general survey guide
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What does IPPA stand for?
- (use of other senses)
what patient is telling you- subjective
approach to examining the pt in seq from head to toe
loud, long low pitch resulting from percussion over hollow organs/areas of the body
medium intensity, medium duration, med. pitch resulting from percussion over solid areas of the body (e.g. the liver)
loud, high pitch resulting from percussion over air (e.g. gastric bubbles or puffed out cheek).
soft, short high pitch resulting from percussion over muscles
very loud, longer and lower pitch resulting from percussion over abnormal physical finding (e.g. COPD)
middle finger of R hand that delivers the rapid tap or blow against the pleximeter finger during percussion
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
symptoms in the "general" portion of the review
- changes in weight
- fatigue and weakness
- fever, chills, night sweats
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
- sexual development
- stated vs apparent age
- presenting appearance
- speech-rapid fire, slow and halting, warmly conversational..etc
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