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19 Cards in this Set
- Front
- Back
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Tuning Fork |
a metal instrument that has two prongs extending from the handle that are designed to vibrate at a specific frequency |
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Percussion hammer |
an instrument with a rubber head to test reflexes |
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laryngeal mirror |
a small mirror attached to a long handle that is used to visualize the larynx |
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otoscope |
used to examine the ears |
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ophthalmoscope |
used to examine the interior of the eye, especially the retina |
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palpation |
the process of using the hands to feel the skin, accessible underlying organs, and other tissues |
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Inspection |
visually examining the exterior surface of the body. At the same time the physician will examine the patient's general state of health |
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Auscultation |
the process of listening to sounds within the body |
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mensuration |
the use of special tools to measure the body or specific body parts |
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manipulation |
the process of passively assessing the range of motion of a joint |
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ROS Review of Systems |
review of each system of the body during physical examination also called head-to-toe exam |
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Six C's of charting |
Client's own words, clarity must be achieved when recording information, completeness is essential for all information recorded, conciseness of the entry , chronological order, confidentiality of patient information |
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Past Medical History |
childhood illness, immunizations, major illnesses, last exam, surgeries, current and past medications, injuries, hospitalization, allergies |
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family medical history |
record of health problems of the patient's blood relatives. |
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Social History |
Lifestyle patterns that could affect the health status of the patient |
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Medical Assistant Room Preparation between patients |
dispose of the used patient gown and drapes. place them in laundry receptacle or in garbage can, room needs to be cleaned properly, disinfecting surfaces also disposing of a trash or used linens. close lids on all biohazard containers. place new paper on table . if there is a pillow change the cover on it |
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Components of Patient Health History |
Chief complaint , present illness, past medical history, family medical history, social history, assessment of the body systems performed by the physician |
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supine |
patients lie flat on their back with hands at the sides
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dorsal recumbent |
patient is lying flat on the back with knees bent and feet flat on the exam table |
