dmrn111

• Ask for narrative information
• Use in beginning of the interview

• Ask for specific iformation
• Use after persons openning narrative to fill in any details he or she left out

Repeating part of what the person has just said

• Recognizing the feeling
• accept it and allow the person to express it without embarrasement

• Used when the persons word choice is ambiguous or confusing
• Used to summarize the persons words

What the person says about himself during history taking

• What you say as a health professional
• Observed by:
• Inspecting
• Palpation
• Percussing
• Auscultating

Coiled tubules that open directly onto the skin surface and produce a dillute saline solution called sweat

• Produce thick, milky secretions and
• Open into the hair follice
• Mainly in the axillae, anogenital area, nipple, navel

Enlargement of the breast tissue, making it clinically distinguishable from other tissue in the chest wall

Ask person the repeat "99" while you listen with a stethoscope

Auscultate the chest while the person pronates a long ee-ee-eee

• Hyperesonnant
• Resonant
• Tympany
• Dull
• Flat

• Medium Loud
• Low-pitched
• Hollow, clear
• Moderate length
• Normal lung sound

• Loud
• Booming
• Low-pitched
• Long
• On child's lungs

• Loud
• High-pitched
• Musical, drumlike
• Longest
• Over air filled viscus like stomach or intestines

• Soft
• High pitched
• Muffled thud
• very short duration
• On dense organs like liver or spleen

• Very soft
• high-pitched
• a dead stop of sound
• very short duration
• when no air present like over bone, thigh or tumor

Lower half of body turns red and upper half blanches with a distinct demarcation line down the midline

Flea bite rash on newborn, red macules and papules on the cheeks, trunk, chest, back and buttocks

Bluish color around the lips, hands and fingernails, feet and toenails

• Large round or oval patches of light-brown pigmentation
• Present at birth

Transient mottling in the trunk and extremeties in response to cooler room temperatures

Comes from injesting large amounts of food containing carotene , a vitamin A precursor

Yellowing of the skin, scleras, and mucous membranes develops after the 3^rd and 4^th day of life

• Close proximity to patient
• Facial animation
• Smiling
• Eye Contact

• Standing
• Lip biting
• Avoiding eye contact
• Inappropriate touch
• Frowning

• Endocrine gland synthesis and secretes:
• (T₃) Thyroxine
• (T₄) Triiodothyronine

Separate vessel system which retrieves excess fluid from the tissue spaces and return it to the bloodstream

• Cervical
• Axillary
• Epitrochlear
• Inguinal

Assess the parallel alignment of the eye axes by shining a light toward the persons eyes

• CN 3
• CN 4
• CN 6

• Superior Rectus
• Interior Rectus
• Medial Rectus
• Inferior Oblique
• Lateral Rectus
• Superior Oblique

• Normal
• red color and smooth surface
• Allergies
• Mucousa looks swollen, boggy, pale and grey

• Person sits up with head tilted forward
• Pinch nose between thumb and forfinger
• 5-15 minutes

• Paralysyis of lower facial muscles
• upper half of face is not effected
• person can wrinkle forehead and close eyes
• positive Babinski and Hoffmans reflex

• Mucous membranes look dry
• Lips look parched
• Skin is fissured, resembling dry cracked lake

• Axillary tail of Spence
• (Upper outer quadrant)

Thick yellow fluid is the precursor for milk containing the same amount of protein and lactose but practically no fat

• Posterior from the apices at C7 to T10
• Laterally down to the 7^th or 8^th rib

Its is rich with antibodies that protect the newborn against infection so breastfeeding is important

Sounds generated from the larynx through lungs and then chest wall where you feel tham as vibrations

• Skin
• Fontanel
• Inner ear structure
• gynecomastia

• 30 - 80 increases after 50
• Irregular, star-shaped
• Firm to stony hard
• Poorly defined
• Single
• Fixed mobility
• Skin retraction
• grows constantly

• 30 - 55 yrs old decrease after menopause
• Round, lobular
• Firm, rubbery
• Well demarcated
• Mobile
• Tender
• Usually multiple

• Tension
• Migraine
• Cluster

Drain the head and neck

Drain breast and upper arm

• Drains the hand and lower arm
• In the antecubital fossa

• Lower extremities
• External genetalia
• Anterior abdominal wall

fine downy hair of the new born

Thick cheesy substance made up of sebum and shed epithelial hair

Gradual sensorineural loss caused by nerve degeneration in the inner ear or audtory nerve

• Occipital, frontal
• Bandlike tightness
• Vise-like

• Supraorbital,retroorbital, front-temporal
• Throbbing or temporal arteritis
• Occur 2x a month
• Last 1-3 days

• Pain around eye, temple, cheek, forehead
• Unilateral or bilateral
• 1-2 a day
• Last 1/2 to 2 hrs
• 1-2 mos

• Place a vibrating tuning fork in the midline of the persons skull and ask whether the tone is the same in each ear
• Normal
• Equal on both sides
• Abnormal
• Sound lateralizes to one ear with a conductive or sensorineural loss

• Place tunning for on the mastoid process and ask him or her to signal when the sound goes away
• Quickly invert the fork so vibrating end is near ear canal
• Normal
• AC > BC
• Abnormal
• hearing loss if AC<BC
• conductive loss if sound is heard longer by bone conduction
• Example purulent Otitis Media

Frequent nursing helps drain the ducts and sinuses, stimulate milk production, nipples may crack but if kept dry and exposed to air it will heal rapidly