NR 509 / NR509 Advanced Physical Assessment Midterm Review | Rated A Guide | Latest 2021/2022 | Chamberlain College
1. subjective
... [Show More] data
- Symptoms
- What pt tells you
- goes under ROS
2. sources of joint pain
- If age <60 years, consider repetitive strain or overuse syndromes like tendinitis or bursitis, crystalline arthritis (gout; crystalline pyrophosphate deposition disease [CPPD]) (males), rheumatoid arthritis (RA), psoriatic arthritis and reactive (Reiter) arthritis (in inflammatory bowel disease [IBD]), and infectious arthritis from gonorrhea, Lyme disease, or viral or bacterial infections.
- If age >60 years, look for OA, gout and pseudogout, polymyalgia rheumatica (PMR), osteoporotic fracture, and septic bacterial arthritis.
- congenital, inflammatory or infectious, immunologic, neoplastic, metabolic, nutritional, degenerative, vascular, traumatic, and toxic?
3. CN 1-6
1) Olfactory- smell
2) Optic- visual acuity with eye chart & pupil response
3) Oculomotor- conjugate gaze with EOM
4) Trochlear- conjugate gaze with EOM
5) Trigeminal- palpate masseter & touch face and have pt identify where
6) Abducens- Conjugate gaze with EOM
4. CN 7-12
7) Facial- Blow cheeks out, smile, frown, pucker lips
8) Vestibulocochlear (Acoustic)- Whisper test
9) Glossopharyngeal- Gag reflex
10) Vagus- say "ahhh". soft palate and uvula rise symmetrically
11) Accessory- shrug shoulders
12) Hypoglossal- Stick out tongue and move left to right
5. epistaxis causes
- nosebleed
- cause: trauma, inflammation, drying and crusting of the mucosa, tumors and foreign bodies
6. Vesicular lung sounds
- soft and low pitched.
- They are heard throughout inspiration, continue without pause through expiration, and then fade away about one third of the way through expiration.
7. Bronchovesicular sounds
- with inspiratory and expiratory sounds about equal in length, at times separated by a silent interval. Detecting differences in pitch and intensity is often easier during expiration.
8. Bronchial
- or louder, harsher and higher in pitch, with a short silence be-tween inspiratory and expiratory sounds. Expiratory sounds last longer than inspiratory sounds.
9. tracheal sounds
- Loud, harsh sounds heard over the trachea in the neck
10. Wheezes
- high pitched, shrill quality
- means narrowed airway, COPD, bronchitis, asthma [Show Less]