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14 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Observe:
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Shape, Symmetry, Color, Antalgic position, Edema, Hair distribution, ulcers, varicosities
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Patient is in no acute distress and shows no signs of antalgic position, cyanosis, ulcers, varicosities or edema. Hair distribution is normal for age and gender and symmetric bilaterally.
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Auscultate:
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Carotid sinuses
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No carotid bruits noted
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Auscultate:
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A, P, T, M (bell & diaphragm)
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Regular rate and rhythm without clicks, rubs, murmurs, gallops, or extra sounds.
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Palpate:
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Tender areas, thrills, lifts, heaves
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No thrills, lifts or heaves palpated
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Palpate:
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Point of maximal impulse
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Point of maximal impulse is 5th intercostal space, midclavicular line
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Palpate (bilaterally):
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Temperature, moisture, skin turgor, capillary refill of hands
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Skin turgor is adequate, upper extremities are warm and dry without evidence of ulcers, varicosities, or edema bilaterally. Capillary refill is less than 1 second
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Pulses/Nodes (bilaterally):
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Carotid pulses, radial pulses, ulnar pulses, epitrochlear nodes, brachial pulses, axillary nodes
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Carotid, radial, ulnar, and brachial pulses are intact ands adequate bilaterally. No epitrochlear or axillary lymphadenopathy noted
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Palpate (bilaterally):
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Temperature, moisture, skin turgor, capillary refill of feet.
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Skin turgor is adequate. Lower extremities are warm and dry without evidence of ulcers, varicosities, or edema bilaterally. Capillary refill is less than 1 second
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Pitting Edema:
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Grade
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Pitting edema is grade ____.
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Pulses/Nodes:
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Dorsalis pedis, posterior tibialis, popliteal, femoral, inguinal lymph nodes
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Femoral, popliteal, dorsalis pedis, and posterior tibialis pulses are intact and adequate bilaterally. No inguinal lymphadenopathy noted
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Trendelenburg:
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(Venous valvular integrity)
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Trendelenburg is negative
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Jugular Venous Distention
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(Normals: 45o less than 5 cm; 30o less than 6 cm)
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Jugular venous distention is approximately ____ cm.
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Heart sounds
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(May be normal, mitral stenosis, pulmonic stenosis, aortic regurgitation, S3, or S4)
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(Identify sounds...)
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Lung sounds
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(May be normal lung, wheezes, fine crackle, rhonchi, friction rub, or stridor)
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(Identify sounds...)
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