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Visual observation of general appearance, contours of the body, skin tone and color, rashes, scars, lesions, deformities or extremity weakness |
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Used to ascertain size, shape, and position of body parts, texture, temperature, moisture of skin, presence of muscle spasm, or rigidity, pain, swelling, presence of a growth, restriction in body-part movement, skin temperature, turgor, or presence of edema |
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Light quick tapping on the body surface to produce sounds, variations in the sounds reflect characteristics of organs or structures below the surface, size, location, density, presence of air or fluids |
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Listening to presence or absence of body sounds by using a stethoscope, lung sounds (listening for air coming in and out; normal sounds - lower lobes less amount of air), heart sounds, abdomen: bowel sounds ( 4 quadrants - hypoactive, hyperactive, absent, or normal) |
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Smelling to identify breath odor for sweetness or alcohol (diabetics-increase blood sugar), wound odors, odors from discharges |
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Height and weight (without shoes) - feet together, shoulders straight and head up Infant without diaper (never leave unattended) Vital signs measurement Head and neck- JVD (symmetry of eyes, alert-person,place,andtime) Chest, heart, and lungs Skin and extremities Abdomen -distention, flat when youlay down(normal) Genitalia, anus, and rectum |
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Basic Physical Examination |
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Rest and activity Nutrition, fluids, and electrolytes Safety and security Hygiene Oxygenation Psychosocial and learning Elimination |
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touching with the hands and fingers |
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involuntary fine movement of the body or limbs |
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light, quick tapping on the body surface to produce sounds |
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listening for sounds produced with in the body, usually with a stethoscope |
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activities of daily living: bathing, dressing, grooming, cleansing teeth, shaving, toileting, etc. |
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abnormal accumulation of serous fluid with in the peritoneal cavity |
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abnormal sound heard on auscultation, a kind of swishing sound |
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relating to the mental process of knowing, remembering, related; connected thinking |
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a bluish tinge to the skin, nail beds or mucous membranes, indicating a significant decrease in oxygenation |
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redness of the skin caused by congestion of the capillaries in the lower layers of the skin that occurs with any skin injury, infection, or inflammation |
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arms are stiffly extended, addicted, and hyperpronated with hyperextension of the legs and plantar flexion of the feet; indicates disruption of the motor fibers in the midbrain and brainstem; formerly called decerebrate posture |
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