wound Assessment

Card Set Information

Author:
calacedra13
ID:
92808
Filename:
wound Assessment
Updated:
2011-07-02 20:39:39
Tags:
Physical Exam
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Description:
initial Physical exam
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The flashcards below were created by user calacedra13 on FreezingBlue Flashcards. What would you like to do?


  1. Constitutional
    • V/s
    • Ht & Wt
    • General Appearance/skin
  2. Cardiovascular/ Lower extremity Assessment
    • Lower Extremity Arterial:
    • pulses, doppler, ABI/TBI, venous filling time,cap refill,
    • Trophic Skin changes; temp, texture, color (dependent rubor, elevational pallor)

    • Lower Extremity Venous
    • edema
    • Varocosities; reticular veins 1-4mm, malleolar flare
    • Trophic changes; hemesederin, eczema, lipodermatosclerosis
  3. Musculoskeletal
    • Gait; steady, flat foot
    • Digits/nails; inflammation, nodes, ck between toes (tinea)
    • Joints/bones; misalignment, asystemetry, defects, tenderness, masses
    • ROM with pain, crepitation, contractures
    • Stability; muscle strength & tone
  4. SKIN
    • Inspection;
    • General appearance of limb compared to contra
    • size, wound,
    • Periwound; erythema, callus, livido reticularis, rash, purpura, maceration
    • Palpation
    • induration, temp changes, tenderness, fibrosis
    • Auscultation
    • for bruits
  5. NEURO
    Sensory Function
    • Deep tendon reflexes; patellar, plantar, archilles
    • Sensation; semmes winstein, vibratory, propriception
  6. MENTAL STATUS
    • orientation
    • Insight into health problem

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