definition
How should you perform pulmonary auscultation?
Term
bowel sounds
Definition
which part of the body should you auscultate first before palpation and percussion as these can interfere with normal peristalsis and also obscure vascular murmurs?
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