NU 650 Final Exam SG Latest 2024 Graded A+

NU 650 Final Exam SG Latest 2024 Graded A+ Order of Assessment Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen Comprehensive Health History chief complaint, reason for visit, ROS, past medical and surgical history, social history and family history Pediatric Body measurements length, height, weight, head circumference fro birth to 36 months Normal/Hypertension cut off 130 normal 140+ hypertension Fontanel Closure posterior 1-2 months, anterior 9mo-2years otoscope adult-up and back, peds- down and back, using largest speculum that will fit comforably tympanic membrane Cone of light R-5 l-7 EOM testing CN III, IV, VI AP diameter of chest 1:2 (AP less than transverse) barrel chest COPD Flat or Dull percussion effusion or pneumonia normal resonant percussion healthy lung Hyperressonance (percussion) trapped air crackles/rales high pitched, discontinuous Wheezes high-pitched whistling or squeaking sounds during inspiration or expiration Rhonchi snoring, rumbling sounds heard upon auscultation of the chest during respiration- low pitched tactile fremitus • INCREASED FREMITUS - Means there is liquid or solid inside the lungs (consolidation such as with pneumonia) - Remember Liquid or solid transmits vibrations better than air • DECREASED FREMITUS Means air trapping such as with emphysema or bronchial obstruction. Bronchophony the spoken voice sound heard through the stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue, clearer over disease Egophony abnormal change in tone of voice that is heard when auscultating the lungs EE-- AA UE Arteries radial-thumb side, ulnar pinky side