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33 Cards in this Set
- Front
- Back
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inspection for (1) shoulder pain case
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accessory muscle observation
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inspection for (2) lung volume reduction patient
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chest AP diameter
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inspection for (3) SCI patient
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breathing pattern
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inspection for (4) CABG
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skin observation (color, ulceration)
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inspection for (5) CHF
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JVD
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palpation for (1) shoulder pain
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fremitus
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palpation for (2) lung volume reduction
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fremitus
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palpation for (3) SCI patient
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chest wall expansion
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palpation for (4) CABG
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BP
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palpation for (5) CHF
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pulse
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percussion for (1) shoulder pain
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tissue density
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percussion for (2) lung volume reduction
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tissue density
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percussion for (3) SCI
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diaphragm excursion
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percussion for (4) CABG
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tissue density
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percussion for (5) CHF
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tissue density
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auscultation for (1) shoulder pain
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breath sounds
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auscultation for (2) lung vol reduction
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breath sounds
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auscultation for (3) SCI
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breath sounds
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auscultation for (4) CABG
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heart sounds
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auscultation for (5) CHF
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heart sounds
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questions to ask (1) shoulder pain
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SOB
chest pain |
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questions to ask (2) lung vol reduction
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Chest pain
difficulty coughing |
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questions to ask (3) SCI
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SOB
difficulty coughing |
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questions to ask (4) CABG
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SOB
LE pain/throbbing |
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questions to ask (5) CHF
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chest pain
LE pain/throbbing |
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order of exam
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questions
inspection palpation percussion auscultation |
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normal for JVD exam
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normal <3 cm
>3 cm positive |
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pulses grading
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4+ bounding
3+ slightly increased 2+ normal 1+ weak/thready 0 absent |
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edema grading
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1+ barely
2+ id depression rebounds <15 sec 3+ skin rebounds 15-30 sec 4+ rebound >30 |
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breath sounds ratios
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bronchial 1:2 with pause
bronchovesicular 1:1 vesicular 3:1 no pause |
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cardiac areas
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aortic
pulmonic tricuspid mitral |
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heart sounds - what valves are closing? where are they best heard
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S1 - AV valves close - mitral area
S2 - semilunar valves close - aortic area S3 - extra fluid - mitral S4 - extra fluid/HTN - mitral |
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fremitus (increased or decreased)
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increased if consolodation
decreased if hyperinflation |
