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Determines the patency of the radial and ulnar arteries. - Compress radial arteries of both wrists - Ask client to make a fist several times - Ask client to open hands - Palms should become pink immediately indicating patency of ulnar artery - Repeat compressing ulnar artery |
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Pain and discomfort about the heart, characteristic of myocardial ischemia; severe pain felt in the anterior chest, shoulder, left arm, neck, and jaw |
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Used for children younger than 2yrs and adults with irregular heart beat - mid clavicular in the 5th intercostal space |
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A chronic hyperreactive condition resulting in bronchospasm, mucosal edema, and increased mucus secretion. Usually occurs in response to inhaled irritants or allergens. |
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A condition in which there is an obstruction of airflow. Collapse of alveoli. The alveoli of an entire lung may collapse from airway obstruction, such as a mucous plug, lack of surfactant, or a compressed chest wall. |
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aka kyphosis a rounded, bulging, almost barrel-like appearance of the chest which occurs as a result of overinflation of the lungs. |
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Abnormally slow respiratory rate (usually less than 10 breaths/min in adults). |
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Inflammation of the tracheobronchial tree >> increased mucus production and blocked airways. A productive cough is present. |
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Auscultation of voice sounds, patient says "ninety-nine" and normal lung sound will be muffled. |
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A group of heart sounds that elicit a loud blowing sound. - an abnormal finding, most often associated w/ narrowing or stricture of the carotid artery usually associated w/ atherosclerotic plaque. |
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The events of one complete heartbeat, the contraction and relaxation of the atria and ventricles. |
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The amount of blood ejected from the left ventricle in a period of 1min. |
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Cheyne-Stokes respirations |
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Periods of deep breathing alternating with periods of apnea (regular pattern) - normal children and aging - heart failure - uremia - brain damage - drug-induced respiratory depression |
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Adventitious breath sounds |
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A thrombus originating in the large veins of the legs b/c of the relatively low velocity of the blood there. |
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Large muscle below the lungs. |
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The phase of ventricular relaxation in which the ventricles relax and are filled as the atria contract. This is also associated with the bottom number of the blood pressure reading. |
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Common sign of carcinoma of the breast. Skin over a tumor dimples as a result of pulling inward of breast tissue. |
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Shortness of breath or difficulty getting one's breath. |
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Auscultation of voice sounds when the client says "E", normal lungs sound like "eeeee". |
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A condition in which chronic inflammation of the lungs leads to destruction of alveoli and decreased elasticity of the lungs. As a result, air is trapped and lungs hyperinflate. |
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A rough, grating sound caused by the rubbing together of organs or and organ rubbing on the peritoneum. |
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Benign temporary breast enlargement in one or both breasts in males. |
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Atypical sounds of the heart often indicating a functional or structural abnormality. |
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Diagnostic maneuver in which pain may increase with sharp dorsiflexion of the foot. |
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Breathing in excess of metabolic demands, resulting in removal of too much carbon dioxide from the blood; indicated by decreased PaCO2. |
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Breathing insufficient to meet metabolic demands and adequately remove carbon dioxide from the blood; indicated by elevated PaCO2 |
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Thoracic abnormality that includes an exaggerated convex curve of the spine. - causes asymmetry b/t the sides of the posterior thorax |
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Unilateral swelling associated with an obstruction in lymph nodes. |
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An infection causes fluid, bacteria, and cellular debris to fill the alveoli. |
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A condition in which air moves into the pleural space and causes partial or complete collapse of the lung. - can be spontaneous, traumatic, or tension |
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Discontinuous sounds that are intermittent, nonmusical and brief. |
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A range of whistling or snoring sounds heard during auscultation when there is some type of airway obstruction. - sibilant wheezes - sonorous rhonchi - stridor |
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A lateral curvature of the lumbar or thoracic spine that is more common in children with neuromuscular deficits. |
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Loud, high-pitched crowing heard without a stethoscope due to an obstructed airway. |
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The amount of blood that is ejected with every heartbeat. |
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Brief loss of consciousness, usually sudden. |
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The phase of ventricular contraction in which the ventricles have been filled, then contract to expel blood into the aorta and pulmonary arteries. This is also associated with the top number of a blood pressure reading. |
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Abnormally rapid respiratory rate, usually more than 20 breaths/min in an adult. |
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Sensation felt by a hand placed on a part of the body (as the chest) that vibrates during speech. |
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aka axillary tail Breast tissue extends superiolaterally into the axilla known as the "Tail of Spence". |
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Soft vibratory sensations assessed by palpatation with either the fingertips or palm flattened on the chest. |
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Backflow of blood through a valve due to improper closing of the valve i.e. backflow of blood through the mitral valve into the left atrium. |
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Veins that have become dilated and have diminished rate of blood flow and increased intravenous pressure - may be the result of incompetent valves that permit the reflux of blood or an obstruction of a proximal vein. |
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Distended and dilated veins that have diminished blood flow and an increased intravenous pressure. |
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Inadequate circulation in the venous system usually due to incompetent valves in deep veins or a blood clot in the veins. |
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Pooling of blood in the veins of the lower extremities. |
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Ventricular Septal Defect |
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A hole in the wall b/t the ventricles. Results in regurgitation thru the defect and a holosystolic murmur. |
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High pitched squeaky or sibilant breath sounds heard on expiration. |
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Auscultation of voice sounds, patient whispers "one, two, three," normal lung sounds will be faint, almost indistinguishable. |
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An abnormal collection of fluid in the peritoneal cavity. |
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Acute inflammation of vermiform appendix. |
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Stones that block the urinary tract, usually composed of calcium, struvite, or a combination of magnesium, ammonium, phosphate, and uric acid content in water. |
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Acute or chronic inflammation of wall of gallbladder. |
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Removal of the foreskin covering the glans of the penis. |
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Methods used to prevent pregnancy. |
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The area on the lower back formed by the vertebral column and the downward curve of the last posterior rib (the kidney lies below this surface). |
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A hernia that is formed when the urinary bladder is pushed into the anterior vaginal wall. |
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Inflammation of the diverticula (outpouches of mucosa through the intestinal wall). |
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Involuntary urination, such as bed-wetting, that occurs after 4yrs of age. |
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Involuntary contraction of abdominal muscles associated w/ peritonitis. |
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aka pyrosis Burning sensation in the chest just behind the breastbone or in the epigastrium. |
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A mass of dilated veins in swollen tissue caused by continuous overdistention of the bowel and straining to pass stool. |
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A protrusion of an organ or structure through an abnormal opening or weakened area in a body wall. |
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Fluid-filled nontender mass w/in the tunica vaginalis. |
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Related to or situated in the groin or the lowest lateral regions of the abdomen. |
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Age of first menstrual period. |
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Cessation of the menstrual period. - said to happen when no period has been experienced for a year. |
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Sign of cholecystitis. Positive when sharp abdominal pain and need to halt the examination is experienced w/ a deep breath while palpating the liver. |
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Diminished volume of urine. |
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The space b/t the vaginal opening and anal area or b/t the scrotum and the anus. |
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Swelling outward, bulging. |
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Pain on lifting the leg to meet a hand using the psoas muscle. - indicative of peritoneal inflammation or appendicitis. |
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A condition caused by continuous overdistention of the bowel and straining to pass stool, whereby the lower rectal tissue may be forced out of the body through the anus. |
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A hernia that is formed when the rectum pushes into the posterior vaginal wall. |
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aka concave abdomen Horizontal line curves toward the vertebral column, giving the abdomen a sunken appearance. - In the adult, this contour is seen in the very thin person. |
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An enlarged spleen. - indicated by splenic dullness at the left anterior axillary line (dull percussion is identifiable before enlargement is palpable). |
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A change in connective tissue resulting in silvery, shiny, irregular markings on the skin. Often seen in obesity, pregnancy, and ascites. |
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