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4 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Inspection cardiac |
Jvp carotid and PMI |
2 |
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Inspection respiratory |
Torax Asymmetry and deformities Compare anteriopoter dimater with latral dimter Asymmetry and impaired respiratory movement |
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General respiratory appearance |
Observe rate, rhythm, depth, and effort of breathing Y/N Assess patient’s color, looking for cyanosis Y/N Listen to patient’s breathing for audible wheezing Y/NTracheal deviation (Look at neck from front of patient, then place finger alongside trachea and note space between it and the sternocleidomastoid muscle; compare to other side.) Look for use of accessory muscles (Look at neck and supraclavicular area.) Note any retraction of the interspaces during inspiration (Check lower interspaces anteriorly and posteriorly.) |
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Palpate respiratory |
1. Palpate areas of reported pain or areas where lesions or bruises are evident for tenderness(Use one or both hands, depending upon history.) 2. Test for chest expansion (Place hands on costal margin with thumbs pointed toward each other with a small fold of skin in between. Have patient take a deep breath, then check for Y/N symmetry of expansion. Can be performed anteriorly or posteriorly.)3. Perform tactile fremitus if indicated (Anterior: Using ball of hand or ulnar side of hand, feel with both hands at the same time. Start at apex and move down to level of xyphoid, at midclavicular line, stopping at just above breast and starting under breast. Posterior: Ask patient to cross arms in front. Start at apex and move along the medial scapular border to the level of the 10th rib, then move laterally on each side.) Use an appropriate diphthong. |
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