Health Assessment Exam 2 - UTMB with
complete solutions
Bruit - ANSWER- Turbulent blood flow
Caused by inclusion
happened when lumen included .5-.66
- low pitched
Edema - ANSWER- +1 - no perceptible swelling of leg; 2mm
+2 - moderate pitting; 4mm
+3 - deep pitting, 10-20 sec rebound; 6mm
+4 - deeper pit, >30 sec rebound; 8 mm
Arterial Deficits - ANSWER- - dry, shiny skin
- skin cool/cold in tenmperature
- nails thickened
- no hair on toes and dorsum foot
- ulcers on toes, heel, or pressure pulse areas
- very painful ulcers
- edema minimal unless foot in DEPENDENT position
- pain intermittment claudication to sharp
Venous Deficits - ANSWER- - skin thickened & tough
- skin is reddish/blue
- ulcers on medial malleolus or anterior tibial
- superficial ulcer can be very painful
- irregular border
- granulation tissue
- pain aching and cramping
- difficult to feel pulses
ADLs - ANSWER- grooming
, eating
mobility
communicating with others
bathing
IADLs - ANSWER- food prep
house keeping
transportation
shopping
finances
kyphosis - ANSWER- hunchback associated with osteoporosis
scoliosis - ANSWER- curved spin, hip higher than other
pectus excavatum - ANSWER- funnel chest
pectus carinatum - ANSWER- pigeon chest
Physical assessment of thorax - ANSWER- skin clor
color & shape of nails
chest configuration
position
palpate chest expansion
Auscultation - ANSWER- skin to stethoscope
- except chest hair
normal sounds:
- bronchial - high pitch, loud
only normal if heard in right spot
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