-PERCUSSION NOTES - -FLAT OR DULL INDICATES PLEURAL EFFUSION OR
LOBAR PNEUMONIA
-PERCUSSION NOTES - -HYPERRESONANT INDICATES EMPHYSEMA OR
PNEUMOTHORAX
-pneumonia - -BREATH SOUNDS SHIFT FROM VESICULAR TO BRONCHIAL
-Rinne test - -COMPARE AIR AND BONE CONDUCTION
-RINNE TEST - -PLACE ON MASTIOD BONE BEHIND BACK OF EAR
-RINNE TEST - -ABNORMAL- CONDUCTIVE HEARING LOSS
-WEBER TEST - -lateralization TEST
,-WEBER TEST - -PLACE TUNING FORK ON FORHEAD
-WEBER TEST - -ABNORMAL- INDICATES CONDUCTIVE HEARING LOSS OR
SENSORY HEARING LOSS IN OTHER EAR
-Babinski reflex - -TESTED WHEN A OBJECT IS USE TO STRIKE THE SOLE OF
THE FOOT
-Babinski reflex - -NEGATIVE- WHEN ALL THE TOES BEND
-Babinski reflex - -POSITIVE- IF ALL THE TOE SPREAD OUT
-2 point discrimination - -TESTED BY TOUCHING THE SKIN WITH 2 SHARP
POINTED OBJECTS
-2 point discrimination - -PT SHOULD KN THE DIFFERENCE BETWEEN THE 2
POINTS
-Mitral area (apex) - -LEFT 4TH AND 5TH SPACE
-Mitral area (apex) - -LISTEN WITH THE BELL OF THE STETHOSCOPE NEAR
THE STERNUM
-recumbent length - -MEASURE CHILDREN 2 YEARS OLD AND UNDER
-OTITIS MEDIA - -ERYTHEMA & PURULENT DRAINAGE
-Otitis Media with Effusion - -DULL, NON TRANSPARENT GRAY SEROUS
-vesicular breath sounds - -Normal breath sounds, LOW PITCH, HEARD OVER
MOST LUNG FIELDS
-Screen visual fields by confrontation - -STAND 2 FEET IN FRONT OF PT,
HOLD YOUR HANDS TO THE SIDE, WIGGLE THE FINGERS ON ONE HAND, ASK
PT WAT SIDE HE SEE THE FINGER MOVE ON
-Screen visual fields by confrontation - -PERFORM TEST 2 TO 3 TIMES TO
TEST TEMPORAL FIELDS
-Screen visual fields by confrontation - -ANY ABNORMALITY- TEST 4
QUADRANTS OF EACH EYE WHILE PT COVER OPPOSITE EYE WITH CARD
-ROM - -REPEAT 3 TO 5 TIMES
-BREATH SOUNDS - -ARE PRODUCES BY TURBULENT AIR FLOW
,-Bruits - -SIGN OF ARTERIAL NARROWING
-Bruits - -RISK OF A STROKE
-DECREASING FREMITUS - -WHEN SOMETHING IS OBSTRUCTING
TRANSMISSION OF VIBRATIONS
-Pap smear test - -1ST
VAGINAL POOL
2ND
CERVICAL SCRAPE
3RD
ENDO CERVICAL
-Pap smear test - -PERFORM 21 TO 30 YR OLD
-PAP SMEAR TEST - -PERFORM EVERY 3 YEARS
-Pap smear test - -DON'T PERFORM ON UNDER 21 YR OLD UNLESS SEXUAL
ACTIVE
-BACK Fontanels in a newborn & toddler - -CLOSES 1 TO 2 MONTHS AFTER
BIRTH
-Front fontanel IN NEWBORNS & TODDLERS - -DIAMOND SHAPE
-FRONT FONTANEL IN NEWBORNS & TODDLERS - -CLOSES AT 9 MONTHS TO
2 YEARS OLD
-NEWBORN ABDOMEN - -CONTOUR IS NORMALLY PROTUBERANT AND SOFT
-child abdomen - -CONTOUR IS NORMALLY SYMMETRIC AND SLIGHTLY
ROUNDED
-costovertebral TENDERNESS - -ASSOCIATED WITH RENAL FAILURE
-costovertebral TENDERNESS - -WARN PT WAT YOUR ABOUT TO DO FOR
THE EXAMINE
, -costovertebral TENDERNESS - -USE YOUR HEEL OF YOUR FIST AND STRIKE
THE PT FIRMLY OVER THE COSTOVERTEBRAL ANGLES, ALWAYS COMPARE
LEFT AND RIGHT SIDE
-head circumference - -a measurement that should be obtained on each
visit until a child reaches 2 years of age AND THEN ONCE A YEAR TIL AGE 6
-new born head circumference - -HEAD CIRCUMFERENCE WILL BE GREATER
THEN CHEST BY 2 CM
-borborygmus - -Growling sound heard in the abdomen
-abdominal girth - -MEASURE THE DISTANCE AROUND THE
ABDOMEN,USULLY AT THE LEVEL OF THE NAVEL
-Rhonchi - -LOW PITCHED
-RHONCHI - -SNORING OR GURGLING SOUNDS
-RHONCHI - -IS NOT A CRACKLE OR A WHEEZE
-palpation of aorta - -PRESS DEEPLY IN THE MIDLINE ABOVE THE NAVEL
-PALPATION OF THE LIVER - -PLACE FINGERS BELOW THE RIGHT COASTAL
MARGIN, ASK PT TO TAKE A DEEP BREATH, YOU MAY FEEL THE EGDES OF
THE LIVER PRESS AGAINST YOUR FINGERS AS THE PT EXHALES, A NORMAL
LIVER IS NOT TENDER
-LIVER LOCATION - -USUALLY 1-2 CM BELOW THE RIGHT COSTAL MARGIN
-AIR CONDUCTION - -NORMALLY GREATER THEN BONE CONDUCTION
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