Health Assessment

Vocab:

Chapter 8

  • Amplitude: Intensity; A loud or soft sound

  • Auscultation

    • Listening to sounds produced by the body

  • Bell

    • Endpiece that has a deep, hollow cuplike shape; best for soft, low-pitched sounds like extra heart sounds or murmurs

  • Diaphragm

    • Flat edge; best for high-pitched sounds (breaths, bowel, normal heart sounds)

  • Duration

    • The length of time the note lingers

  • Inspection

    • General survey; concentrated watching 

  • Ophthalmoscope

    • Illuminated the internal eye structure; gives the ability to look through the pupil at the dunes of the eye

  • Otoscope

    • Funnels light into the ear canal and onto the tympanic membrane

  • Palpation

    • Applies send of touch to access texture, temperature, moisture, location, size

  • Percussion

    • Tapping the person’s skin with short, sharp, strokes to assess underlying structures

  • Pitch

    • Frequency; Number of vibrations per second

  • Quality

    • A subjective difference caused by the distinctive overtones of a sound

  • Mini-database

    • Examining the body areas appropriate to the problem

  • Standard precautions

    • Precautions you will take wih every patient encounter; handwashing and wearing gloves as appropriate 

  • Stethoscope 

    • Instrument that does not magnify sounds but blocks out extraneous room sounds


Chapter 9

  • Affect: The person is comfortable and cooperative with the examiner and interacts pleasantly. 

  • Level of Consciousness (LOC): the person is alert and oriented to person, place, time, and situation. Attends to and responds appropriately to your questions

  • Gait: feet approximately shoulder width apart; foot placement is accurate; walk is smooth and even, person can maintain balance without assisntace. Associated movement is symmetric

  • Range of Motion (ROM): full mobility for each joint and that movement is dilverate, accurate, smooth, and coordinated.

  • Body Mass Index (BMI): practical marker of healthy weight for heigh and an indicator of obesity of malnutrition.

  • Acromegaly: excessive secretion of GH in adulthood after normal completion of body growth. Over growth in bones causing enlargement of face, hands, neck, feet, and organs.

  • Bulimia Nervosa: episodes of binge eating and then purging. Easier to hide than anorexia because those with this disorder may have normal body weight or be slightly overweight.

  • Anorexia Nervosa: severe weight-loss in a healthy person; very concenred about the things they eat as well as weight.

  • Engogenous Obesity (Cushing Syndrome): too much cortisol causing weight gain and edema.

  • Marfan Syndrome: connective tissue disorder characterized by thin, tall stature; hyperflexible joints.