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23 Cards in this Set

  • Front
  • Back

closed ended question

a question requiring only a yes or no answer

crepitation

the grating sound or feeling of broken bones rubbing together

detailed physical exam

an assessment of the head, neck, chest, abdomen, pelvis, extremities, and posterior of the body to detect signs and symptoms of injury.


differs from rapid trauma assessment by including examination of the face, ears, eyes, nose, and mouth during examination of the head

diagnosis

a description or label for a patient's condition that assists a clinician in further evaluation and treatment

differentioal diagnosis

a list of potential diagnoses compiled early in the assessment of the patient

distention

a condition of being stretched, inflated, or larger that normal

history of the present illness

information gathered regarding the symptoms and nature of the patient's current concern

jugular vein distention

bulging of the neck veins

medical patient

a patient with one or more medical diseases or conditions

open ended question

a question requiring more than just a yes or no answer

OPQRST

onset, provocation, quality, radiation, severity, time


a memor aid in which the letters stand for question asked to get a description of the present illness

paradoxical motion

movement of a part of the chest in the opposite direction to the rest of the chest during respiration

past medical history

information gathered regarding the patient's health problems in the past

priapism

persistent erection of the penis that may result from spinal injury and some medical problems

rapid trauma assessment

a rapid assessment of the head, neck, chest, abdomen, pelvis, extremities, and posterior of the body to detect signs and symptoms of injury

reassessment

a procedure for detecting changes in a patient's condition


four steps


1 repeating the primary assessment


2 repeating and recording vital signs


3 repeating the physical exam


4 checking interventions



SAMPLE

signs and symptoms, allergies, medications, pertinent past histoy, last oral intake, and events leading to the injury or illness


a memory aid in which the letters stand for elements of the past medical history

sign

something regarding the patient's condition tha you can see

stoma

a permanent surgical opening in the nek through which the patient breathes

symptom

something regarding the patient's conditon that the patient tells you

tracheostomy

a surgical incision held open by a metal or plastic tube

trauma patient

a patient suffering from one or more physial injuries

trending

changes in a patient's conditon over time, such as slowing respirations or rising pulse rate, that may show improvement