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86 Cards in this Set

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WHAT DOES THE PHYSICAL EXAM START WITH
THE GENERAL IMPRESSION
INSPECTION
INFORMED OBSERVATION, NONINVASIVE, ONE OF THE MOST VALUABLE TOOLS, STARTS WITH VISUAL CONTACT
PALPATION
USE YOUR SENSE OF TOUCH, YOU CAN DETERMINE SIZE SHAPE POSITIONS, USE PADS OF FINGERS FOR LYMPH NODES AND RIB FRACTURES, USE PALM FOR VIBRATIONS FREMITUS, USE BACK OF HAND FOR TEMP
PERCUSSION
STRIKE THE KNUCKLE OF ONE HAND WITH THE TIP OF A FINGER VIBRATIONS CAN GO 4-6 CM DEEP
AUSCULATION
LISTEN FOR SOUNDS PRODUCED BY LUNGS HEART INTESTINES, MAJOR BLOOD VESSELS, HOLD END PIECE BETWEEN 2ND&3RD FINGER, AVOID TOUCHING TUBUNG, CHECK ABDOMEN BEFORE PALPATION
VITAL SIGNS
4 BASICS ARE PULSE, RESPIRATIONS, BP, TEMP
PULSE UNDER 60=
HIGH PARASYMPATHETIC TONE, HEADINJURY, HYPOTHERMIA, DRUG OVERDOSE, CONDITIONING
PULSE OVER 100=
HIGH SYMPATHETIC TONE, BLOOD LOSS, FEAR, PAIN, FEVER, HYPOXIA, VENTRICULAR TACHYCARDIA
TACHYPNEA (OVER 20)=
HYPOXIA, SHOCK, HEADINJURY, ANXIETY
BRADYPNEA (UNDER 12)=
DRUG OVERDOSE, SEVERE HYPOXIA, CNS INSULT
KOROTKOFF SOUNDS
SOULD OF BLOOD HITTING THE ARTERY WALL
WIDENING OF BP=
INCREASED ICP OR BODY TEMP
NARROWING BP=
TAMPONADE OR TENSION PNEUMO
INCREASED BP=
HEART DISEASE, VASCULAR DISEASE, KIDNEY DISEASE, STROKE, ICP
DECREASED BP=
SHOCK, ALL TYPES
INCREASED TEMP=
ENVIRONMENTAL EXTREMES, INFECTIONS, DRUGS, METABOLIC PROCESS, FEVER IS DESIGNED TO DRIVE OUT INVADERS
93 F=
WARMING MECHANISMS FAIL
90 F=
SHIVERING AND HEART STOPS
70 F=
LIFE CEASES
102 F=
INCREASES METABOLISM
103 F=
BRAIN NEURONS DENATURE
105 F=
BRAIN CELLS DIE, SEIZURES BEGIN
WHERE ARE CENTRAL PULSES
CAROTID, FEMORAL
WHERE ARE PERIPHERAL PULSES
RADIAL, BRACHIAL, POSTERIOR TIBIAL, DORSALIS PEDIS, POPLITEAL
WHAT IS LARGEST AND MOST IMPORTANT ORGAN
SKIN, MAKES UP 15% OK BODY WEIGHT, REGULATES BODY TEMP, REGULATES BP, REPAIRES WOUND SURFACES, PROTECTS VITAL ORGANS
AQUEOUS HUMOR
FLUID THAT FILLS ANTERIOR CHAMBER OF EYE
VITREOUS HUMOR
FLUID THAT FILLS POSTERIOR CHAMBER OF EYE
RETINA
NERVOUS LAYER, LIGHT AND COLOR SENSING, TRANSFORMS LIGHT INTO IMPULSES
RODS
PHOTORECEPTORS FOR NIGHT VISION
CONES
PHOTO RECEPTORS FOR DAY AND COLOR VISION
CORNEA
THIN CLEAR LAYER THAT COVERS PUPIL/IRIS, RICH SUPPLY OF SENSORY NERVES
UNILATERAL SLUGGISH PUPIL=
PRESSURE ON CNIII FROM ICP
BILATERAL SLUGGISH PUPIL=
GLOBAL HYPOXIA, ADVERSE DRUG REACTION
FIXED/DILATED=
BRAIN DEATH
NYSTAGMUS=
FINE JERKING OF EYES
VERTIGO=
BALANCE DISRUPTED
TRACHEAL TUGGING=
PULMONARY FIBROSIS AND ATELECTASIS, TUGS TOWARD AFFECTED SIDE DURRING INSPIRATION
HOW SI JVD CHECKED
LAY PATIENT SUPINE, RAISE HEAD AT 45 DEGREE ANGLE
HOW IS AB EXAM PERFORMED
ONE PILLOW UNDER HEAD, HANDS AT SIDE, MUSCLES RELAXED, EXAMIN PAIN AREA LAST
ASCITES
BULGES IN FLANKS AND ABDOMEN
PAIN IN ABDOMEN=
PERITONEAL IRRITATION OR INFLAMATION
LYMPHATIC SYSTEM
HELPS RESTORE FLUID VOLUME TO VASCULAR SPACE AND FILTER OUT WASTE
BLOOD MOVES IN ARTERIES DUE TO
PRESSURE DIFFERENCES
BLOOD MOVES IN VEINS DUE TO
MUSCLE MOVEMENT, ONE WAY VALVES, PRESSURE DIFFERENCES IN CHEST, POSITION
BILATERAL EDEMA=
CENTRAL CIRCULATORY PROBLEN, CHF/RENAL FAILURE
UNILATERAL EDEMA=
LOWER EXTREMITY CIRCULATION ABNORMALITY, DEEP VEIN THROMBOSIS/VENOUS OCCLUSION
HIGHER THE EDEMA=
MORE SEVER THE PROBLEM
EDEMA IN SACRAL REGION=
BED RIDDEN OR LAID UP FOR A PERIOD OF TIME, NOT TAKING MEDS CORRECTLY
WHAT 5 AREAS SHOULD MENTAD EXAM COVER
MENTAL STATUS AND SPEECH, CRANIAL NERVES, MOTOR SYSTEMS, REFLEXES, SENSORY SYSTEM
LATHERGIC
DROWSEY, BUT ANSWERS THEN FALLS BACK ASLEEP
OBTUNDED
OPENS EYES, GIVES SLOW, CONFUSED RESPONSES
STUPOR
AROUSABLE FOR SHORT PERIODS, UNAWARE OF SURROUNDINGS
COMATOSE
PROFOUND UNCONSCIOUSNESS, TOTALY UNAROUSABLE
DYSARTHIA
DEFECTIVE SPEECH DUE TO MOTOR DEFICITS
DYSPHONIA
VOICE CHANGE DUE TO VOCAL CORD PROBLEMS
APHASIA
DEFECTIVE LANGUAGE DUE TO NEURO DAMAGE TO BRAIN
EXPRESSIVE APHASIA
GARBLED WORDS
RECEPTIVE APHASIA
CLEAR WORDS, BUT UNRELATED TO QUESTIONS
FLIGHT OF IDEAS=
MANIA
RAMBLING
PSYCHOSIS
FACTS AND EVENTS MADE UP=
AMNESIA
SUDDEN LOSS OF TRAIN OF THOUGHT=
NORMAL, SCHIZOPHRENIA
HOW MANY NERVE FIBERS EXIT SPINAL CORD
31
DORSAL ROOTS
AFFERENT (SENSORY) FIBERS
VENTRAL ROOTS
EFFERENT (MOTOR)NERVES
INTERNEURONS
CONNECT AFFERENT AND EFFERENT FIBERS
STAND ERECT OR SLUMP TO ONE SIDE=
UNILATERAL PARALYSIS OR WEAKNESS
HAND SHAKES WHEN PERFORMING TASK=
POSTURALTREMOR
TREMORS THAT STOP WITH MOVMENT=
PARKINSONS
CLAVICLE
C3
LITTLE FINGER
C7
NIPPLES
T4
UMBILICUS
T10
SMALL TOE
S1
POSTERIOR FONTANELLE CLOSES AT
4 MO.
ANTERIOR FONTANELLE CLOSES AT
9-18 MO.
NECK STIFFNESS=
MENINGITIS
NERVE I
NORMALY NOT TESTED
NERVE II,III
DIRECT RESPONSE TO LIGHT
NERVE III,IV,VI
H TEST FOR EXTRAOCULAR MOVEMENT
NERVW V
CLENCH TEETH, PALPATE MASSETER AND TEMPORAL MUSCLES, TEST SENSORY TO FORHEAD, CHEEK, AND TONGUE
NERVE VII
SHOW TEETH
NERVE IX,X
SAY AAHH, WATCH UVULA MOVE, TEST GAG
NERVE XII
STICK OUT TONGUE
NERVE VIII
TEST BALANCE AND HEARING
NERVE XI
SHRUG SHOLDERS, TURN HEAD