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20 Cards in this Set
- Front
- Back
9 General Appearance ABNL
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1. concious = lethargic
2. distress = clutching chest 3. state of health = chronically ill 4. skin color/obvious lesions = cyanosis, bruising 5. sex dev = no facial hair on male > 25 y/o 6. posture/gait/motor activity = leaning forward, ataxic, tremor 7. dress, grooming, personal hygiene = copper bracelet, grown out nailpolish, unkempt appearance 8. odors of body/breath = acetone 9. facial expression = immobile |
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6 ABNL skin
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1. color = erythmatous
2. moisture = xerosis 3. temperature = cold 4. texture = rough 5. mobility/tugor = slow 6. lesion = brown nevi, upper R arm, unilateral |
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Head
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-quantity, distribution, texture, pattern of loss, nits/dandruff of hair
-facies of head |
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Eyebrow
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-quantity
-distribution -scaliness |
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Eyelids
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-position in relation to eye
-width of palpebral fissure -edema -color -lesions -condition & direction of eyelashes -adequacy of eyelid closure -lacrimal gland and sac for swelling |
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Inner eye appearance
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-color of sclera and conjunctiva
-vascular pattern -nodules -swelling |
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Cornea, Lens and Iris
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-opacity of cornea and lens
-clear marking of iris |
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pupils
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-shape
-symmetry -size -red reflex |
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Inner eye
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-clarity of optic disc
-yellow-orange to creamy pink -size of physiologic cup -Arteries and Veins of retina |
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Auricle
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-deformities
-lumps -skin lesions |
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Ear Canal
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-discharge
-FB -redness |
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Tympanic membrane
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-color
-contour -cone of light -handle and short process of malleous -pars flaccida and tensa |
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Nasal mucosa and turbinates
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-color
-swelling -bleeding -exudates |
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Nasal septum
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-deviation
-perforation -inflammation -abnormalities (polyp/ulcer) |
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Lips
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-color
-moisture -lumps -ulcers -cracking -scaliness |
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Oral mucosa
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-color
-ulcers -white patches -nodules |
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Interior inspection of the mouth
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-soft palate
-ant and post pillars -uvula -tonsils -pharynx |
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Neck
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-symmetry
-masses -scars -enlargement of submandibular and parotid gland -visable lymph nodes |
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ABNL lymph node
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-size
-shape -delimitation -mobility -consistency -tenderness |
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Nails
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-color
-shape -texture -lesions -capillary refill |