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32 Cards in this Set

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