Physical Assessment

Physical Assessment
Created Feb 19, 2011
by golfer4life08
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Erythema
Redness of the skin.
Cyanosis
Bluish coloring of the skin and mucous membranes.
Jaundice
Yellow appearance of skin.
Pallor
Paleness of the skin.
Ecchymosis
Collection of blood in subcutaneous tissues that causes a purplish discoloration.
Petechiae
Small, purplish hemmorragic spots on the skin that do not blanch with applies pressure
Lesion
Any abnormal tissue on the skin.
Wound
Injury that results in a disruption in the normal continuity of the body tissue.
Rash
A change of the skin which affects its color, appearance or texture. 
Diaphoresis
Excessive sweating commonly associated with shock or other medical conditions. 
Turgor
Tension of the skin determined by its hydration.
Edema
Accumulation of fluid in extracellular spaces. 
Pitting Edema
Edema in which fluid builds up in the extremeties to such a degree that when the fluid filled...
Beau's Lines
Deep grooved lines that run from side to side on the fingernail.
Paronychia
A nail disease in which often tender bacterial or fungi hand infection where the nail and skin...
Clubbing
Rounding and swelling of nail beds.
Alopecia
Baldness.
Hirsutism
Excessive hairiness.
Periorbital edema
"puffy" or swelling around the eyes.
Mydriasis
Dilation of pupil due to disease, use of drugs or trauma.
Miosis
Constriction of pupil of the eye resulting from normal response to an increase in light or...
Accommodation
Ability to adjust the eye to see at various distances. 
Convergence
Following an object as it nears your face. Becoming cross-eyed in the process.
Ptosis
Drooping of upper or lower eyelid.
Entropion
Medical condition in which the eyelid (usually lower one) folds inward.
Ectropion
Condition where lower eyelid folds outwards.
Nares
Nostril or nasal passages./
Lymphadenopathy
Term meaning disease of the lymph nodes.
Barrel Chest
A increase in the anterior posterior diameter of the chest wall resembling the shape of a barrel,...
Fremitus
Vibration of the chest wall that can be palpated during physical assessment.
Resonance
Heard during percussing a patient. 
Tympany
Heard when percussing a patient. Hollow sounding. 
Stertorous Breathing
Loud breathing. 
Stridor
Harsh, high-pitched sound usually heard in inspiration when upper airways become narrowed.
Bruit
Unusual sound, usually abnormal, heard in auscultation.
Phlebitis
Inflammation of a vein.
Striae 
Irregular areas of skin that look like bands, stripes or lines.
Atrophy
Decrease in size of body structure.
Crepitus (crepitation)
Grating, crackling or popping sounds and sensations experienced under the skin and joints.
Aphasia
Acquired language disorder in which there is an impairment of language use.
Hygiene/ Grooming
clean, disheveled, clothes dirty, clothes inappropriate for the season, dressed for occasion,...
Body Build
small, medium, or large frame, flabby, firm, malnourished, obese
Affect
appropriate, flat, inappropriate, labile, blunted, paranoid, euphoric
Mood
happy, sad, anxious, frustrated, tense, cooperative, restless, contented, angry, indifferent,...
Skin Color
tanned, vitiligo, freckled, erythema, ecchymosis, increased pigmentation
Lesions/ Abnormalities
striae, moles, birthmarks, petechiae, blister, nodule, pustule, cyst, ulcer, scale, keloid,...
Nail Texture
Smooth, ridged
Nail Color
pink, cyanotic, yellowed
Hair Distribution
full, thin, even, patchy, receding hairline, male pattern baldness
Head Size 
small, average, large
Head Shape
round, oval, square, pointed, asymmetrical
Eye Placement
normal, high, low, aysmmetrical
Sclera Color
white, red, yellow, dirty white related to aging
Vision
VISION:  normal with glasses, holds items close to face to see, unable to reach newspaper, unable...
S1 and S2
clear, crisp, muffled, soft, unable to distinguish the two sounds, swish, click, loud
Vein Patterns
visible, non-visible, varicosities (identify where), prominent
Chest Movement
symmetrical, asymmetrical
ROM
full, MAE equally, jerky movements, uncoordinated, slow, limited with pain, weak, strong
Gait
Shuffling, propulsive, limping, pigeon toed, slapping, toes point outward (duck walk),...
Balance
Steady, erect, leans to side (identify the side), sits erect in wheelchair, leans forward,...


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