-
Diastole
Phase of cardiac cycle when ventricles relax
-
Systole
Phase of cardiac cycle when the ventricles contract
-
Cardiac Output
The amount of blood the heart ejects each minute in mL
-
Stroke Volume
Amount of blood the heart ejects in one beat
-
Thrill
Vibration or humming felt when palpating the pulse
-
Bruit
Sound of turbulent blood flow around a partial obstruction when auscultating pulse
-
Cullen's Sign
Discoloration around the umbilicus (occasionally flanks) suggestive of intra-abdominal hemorrhage
-
Grey Turner Sign
Discoloration over the flanks suggesting abdominal bleeding
-
Ascites
Bulges in the flanks and across the abdomen indicating edema caused by CHF
-
Borborygmi
Loud, prolonged, gurgling bowel sounds indicating hyperparistalsis
-
Priapism
Painful, prolonged erection of the penis. Can indicate spinal injury or medications
-
Steps in Evaluating Joints
- Inspection
- Palpation
- Passive range of motion
- Range of motion against gravity
- Range of motion against resistance
-
Crepitus
Crunching sounds of unlubricated parts in joints rubbing on each other
-
Vertebrae
- Cervical (C1-C7)
- Thoracic (T1-T12)
- Lumbar (L1-L5)
- Sacral (S1-S5)
- Coccygeal (4 fused)
-
Spinal Curvatures
- Normal- concave in cervical and lumbar regions, convex in thorax
- Lordosis- exaggerated lumbar concavity (swayback)
- Kyphosis- exagerrated thoracis convexity (hunchback)
- Scoliosis- lateral curvature
-
Pitting
Depression that results from pressure against skin with pitting edema is present
-
5 Areas of Neurological Exam
- Mental status and speech
- Cranial nerves
- Motor system
- Sensory system
- Relexes
-
Posture and Behavior
- Tense, restlessness, fidgeting- Anxiety
- Crying, hand-wringing, pacing- Agitation, depression
- Hopelessness, slumped, slow- Depression
- Singing, dancing, expansive movements- Manic
-
-
-
CN-III
- Oculomotor
- Motor
- Pupil constriction, optic muscles
-
CN-IV
- Trochlear
- Motor
- Superior oblique muscles (eye)
-
CN-V
- Trigeminal
- Sensory
- Opthalmic (forehead), Maxillary (cheek), Mandibular (chin)
-
CN-VI
- Abducens
- Motor
- Lateral rectus muscle
-
CN-VII
- Facial
- Sensory/Motor
- Tongue/Face muscles
-
CN-VIII
- Acoustic
- Sensory
- Hearing balance
-
CN-IX
- Glossopharyngeal
- Sensory/Motor
- Posterior pharynx, taste anterior to tongue/Posterior pharynx
-
CN-X
- Vagus
- Sensory/Motor
- Taste posterior to tounge/Posterior palate and pharynx
-
CN-XI
- Accessory
- Motor
- Trapezius muscles, sternocleidomastoid muscles
-
-
Babinski's Response
Big toe dosiflexes and the other toes fan out when sole is stimulated. Indicates lesion of CNS
-
Newborn Vitals
- RR: 30-60
- HR: 100-180
- Systolic: 60-90
-
Infant Vitals
- RR: 30-60
- HR: 100-160
- Systolic: 87-105
-
Toddler Vitals
- RR: 24-40
- HR: 80-110
- Systolic: 95-105
-
Preschooler Vitals
- RR: 22-34
- HR: 70-110
- Systolic: 95-110
-
School-age Vitals
- RR: 18-30
- HR: 65-110
- Systolic: 97-112
-
Adolescent Vitals
- RR: 12-26
- HR: 60-90
- Systolic: 112-128
-
Adult Vitals
- RR: 12-20
- HR: 60-100
- Systolic: 100-135
-
SOAP Report Method
- Subjective- Patient states
- Objective- You see
- Assessment- Find in assessment
- Plan- Treatment
|
|