Health Assesment 3

Type of Somatic Innervation:

Sensory

perception of pain, heat, cold, vibration, touch

Type of Somatic Innervation:

Motor

muscle tone, strength, mobility

Scoliosis

Lateral deviation of spine

_motor skills include writing and grabbing objects with fingers

Fine

_ motor skills include running, jumping, or any activity using ROM of joints

Gross

Types of Gait:

Hemiplegic gait

paralysis or weakness on one side of the body; common on stroke pts

Types of Gait:

Shuffling gait

short, dragging steps with reduced heel strike, leaning forward posture

Types of Gait:

Ataxia gait

unsteady, clumsy and staggering movements

Types of Gait:

Tabetic or Sensory Gait

involves slapping ground with feet, hyperextending knees; caused by tabes dorsalis

Types of Gait:

Scissors gait

knees and thighs hit or cross in a scissors-like pattern; most common in cerebral palsy pts

Types of Gait:

Steppage gait (polyneuritis)

high step, elevating your hip to lift your leg higher than normal, foot may appear floppy; muscle atrophy or nerve injury related

How do you assess for pt hydration status?

Skin turgor ( pinching the skin)

How do you test for CN XI(11) - accessory/spinal nerve?

assess strength of sternocleid

omastoid

and trapezius muscles (ask pt to shrug their shoulders)

Pupillary constriction is known as_

Myosin

Pupillary dilation is known as -

Mydriasis

Droopy eyelid is also known as

Eyelid pots is

What is used when testing for visual acuity?

Snellen chart

How do you test for CN VIII(8) - vestibulocochlear nerve?

using the Weber test and the Rinne test

Weber test is used to _

measure for lateralization of sound

Rinne test is used to _

measure that air conduction is better than bone conduction

Dialysis

The remove excess water, salts, uric acids, and chemicals from the blood

CPR

chest compressio ns and rescue breathing

Melanoma

skin cancer (tumor) that starts in melanocytes

Tinnitus

Ringing of ears

Plagia

Paralysis

Otoscope

tool for eardrum examination

Dysphasia

Impairment in production of speech

Pleural effusion

fluid in pleural cavity

Pneumothorax

air in pleural cavity

Hemothorax

blood in pleural cavity

Empyema

pus in pleural cavity

When performing abdominal assessment pt should be:

supine, have legs uncrossed, hands at side of body

Auscultation in abdominal assessment:

auscultate all (4) quadrants for 1 min each

What to do if a pt is experiencing abdominal pain?

Use rebound tenderness (peritoneal reaction)

Compress deeply and quickly decompress abdomen

Points of Auscultation:

Aortic

2nd ICS, right of sternum

Points of Auscultation:

Pulmonic

2nd ICS, left of sternum

Points of Auscultation:

Tricuspid

5th ICS, left of sternum

Points of Auscultation:

Mitral

5th ICS, mid-clavicular line

Points of Auscultation:

Erb's

3rd or 4th

ICS, left of sternum

"lub" or s1 sound in heart

beginning of ventricular systole contraction

closure of

AV valves (tricuspid and mitral)

"lub" or sl sound in heart

• beginning of ventricular systole contraction

• closure of AV valves (tricuspid and mitral)

"dub" or s2 sound in heart

beginning of ventricular diastole contraction

closure of semilunar valves (pulmonic and aortic)

Types of Murmur:

Systolic murmur

occurs during ventricular contraction; after s1

Types of Murmur:

Diastolic murmur

occurs during ventricular relaxation; after s2, before s1

Types of Murmur:

Holosystolic murmur

occurs and lasts throughout entire systolic phase

Types of Murmur:

Midsystolic murmur

occurs in the middle of cycle; between sl and s2 sounds

Pleural friction rub occurs when _

when the two layers of the pleura (the membrane that covers the lungs) rub against each other; usually because of pericarditis

s3 (ventricular gallop)occurs in

early diastole

s4 (atrial gallop) occurs in

late diastole

True or False: S3 (ventricular gallop) can be normal in athletes, children and adolescents

True

When testing for pallor in dark-skin pts:

Test for capillary refill; assess oral mucosa

Location of Pulse:

Carotid

medial to the sternocleid omastoid muscle

Location of Pulse:

Popliteal

behind the knee (ask pt to flex their knee

Location of Pulse:

Temporal

Temples

Location of Pulse:

Femoral

between symphysis Femoral pubis and anterior superior iliac spine; under inguinal ligament

Location of Pulse:

Apical

apex of the heart; 5th

ICS, MCL

Posterior tibial artery is located:

Behind medial maleolus