Health Assessment Mod 7

Front 2

Chest pain

Back 2

onset, location (orgin, does it radiate), character (crushing, stabbing, burning, viselike), pain brought on by activity, rest, emotions, after eating, during sex, with cold weather; associated symptomes, is worse when moving arm or neck, breathing or laying flat, is pain relieved with rest or nitro (look for clinched fists)

Front 3

Dyspnea

Back 3

shortness of breath; what tyoes of activity bring it on, onset, duration, does position effect it (orthopnea), does it intefere with daily activities

Front 4

Cough

Back 4

Duration, frequency, type: dry, hacking, barking, hoarse, or congested; any mucous present, is it associated with acctivity, position, anxiety, talking; is it relieved by rest or meciation

Front 5

Fatigue

Back 5

onset, is it related to time of day

Front 6

Pericpheral edema

Back 6

onset, what time of day does swelling occur, are both legs equally swollen, does swelling go away with rest, evaluation, after sleep; associated symptoms - leg pain, where is the pain, describe the quality of pain (burnign, aching, cramping, stabbing) is it aggrevated by activity or walking, alleviating factors, claudication distance is the number of stairs or blocks walked to produce pain

Front 7

Pulses - Temporal

Back 7

infront of ear with hand on neck

Front 8

Pulses - Carotid

Back 8

supplies blood to brain, in the groove between the trachea and the sternomastiod. Smooth with rapid upstroke and slower downstroke. Normal strength is 2+ or moderate, same bilaterally

Front 9

Pulses - Brachial

Back 9

Runs in the biceps-triceps furrow of upper arm and surfaces at the antecubital fossa in the elbow medial to biceps tendon,

Front 10

Pulse scale

Back 10

3+-increased, full, bounding (occurs with hyperkinectic states: exercise, anxiety, fever, anemia, and hyperthyroidism / 2+ Normal/ 1+ weak, thread (occurs with shock and peripheral artierial disease) / 0 is absent

Front 11

radial

Back 11

lies medail to the radius at the wrist

Front 12

femoral

Back 12

passes under the inguinal ligament it travels down the thigh it curses posteriorly then termed the popliteal

Front 13

Popliteal

Back 13

runs behind the knee and divides into the anterior tibial artery, this pulse is more idffuse and difficult to locate

Front 14

posterior tibial

Back 14

travels down behind the medial malleolus and in the foot forms the plantar arteries

Front 15

Dorsalis pedis

Back 15

when the anterior tibial artery travels down the front of the leg onto the dorsum of the foot.

Front 16

Murmur Grading - I

Back 16

Very faint hardly heard

Front 17

Murmur Grading - II

Back 17

Faint hardly heard

Front 18

Murmur grading - III

Back 18

Moderately loud

Front 19

Murmur Grading - IV

Back 19

Loud - associated with thrill

Front 20

Murmur Grading - V

Back 20

Very Loud - Thrill easily palpated

Front 21

Murmur Grading - VI

Back 21

Very Loud - Visible heave or lift heard with stethoscope not in contact with chest

Front 22

Diastolic Murmur

Back 22

a noise caused by turbulence of blood flow during ventricular relaxation. With few exceptions, they are caused by organic heart disease

Front 23

Systolic Murmur

Back 23

a cardiac murmur occurring during systole. include; ejection murmurs, often heard in pregnant woment or in people with anemia, thyrotoxicosis, or aortic or pulmonary stenosis; Pansystolic mummurs heard win peopel with incompetence of the mitral or tricuspid valve; and late systolic murmurs, also caused by mitral valve incompetence and less commonly but tricuspid regurgitation

Front 24

Heaves and lifts

Back 24

a sustained forceful thrusting of the ventricle during systole. It occurs with ventricular hypertrophy as well as a result of increased workload. A right ventricular heave is seen at the sternal border; a left ventricular heave is seen at the apex.

Front 25

Vascular sounds - bruit

Back 25

indicates turbulence due to a local vascular cause, such as atherosclerotic narrowing. loudness increases as the atherosclerosis worsens until the lumen is occluded by 2/3 After that loudness decreases. When the lumen is completly occluded, it dissapears (absence doesn't ensure absence of a carotid lesion

Front 26

A carotid bruit

Back 26

audible when the lumen is occluded by 1/2 to 2/3

Front 27

Venous hum

Back 27

usually not affected by respiration, may sound louder when the child stands, and is easily obliterated by occluding the jugular veins in the neck