History
This type of data is used while taking a history
What is Subjective?
The HEENT exam uses these two examination techniques
What is inspection and palpation?
This vitamin from the sun is synthesized by the skin
What is Vitamin D?
An assessment of the respiratory system includes inspection of this diameter commonly abbreviated as "AP"
What is anteroposterior?
The cardiac exam consists of first finding the apical pulse. This is located in this ICS medial to this line
What is 5th ICS medial mid clavicular line?
These are the 4 techniques used in your physical exam in order
What is inspection, palpation, percussion and auscultation
It's important that you remain this while taking your history so your patient will be open and honest with you
What is non-judgmental
This is the medical term for ringing in the ears
What is tinnitus?
This type of lesion is less than 1 cm and composed of hemepigments
This where the trachea bifurcates anteriorly
What is sternal angle?
This side of the stethoscope will hear the S1 and S2 most clearly
What is the diaphragm?
The four exam techniques are switched to this order for the abdominal exam
What is inspection, auscultation, percussion and palpation?
This section of the history is in your patient's own words and is a short sentence
What is Chief Complaint (CC)
When examining the ears of an adult this is the direction you would pull the auricle
What is up and back?
These two appendages are also examined with the skin
What are hair and nails?
The best place to assess the Right Middle lobe is here
What is axillary area?
The area where you would best hear the tricuspid valve is in this ICS and on this side of the sternum
What is 4th ICS and left side of sternum?
This type of percussion sound is described as soft sounds short and found in dense tissue like the thigh or muscle
What is flat?
This is the acronym used to make sure you get all the pieces of the history of present illness
What is OLDACARTA
Upon examination of the eye you are assessing these muscles when you test the 6 cardinal gazes
What are the EOMs or extraocular muscles
This is where to best assess for paleness especially on darker skinned people
What is the Buccal mucosa and conjunctiva?
This type of breath sound is heard predominantly in healthy adult lungs. It is described as low pitched, no pause and inspiration is longer than expiration
What is vesicular breath sounds?
As an expert nurse, you will listen to these five areas for heart sounds and murmurs. (In order from the apex of the heart to the base.)
What is mitral (5th ICS, medial mid clavicular,) tricuspid (4th ICS, Left sternal border) erbs (3rd ICS left sternum) pulmonic (2nd ICS left sternum) aortic (2nd ICS right sternum)
Throughout the head to toe exam you should be assessing for this
What is symmetry?
An example of these is "no redness or swelling"
What is pertinent negative?
You can only assess these two sinuses located on the side of the nose and the forehead
What are the frontal and maxillary?
These lesions are elevated, circumscribed, over 1 cm in length, and have centers of serous fluid.
What is a bulla
This is the percussion note heard in the longs of a healthy adult
What is resonance?
This extra heart sound is considered a nomal finding up to age 30
What is S3
The actual exam is composed of this type of data
What is objective?