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32 Cards in this Set
- Front
- Back
Diaphragm to detect what sounds?
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High pitched sounds, normal heart tones and bowel sounds.(S1, S2, friction rub, lung sounds, abdominal sounds)
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Bell of the stethescope is used to listen to what sounds?
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low pitched sounds, such as heart and vascular system (S3, S4, certain murmurs)
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Level of consciousness= patient is unconscious most of the time; has no spontaneous movement; must be shaken or shouted at to arouse, can make verbal responses, but less likely to be appropriate
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stuporous
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Level of consciousness where patient cannot be aroused, even with use of painful stimuli; may have reflex activity(if no reflexes present, patient may be in coma)
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comatose
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Type of skin lesion which is a flat, nonpalpable change in skin color, smaller than 1cm
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Macule
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Type of skin lesion that is palpable, circumscribed, solid elevation and smaller than 0.5cm
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Papule
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skin lesion that is an Elevated solid mass, deeper and firmer than papule, 0.5-0.2cm (eg. wart)
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Nodule
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skin lesion that is a solid mass that may extend deep thru subcutaneous tissue, larger than 1-2cm (eg. epithelioma)
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Tumor
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skin lesion that is irregulaly shaped, elevated area or superficial localized edema; varies in size (eg. hive, mosquito bite)
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Wheal
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skin lesion: circumscribed elevation of skin (filled w/ serous fluid, smaller than 0.5cm (herpes simplex, chickenpox)
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Vesicle
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skin lesion:circumscribed elevation of skin similar to vesicle but filled with pus; varies in size (acne, staph)
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pustule
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skin lesion: deep loss of skin surface that may extend to dermis and frequently beeds and scars; varies in size (venous stasis)
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ulcer
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skin lesion: thinning of skin with loss of normal skin furrow, with skin appearing shiny and transulcent (arterial insufficiency)
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atrophy
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What is the normal percussion tone for the lungs?
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Resonance
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What sounds are heard over bony and well developed muscle tissue?
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Flat
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What sounds heard over stomach?
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Tympany
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What sounds heard over emphysematous lung tissue?
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Hyperresonance
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What sounds are heard over fluid or a solid mass?
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Dullness
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What sounds are heard over peripheral lung fields?
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Vesicular
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What sounds are heard over inner lung fields?
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Bronchial
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What assessment is not used in assessing the heart?
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percussion
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What angle should the patient turn their neck to check for NVD?
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30-45 degree
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Usually no visible pulsations are seen, except for around what?
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PMI
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S1 sounds are which heart valves?
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mitral and tricuspid (LUB)
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S2 sounds are which heart valves?
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aortic and pulmonic (DUB)
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Abnormal finding is a thrill...where can thrills be found abnormally?
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over the right or left 2nd intercostal space
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Abnormal finding: A rise along the border of the sternum with each heartbeat is called what?
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Lift/heave
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Percussed over air filled organs.
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tympany
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Percussed over liver, tumor, fluid
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Dullness
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Percussed over a full bladder
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dullness
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most normal feeling percussed in abdominal area.
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tympany
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normal pulse on pulse scale
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+2
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