general survey guide

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general survey guide
2011-09-08 23:41:36

exam 1 study guide
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  1. What does IPPA stand for?
    • Inspection/obervation
    • palpation
    • percussion
    • auscultation
    • (use of other senses)
  2. sign
    physical finding=objective
  3. symptom
    what patient is telling you- subjective
  4. cephalocaudad
    approach to examining the pt in seq from head to toe
  5. resonance
    loud, long low pitch resulting from percussion over hollow organs/areas of the body
  6. dullness
    medium intensity, medium duration, med. pitch resulting from percussion over solid areas of the body (e.g. the liver)
  7. tympany
    loud, high pitch resulting from percussion over air (e.g. gastric bubbles or puffed out cheek).
  8. flatness
    soft, short high pitch resulting from percussion over muscles
  9. hyperresonance
    very loud, longer and lower pitch resulting from percussion over abnormal physical finding (e.g. COPD)
  10. plexor
    middle finger of R hand that delivers the rapid tap or blow against the pleximeter finger during percussion
  11. 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
  12. symptoms in the "general" portion of the review
    • changes in weight
    • fatigue and weakness
    • fever, chills, night sweats
    • pain
  13. 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