Review of material for final exam in Assessment class. Abdomen, Respiratory, male & female genitalia.
Inspection, auscultation, percussion, palpation
Percussion, auscultation, palpation, inspection
Auscultation, inspection, palpation, percussion
Inspection, palpation, auscultation, percussion
Accumulation of fluid in the peritoneal cavity.
An abnormally high level of bilirubin in the blood leading to golden brown coloration of urine.
Yellow discoloration of the sclera
An abnormally large palpable liver.
4 to 14 breaths per minute
14-16 breaths per minute
14 - 20 breaths per minute
26-40 breaths per minute
Directly compare one lobe to the other, auscultating while moving your stethoscope back and forth across the chest.
Assess entire left side before moving on to assess right side.
Start at top, then work your way down. You only need to listen posteriorly.
However the heck I want to do it.... it doesn't matter as long as i auscultate it.
Pneumonia
Emphysema
Croup
Bronchitis
Patient lying down on his or her side on the examining table
Patient sitting down with arms forward, leaning over the examining table
Patient standing upright with feet together and arms extended
Patient sitting upright with arms braced backward
Appendicitis
Testicular torsion
Hernia
Pelvic inflammatory disease
External hemorrhoids
Rectal prolapse
Uterine prolapse
Crohn’s disease
No, she may have bladder cancer
Yeah, you should be able to palpate the bladder at all times
No, she may have urinary Retention
Oh my god!!! That is not a bladder that is her uterus!! It's a miracle... She's pregnant!!!!!
Increased AP diameter
Decreased AP diameter
No change in AP diameter
Appendicitis
Cholecystitis
Pancreatitis
Hepatitis
Carcinoma of the penis
Venereal Wart
Syphilitic chancre
Genital herpes
Hypoactive
Normal
Hyperactive
None
Cheyne-Stokes Respirations
Kussmaul Breathing
Agonal Breathing
Normal variations in breathing
Bacterial vaginosis
Trichomonas vaginalis infection
Candida vaginitis
Pelvic inflammatory disease
Bubbling, liquidy noise
Low pitch wheeze
Popping noises (kind of sound like rice krispies)
Absence of breath sounds
Undescended testicle
Ventral displacement of the urethral meatus on the penis
Tight prepuce; once retracted, cannot be returned
Tight prepuce that cannot be retracted over the glans
Inflammation of the glans
Use of accessory muscles
Auscultation of bilateral rhonchi
Nasal Flaring
Intercostal retractions
High pitch wheeze
Rhonchi
Low Pitch wheeze
Crackles
20-55 per minutes
You should only hear them within 2 hours of eating.
< 10 per minute.
5- 34 per min
Tranports sperm from epididymis to urethra during ejaculation.
Provides lubrication to the vagina.
Small gland located in Anus which alerts you to sensation of having to defecate.
Located in breasts and produce milk in females.
Psoas sign
Rovsing’s sign
Murphy’s sign
Grey Turner’s sign
Psoas sign
Obturator sign
Rovsing’s sign
Cuteaneuos hyperesthesia
Resonant
Hyperresonant
Dull
Wheezing
Undescended testicle
Ventral displacement of the urethral meatus on the penis
Tight prepuce; once retracted, cannot be returned
Tight prepuce that cannot be retracted over the glans
Inflammation of the glans
44 yr old Male who has 12 drinks per week, 2 per ocassion
17 yr old patient who drinks 3 drinks per week.
32 yr old female who drinks 10 drinks per week, 4-5 per ocassion
67 yr old female who drinks 6 drinks per week, but feels very ashamed of it because her religious convictions do not look kindly on this.
Swollen stomach, dull to percussion
Increased pulsations in the stomach
Scaphoid stomach, hypoactive bowel sounds
Increased vascularity of stomach & bruits
40
50
60
35
Cardiac Issues
Pneumonia
Smoker
Allergies
Only the RLQ for 30 seconds.
All four quadrants for 2 minutes each.
On all 4 quadrants and for 15 – 20 seconds each.
Only the RUQ and LUQ for 15 seconds each.
Psoas sign
CVA (costovertebral angle) tenderness
Rosving’s sign
Murphy’s sign
Egophony
Whisper Petriloquoy
Bronchophony
Nothing, i'm just messing with him.
Increased
Decreased
Unchanged
Displaced
1-2 cm
5-6 cm
7-8 cm
10-12 cm
Vesicular
Bronchial
Bronchovesicular
Tracheal
Cheyne-stokes Breathing
Ketotic Breathing
Ataxic Breathing
Kussmaul Breathing
Liver edge is tender and 4 to 5 finger breadths below RCM
Liver edge is nonpalpable
Liver edge is tender and 1 finger breadth below the RCM
Liver edge is non tender and 4 to 5 finger breadths below the RCM
If they have any pain which would prevent us from palpating.
If they emptied their bladder.
If they have any contagious diseases
If they are ticklish.
Pain in the right lower quadrant during palpation of the left lower quadrant
Pain is elicited by gently picking up a fold of abdominal skin anteriorly without pinching it
Rebound tenderness
Pain elicited when the patient’s right thigh is flexed at the hip with the knee bent, and the leg is internally rotated at the hip
Hepatitis
Cholecystitis
Abdominal Obstruction
Peritonitis
Dull
Resonant
Flat
Hyperresonant
Hydrocele
Testicular tumor
Varicocele
Epidermoid inclusion cyst
Undescended testicle
Ventral displacement of the urethral meatus on the penis
Tight prepuce; once retracted, cannot be returned
Tight prepuce that cannot be retracted over the glans
Inflammation of the glans
Epidermoid inclusion cysts
Venereal warts
Genital herpes
Syphilitic chancre
Skin
Eyes
Nails
Urine
Rebound tenderness
Involuntary guarding
Rigidity of the abdomen
Voluntary guarding
Lower airway obstruction
Severe COPD
Upper airway obstruction
Narrowing of upper and lower airway.
Epididymytis
Testicular torsion
Acute orchitis
Testicular cancer
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