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21 Cards in this Set
- Front
- Back
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physical exam steps
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1)inspection
2)palpation 3)percussion 4)auscultation 5)instrumentation |
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1) inspection
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as a whole then each body system
begins moment you meet the individual "general survey" 1) inspection: need to do |
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2) palpation
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confirm points observed during inspection
assess: texture, temp, moisture, organ location, size, swelling, vibrations, pulsation, rigidity, spasticity, crepitation, lumps, masses, tenderness, pain |
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2) palpation: use fingertips for
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fine tactile discrimination
skin texture swelling pulsation lumps |
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2) palpation> position, shape, consistency or organ or mass
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use gasping fingers and tumb
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2) palpation > determine temp
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dorsum of hands and fingers
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amplitude
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intensity (loud or soft)
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pitch
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frequency (high or low pitch)
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quality
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timbre (subjective difference)
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duration
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length of time the note lingers
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precussion of struction with more AIR like
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lungs
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Air sounds
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lounder, deeper and longer sounds because virabtes freely
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more dense and solid structure like
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liver
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dense sounds
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softer, higher, shorter sound because don't vibrate as easily
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resonant sound
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clear hallow
over normal lung med-loud moderate duration |
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hyperresonant
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booming
over lungs with increased air (emphysema) louder long duration |
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tympany
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musical, drumlike
over air filled structure (stomach) loud longest duration |
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Dull
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muffled thud
relative dense organ (liver) soft short duration |
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flat
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dead stop sound
when no air (thigh) very soft volume very short duration |
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Diaphragm
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Held firmly
for high-pitched sounds |
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Bell
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Held lightly
for low pitched sounds |
