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Physical Diagnosis I
Introduction - Lecture 1
15
Other
Graduate
01/17/2010

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Term
What are the 6 main vital signs?
Definition
1. height
2. weight
3. blood pressure
4. temperature
5. pulse
6. respiration
Term
When dealing with weight, what are the three key elements that commonly change in adults?
Definition
1. water/fluid
2. fat
3. muscle mass
Term
What is a normal BMI? overweight BMI? obese?
Definition
normal = 18-26
overweight = 27-30
obese = > 30
Term
What is the principle behind blood pressure?
Definition
the total oxxlusion of the proximal segment of the artery by a measured force, listening for changes in blood flow as the force is released
Term
What are the 5 Korotkoff sounds?
Definition
1. first consecutive sounds = systolic pressure
2. changes to blowing or swishing
3. softer thud
4. muffling begins - diastolic for children
5. silence - diastolic in adults
Term
What is a normal BP for adults? pulse?
Definition
BP = 120/80 or lower
pulse = 60-100 at rest
Term
What is the normal respiration rate?
normal temperature in adults? what is normal standard of where to take the temp at UIHC? When is it a fever?
Definition
14-18 in an adult at rest
normal temp = 37 degrees celsius
normal standard is the ear
fever is 37.5 degrees celsius
Term
What are the 4 elements of the physical exam?
Definition
1. inspection
2. palpation
3. percussion
4. ausculation
(in this order)
Term
What is being looked at during inspection?
Definition
appearance, shape, bulk, asymmetry, body language, ability to move, gait, speech patterns, facial expression, eye contact
Term
What are some standard precautions?
Definition
1. hand hygeine for intact skin
2. gloves when the touch will or may involve blood, body gluid, secretions except for sweat, non-intact skin, ecretions, stool, saliva, urine, contaminated items
- mask, eye protection or face shield if spray, splash, spurt, or airborne droplets are of concern
Term
When should you wash your hands?
Definition
1. between patients
2. when moving to a cleaner site on the same patient
3. after contact with blood, body fluid, secretions, excretions, contaminated articles
4. after glove removal
5. wash where patients see you
Term
What are the contact precautions?
Definition
1. standard precautions
2. gloves for ALL contact with patients or objects in the room
3. gown if clothing may contact patient or environmental surfaces
4. masks may be needed
ex. MRSA
Term
What are special organism precautions?
Definition
1. standard precautions
2. contact precautions
3. gown for ALL entry into patient's room
4. dedicate non-critical items such as the stethoscope
ex. VRE
Term
What are droplet precautions?
Definition
1. private room and door may remain open
2. mask when within 3 feet of patient
3. limite patient transport and patient should mask
ex. influenza, pertussis, adenovirus, N. meningitidis, diphtheria
Term
What are airborne precautions?
Definition
1. special air handling and ventilation for the patient room
2. wear respirator
3. limit patient transport - patient should mask
ex. TB, varicella, measles for non-immune
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