Head to toe assessment

Card Set Information

Author:
especkplus3
ID:
93107
Filename:
Head to toe assessment
Updated:
2011-07-06 01:48:53
Tags:
Assessment
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Description:
each section of the HTT assessment
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  1. General Survey
    • LOC and VS (BP, T, P, R)
    • Eye opening (E)
    • 4. Opens eyes spontaneously
    • 3. Opens eyes to voice
    • 2. Opens eyes to pain
    • 1. No eye opening
    • Best motor response (M)
    • 6. Obeys commands
    • 5. Localizes to pain
    • 4. Withdraws to pain
    • 3. Abnormal flexor response
    • 2. Abnormal extensor response
    • 1. No movement
    • Best verbal response (V)
    • 5. Appropriate and oriented
    • 4. Confused conversation
    • 3. Inappropriate words
    • 2. Incomprehensible sounds
    • 1. No sounds
  2. Thorax- posterior and lateral
    • General inspection
    • Tenterness, masses, lesions
    • Sensation
    • Cripitis
    • Fremitis
    • 99 moving hands down
    • Chest expansion
    • T9 or T10
    • Percuss for tone-zig zag
    • Auscultate for breath sounds
  3. Thorax-Anterior
    • General appearance
    • Quality and pattern of respirations
    • Percuss for tone
    • Auscultate-5 places bilaterally
    • Skin turgor-under scapula
    • Breast exam
  4. Heart
    • General appearance
    • Palpate adnormal palpations
    • Ausculatate
    • Atrial
    • Aortic
    • Pulmonic-S2 Dub
    • Erbs-murmers
    • Tricuspid
    • Mitral-S1 Lub
  5. Abdomen
    • General Appearance
    • Symmetry and contour
    • Auscultate-BS
    • Vascular sounds
    • aorta
    • renal
    • iliac
    • Femoral
    • Percuss for tone
    • Tympany and dull
    • Palpate for masses
  6. Legs, Feet, and Toes
    • General appearance
    • ROM
    • Pulses-
    • Femoral
    • Popliteal
    • Dorsalis pedis
    • posterior tibial
    • CMS-cap refill
    • Position sense

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