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rabia09
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What does IPPA stand for?
- Inspection/obervation
- palpation
- percussion
- auscultation
- (use of other senses)
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sign
physical finding=objective
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symptom
what patient is telling you- subjective
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cephalocaudad
approach to examining the pt in seq from head to toe
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resonance
loud, long low pitch resulting from percussion over hollow organs/areas of the body
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dullness
medium intensity, medium duration, med. pitch resulting from percussion over solid areas of the body (e.g. the liver)
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tympany
loud, high pitch resulting from percussion over air (e.g. gastric bubbles or puffed out cheek).
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flatness
soft, short high pitch resulting from percussion over muscles
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hyperresonance
very loud, longer and lower pitch resulting from percussion over abnormal physical finding (e.g. COPD)
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plexor
middle finger of R hand that delivers the rapid tap or blow against the pleximeter finger during percussion
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pleximeter
middle finger of L hand that is laid against the surface of the chest or abdomen and receives rapid tap or blow from the plexor finger during percussion
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symptoms in the "general" portion of the review
- changes in weight
- fatigue and weakness
- fever, chills, night sweats
- pain
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observations in pt apparent, general state of health, height, build, noting:
- mental status- lvl of consciousness/facial expression
- body development-BMI, muscular, lanky, etc
- nutritional status
- gender/ethnicity
- sexual development
- stated vs apparent age
- presenting appearance
- speech-rapid fire, slow and halting, warmly conversational..etc
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