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anthropometric measurements
include height and weight
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4 techniques of physical assessment
- inspection, palpation, percussion, and auscultation
- performed in this order, with exception of abdominal assessment, which precedes palpation and percussion so as not to alter the bowel sounds
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direct inspection vs indirect inspection
- direct involves directly looking at your pt (duh)
- indirect involves using equipment to enhance visualization
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light palpation
- applying very gentle pressure, pressing about 1/2 inch
- best for assessing surface characteristics, such as temp, texture, mobility, shape and size
- also useful in assessing pulses, areas of edema, and tenderness
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deep palpation
- for palpating an area to a depth greater than 1/2"
- used to assess organ size, detect masses and further assess areas of tenderness
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ballottement
- a palpation technique used to assess a partiall free-floating object
- deep palpation is applied to one area, causing partially attached object to become palpable in another area
- frequently used to assess fetus during prego
- also used to assess fluid in suprapatellar pouch
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percussion
- used to assess density of underlying structures, areas of tenderness, and deep tendon flexes
- entails striking body surface w quick, light blows and eliciting vibration & sound
- sound determines density of underlying tissue and whether it's solid tissue or filled w air or fluid
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two factors influence the sound produced during percussion
- the thickness of the surface being percussioned and your technique
- more tissue you have to percuss, the duller the sound
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