Health History
Intro to Assessment
Skin/head
Eyes/ears
Nose/mouth/neck
100
location, quality, quantity, setting, timing, perception
What are characteristics of a symptom?
100
the first step in assessment
What is inspection?
100
This is replaced completely every 4 weeks.
What is the epidermis?
100
Six cardinal positions of gaze tests CN?
What are CN 3, 4, and 6.
100
This should be midline on inspection and palpation of the neck.
What is the trachea?
200
to collect subjective data- what the person says about him/herself.
What is the purpose of a health history?
200
nutrition, speech, posture, level of consciousness
What are parts of a general survey?
200
Another name for excessively dry skin
What is xerosis?
200
This test involves the twinkle of light on eyes bilaterally
What is the Hirschberg or corneal light reflex?
200
the frontal and maxillary
What are the two sinuses that are accessible to examination?
300
Pain, nausea, headaches are examples of this
What is a symptom?
300
Sound made by indirect percussion over lung tissue
What is resonant?
300
A zosteriform rash across torso
What are shingles?
300
The gradual sensorineural loss caused by nerve damage in the inner ear that slowly progresses after the 5th decade
What is presbycusis?
300
Touching the posterior wall of pharynx with tongue blade elicits gag reflex which tests these CNs.
What are CN IX and X?
400
assessment of how a person manages day-to-day activities. An important part of a health history of an older adult.
What is a functional assessment?
400
a blood pressure is taken lying, sitting, and standing. The Systolic BP drops >20mmHg when changing positions from sitting to standing.
What is orthostatic hypotension?
400
ABCDE of skin assessment stands for this
What is asymmetry, border, color change, diameter( greater than 6 mm), elevation/enlargement?
400
These are the 3 parts of the PERRLA test
What are 1. pupils are round and equal 2. pupils react equally to light (both direct and consensual) 3. pupils constrict and axes of eyes converge when shifting gaze form far to near object?
400
You use the bell of the stethoscope to assess this in the neck.
What is the carotid artery assessment for presence of bruits?
500
1. to evaluate the past and present state of each body system. 2. to double check in case significant data were omitted in Present Illness section. 3. to evaluate health promotion practices.
What is the purpose of the Review of Systems section of the Health History?
500
Deflating BP cuff too slowly Allowing person to support own arm legs crossed failure to wait 1-2 minutes before repeating reading
What are common errors in BP measurement causing high diastolic pressure?
500
Pallor is noted in these areas of people with dark skin
What are areas of least pigmentation- conjunctiva, mucous membranes? p.229
500
This is a common type of hearing loss in young adults between 20-40 years.
What is otosclerosis?
500
Assessing muscles of mastication by trying to open jaw tests what part of this CN?
What is Motor part of CN V?