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83 Cards in this Set
- Front
- Back
high-pitched, loud, rushing sounds produced by the movement of gass in the liquid contents of the intestine
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Borborygmi
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physical examination tecnique that uses the sense of touch to assess texture, temperature, moisture, organ location and size, vibrations and pulsations, swelling, masses, and tenderness
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Palpation
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hight-pitched harsh sound heard on inspiration when the trachea or larynx is obstructed
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Stridor
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bluish or dark purple discoloration of the lips, skin, or nail beds
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Cyanosis
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indirect measurement of cardiac output obtained by counting the number of prepheral pulse waves over a pulse point
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Pulse rate
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low-pitched grating sound on inhalation and exhalation
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Pleural Friction Rub
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respiratory rate greater than 24 breaths per minute
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Tachypnea
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abnormal, low-pitched breath sound, louder on exhalation
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Sonorous Wheeze
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abnormal breath sound
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Adventitous Breath Sound
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abnormal breath sounds that resembles a popping sound, heard in inhalation and exhalation, not cleared by coughing
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Crackle
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review of the client's functional health patterns prior to the current contact with the health care agency
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Health History
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physical examination technique that involves listening to sounds in the body that are created by movement of air or fluid
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Auscultation
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heart rate less than 60 beats per minute in an adult
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Bradycardia
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physical examination technique that uses short, tapping strokes on the surface of the skin to create vibrations of underlying organs
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Percussion
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condition in which the apical pulse rate is greater than the radial pulse rate
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Pulse Deficit
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regulartity of the heartbeat
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Pulse Rhythm
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chart containing various-sized letters with standardized numbers at the end of each line of letters
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Snellen Chart
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brief account of any recent signs or symptoms related to any body system
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Review of Systems
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medium-pitched and blowing sounds heard equally on inspiration and expiration from air moving through the large airways
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Bronchovesicular Sound
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easy respirations with a rate of breaths per minute that are age appropriate
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Eupnea
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outward expression of mood or emotions
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Affect
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respiratory rate of 10 or fewer breaths per minute
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Bradypnea
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physical examination technique thorough visual observation
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Inspection
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heart rate in excess of 100 beats per minute in an adult
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Tachycardia
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abnormal breath sound, hight pitched and whistlelike in nature, during inhalation and exhalation
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Sibilant Wheeze
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breathing characterized by shalow respirations
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Hypoventilation
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soft, breezy, low-pitched sound heard longer on inspiration than expiration that results from air moving through the smaller airways over the lung prephery, with the exeption of the scapular area
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Vesicular Sound
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measurment of the strength or force exerted by the ejected blood against the arterial wall with each contraction
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Pulse Amplitude
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difficulty breathing as observed by labored or forced respirations through the use of accssory muscles in the chest and neck
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Dyspnea
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loud, tubular, hollow-sounding breath sound normally heard over the sternum
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Bronchial Sound
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regulartity of the heartbeat
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Pulse Rhythm
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chart containing various-sized letters with standardized numbers at the end of each line of letters
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Snellen Chart
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brief account of any recent signs or symptoms related to any body system
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Review of Systems
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medium-pitched and blowing sounds heard equally on inspiration and expiration from air moving through the large airways
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Bronchovesicular Sound
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easy respirations with a rate of breaths per minute that are age appropriate
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Eupnea
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outward expression of mood or emotions
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Affect
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respiratory rate of 10 or fewer breaths per minute
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Bradypnea
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physical examination technique thorough visual observation
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Inspection
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heart rate in excess of 100 beats per minute in an adult
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Tachycardia
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abnormal breath sound, hight pitched and whistlelike in nature, during inhalation and exhalation
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Sibilant Wheeze
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breathing characterized by shalow respirations
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Hypoventilation
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soft, breezy, low-pitched sound heard longer on inspiration than expiration that results from air moving through the smaller airways over the lung prephery, with the exeption of the scapular area
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Vesicular Sound
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measurment of the strength or force exerted by the ejected blood against the arterial wall with each contraction
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Pulse Amplitude
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difficulty breathing as observed by labored or forced respirations through the use of accssory muscles in the chest and neck
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Dyspnea
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loud, tubular, hollow-sounding breath sound normally heard over the sternum
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Bronchial Sound
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significant decrease in blood pressure that results in dizziness or lightheadedness when a person moves from a lying or sitting (supine) position to a standing position
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Orthostatic Hypotension
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breathing characterized by deep, rapid respirations
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Hyperventilation
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apical pulse
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AP
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blood pressure
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BP
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centimeter
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cm
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left lower quadrant
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LLQ
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level of conciousness
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LC
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left upper quadrant
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LUQ
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pulse
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P
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pupils equal, round, reacts to light and accomodation
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PERRLA
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respiration
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R
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temperature
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T
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right lower qaudrant
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RLQ
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review of systems
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ROS
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right upper quadrant
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RUQ
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determine if patient is functioning within the parameters expected for their age group ie. involved with family, involved with their children
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Developmental Level
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assessment of dimensions such as self-concept and self-esteem as well as usual sources of stress and the patient's ability to cope
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Psychosocial History
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inquiry about the home environment, family situation, and the client's role in the family. ie caffeine and alcohol intake
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Socioculture
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location
character intensity timing aggravating/alleviating factors |
Review of systems
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demographic info, reason for seeking health care, perception of health status, previous illness, hospitaliations and surgeries, client/family medical history, immunizations/exposure to comunicable diseases, allergies, current meds, developmental level, psychosocial and sociocultural histories, alternative/complementary therapy use, ADL, ROS
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Health History
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inspection, palpation, percussion, auscultation
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Physical Examination
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general survey, vital signs, height and weight, head and neck assessment, mental and neurological status and affect, skin assessmnet, thoracic assessment, abdominal assessment, muskuloskeletal and extremity assessment
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Head-to-toe assessment
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introduction, general state of health and any signs of distress ie pain, breathing difficulties. Patient's awareness of the surroundings, body type and posture, fascial expressions and mood
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General Survey
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noraml temperature is between 36.5C - 37.5C
Axillary - under arm Tympanic - ear Oral - mouth Rectal - rectum |
Normal temperature and temperature points
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normal pulse is 60 -100 BPM
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Normal Pulse
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normal respirations is 16 - 20 RPM
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Normal Respirations
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normal blood pressure is 90/60 - 140/90
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Normal Blood Pressure
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under breast on right side
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Apical Pulse Point
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inside upper arm
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Brachial Pulse Point
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outside wrist
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Radial Pulse Point
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inside wrist
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Ulnar Pulse Point
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behind knee
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Popliteal Pulse Point
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behind ankle
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Posterior Tibial Pulse Point
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front of ankle
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Dorsalis Pedis Pulse Point
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the force exerted by the blood against the wall of the artery as the heart contracts and relaxes
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Arterial pressure
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when the ventricals contract and blood is forced into the aorta and pulmonary arteries, first sound heard
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Systolic Arterial Pressure
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when the heart is in the filling or relaxed stage, last sound heard
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Dialostolic Blood Pressure
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difference between the systolic and diastolic
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Pulse Pressure
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