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30 Cards in this Set
- Front
- Back
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color texture
variation turgor-elasticity temp edema moisture lesions:color,elevation,shape,size,location,exudate |
inspection of skin
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color
texture distribution scalp lesions |
inspection of hair
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shape & contour
consistency color pigment capillary refill |
inspection of nails
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H/A, head injury, dizziness, neck pain or stiffness, swelling, lumps, surgery
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subj data of head, neck,& regional lymphatics
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look for bumps, lumps, bruises
palpate temporal artery, temporomandibular joint(TMS) facial expression symmetry abnormal facial features |
obj. data of head, neck, & lymphatics
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symmetry
ROM, lymph nodes cranial nerve XI trachea, thyroid gland-pain |
inspection of neck
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T3,T4,TSH, goiter, bulging eyes
nervousness,fatigue,wt loss,heat intolerance,tremors,DIB, excessive sweating |
hyperthyroidism
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stand behind pt, have them bend their head, slightly to the right. push trachea and sternomastoid muscle retracting it sliglhtly as person swallows water. thyroid moves up under finger
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assessing for thyroid gland
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crunching of the skin
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crepitus
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pt is angry or anxious
faulty arm position inaccurate cuff size examiner's eyes r not level with meniscus faulty leg position inflating not high enough/too high/too quickly |
inaccurate BP reading
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waist:w:>35; m:>40
BP:130/85 Triglyceride >150mg/dL glucose >110 mg/dL HDL: w:<50; m:<40 |
metabolic syndrome in obese pts
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cervical
axillary epitrochleaer inguinal |
lymph nodes area
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Vit D deficiency- cartilage cell growth, enlargement of epiphyseal growth plates
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Rickets
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pigmented keratotic scaling lesions resulting from niacin deficiency-prominent in hands, neck, legs, forearms
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Pellagra
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foamy plaques of cornea
Vit A deficiency |
Bitot's spots
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Riboflavin deficiency
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Magenta tongue
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pale tongue
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Iron deficiency
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red-colored tongue
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Vit-B complex deficiency
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Vit C deficiency-swollen,ulcerated, and bleeding gums; induced defect in oral epithelial basement membrane & periodontal collagen fiber synthesis
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Scorbutic gums
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dry,bumpy skin associated w/ vit A & linoleic acid deficiency= may result in ezematous skin in kids especially
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Follicular Hyperkeratosis
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protein deficiency with carb diet
generalized edema, scaling areas of dec. pigmentation, dec. hair pigmentation= mostly in ppl under stress |
Kwashiorkor
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hmg,hct,cholesterol,LDLs, HDLs, glucose, triglycerides,prealbumin, serum albumin
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lab tests during nutritional assessment
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health history,dietary history,wt,arm span,height, inspect eyes,skin,hair,nails,oral cavity
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assessment criteria
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protein-calorie malnutrition due to inadequate calorie and protein intake or prolonged starvation
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Marasmus
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general health
obvious physical characteristics begins moment you meet pt |
General survey
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inspection, palpation, percussion, auscultation
IAPP for abdomen |
sequence for physical assessment
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mapping out location, size, density and detection of possible mass, illicit pain, illicit deep tendon reflex- get vibrations
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purpose for percussion
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used for ausultation, blocks out extraneous room sounds
diaphragm:high-pitched sounds bell:soft low-pitched sounds |
purpose for stethoscope
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T: 96.4-99.1F
P: 60-100 bpm R:12-20 BP <120/80 O2 95%-100% |
BP ranges for an adult
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T-harder to regulate, susceptible to hypothermia
P-may be irreg R-shallower and increased BP- incr. making it difficult to distinguish normal aging values from abnormal |
changes in vital signs in aging adults
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