Term
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Definition
| the application of your hands to the external surfaces of the body to detect abnormalities of the skin or tissues lying below the skin |
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Definition
| involves striking body parts with the tips of the fingers to locate structures, identify whether they are solid or hollow, detect areas containing air or fluid |
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Definition
| listening to sounds produced by the body, by ear or with a stethoscope |
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Definition
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| ammonia or urine smelling breath |
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Definition
| patient may have kidney failure or uremia |
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| musty or sweet smelling breath |
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Definition
| patient may have liver disease |
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| fruit or acetone smelling breath |
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Definition
| patient may have diabetes |
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Term
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Definition
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Definition
| blood pressure, temperature, pulse, respirations, SpO2 and pain level |
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Definition
| hardening of the arteries as we age |
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Definition
| portion of the central nervous system that helps regulate body temperature and the automatic nervous system |
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Definition
| control the respiratory rate |
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Definition
| some control over blood pressure and pulse |
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Term
| assessing Level of Consciousness |
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Definition
| Person, Place, Time, Situation (If able to answer questions to all 4 then AAOx$) |
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Term
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Definition
| yellow color of the sclera (eyes) |
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Term
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Definition
| tissue redness. may indicate inflammation or infection. |
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Term
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Definition
| an opaque white ring around the outer edge of the cornea, may appear in the eyes of older adults |
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Term
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Definition
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Definition
| drooping of the eyelid to one side |
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Term
| consensual reflex or response |
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Definition
| simulation of the nerve by shining a light in either eye causing both pupils to rapidly constrict simultaneously and equally |
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Term
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Definition
| holding your finger in front of the patient's face and asking them to follow it as you move it. |
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Term
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Definition
| two eyes that are equally responsive are "pupils are equally reactive to light and accommodation" |
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Term
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Definition
| fungus infection known as yeast. |
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Definition
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Definition
| pale pallor that encircles the lips, may indicate scarlet fever |
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Definition
| patient may know what he or she wants to say, but cannot say the words |
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Term
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Definition
| patient has difficulty coordinating and organizing word correctly in a sentence |
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Term
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Definition
| difficultly breathing in the supine position |
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Term
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Definition
| breathing is within normal parameters |
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Definition
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Term
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Definition
| lumbar concavity is increased |
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Term
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Definition
| convexity of the midthorax is increased |
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Term
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Definition
| curvature to either the left or right |
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Term
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Definition
| when the patient's chest wall appears depressed between the ribs or under the xiphoid process when the patient inhales |
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Term
| Adventitious breath sounds |
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Definition
| extra sounds superimposed over the normal breath sounds. includes crackles, rhonchi, wheezes, pleural friction rub, and stridor |
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Term
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Definition
| discontinuous, usually heard during inspiration, may be either fine or coarse |
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Term
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Definition
| snoring, rattling, gurgling, squeaking, wheezes caused by either secretions or partial occlusion of the airways |
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Term
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Definition
| continuous melodious, musical, or whistling sound due to constriction of the airways, can be inspiratory or expiratory |
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Term
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Definition
| grating, creaking sound, that is due to inflamed, edematous pleural surfaces rubbing together during breathing |
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Term
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Definition
| can usually be heard with or without use of a stethoscope, and is a sign of life-threatening upper airway construction. it is a shrill, high-pitched, harsh, crowing sound and require immediate intervention. |
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Term
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Definition
| numbness or decreased sensation in the skin |
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Definition
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Definition
| elderly patients have numerous yellowish-brown spots cause by years of sun exposure "liver spots" |
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Definition
| a patient who is prespiring |
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Definition
| defense mechanism of tightening the abdominal muscles |
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Definition
| gurgling bowel sounds loud enough to be heard without a stethoscope |
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| how long it takes for color to return to normal after pressure being applied (usually on the nail bed) less than 3 seconds is normal |
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Definition
| tightening and shortening of the muscles that prevent full extension of the joints |
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Definition
| A condition affecting the fingers and toes in which the extremities are broadened and the nails are shiny and abnormally curved. |
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Definition
| swelling, the result of excess fluid shifting out of the cardiovascular space into the interstitial space between the individual cells |
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Term
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Definition
| assessing the pulse in both wrists for strength and equality, rated on a scale of 0-3 |
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