(Answered) Health Assessment All Combined —Jarvis Final Exam_2022.

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(Answered) Health Assessment All Combined —Jarvis Final Exam_2022. Scaphoid, protuberant and distension are abnormal findings of what assessment? >>>Contour of the abdomen. Bulging, visible ma... sses, asymmetrical shape and hernias are abnormal findings of what assessment? >>>Symmetry of the abdomen. When the umbilicus is everted a normal and abnormal finding? >>>Normal - Pregnancy Abnormal - obesity Where do you see pulsations of the aorta? >>>Epigastric Area Define borborygmus >>>Stomach growling 2 abnormal findings of bowel sounds >>>Hyperactive BS - high pitched, rushing Hypoactive/absent - following abdominal surgery or inflammation of the peritoneum How do you check vascular sounds? >>>Firm pressure over aorta, renal arteries, iliac and femoral arteries. USE BELL What are abnormal findings when checking for vascular sounds? >>>Bruits Friction Rubs What is the normal finding for liver span? >>>6-12cm What is the normal finding for splenic dullness? >>>Not wider than 7cm in adult and should not encroach on normal tympany over the gastric air bubble. How do you assess for costovertebral angle tenderness? >>>Place hand over 12th rib at the costovertebral angle on the back. Thump hand w/ ulnar edge of your other fist. What are the normal/abnormal findings for the costovertebral angle tenderness? >>>Normal - pt feels thud abnormal - pt feels pain (inflammation) What are the abnormal findings for light palpation of the abdomen? >>>Muscle guarding Rigidity Large Masses Tenderness How do you assess for the deep palpation of the abdomen? >>>Depress abdominal wall (5-8cm) and evenly. Note location, size, consistency, mobility of any palpable organs and presence of masses What does rebound tenderness determine? >>>Presence or peritoneal irritation or inflammation How do you test for rebound tenderness? >>>Firmly and slowly press into abdomen at 90deg angle at a non-tender area and quickly withdraw fingers. Articular dz produces what? [musculoskeletal] >>>Swelling and tenderness around the whole joint Extra-articular dz produces what? [musculoskeletal] >>>Swelling and tenderness to that one particular spot What is crepitation >>>Audible crunching or grating sound How do you grade for muscle testing? >>>Bilaterally with a scale out of 5 What is the muscle testing scale? describe each level >>> What 3 positions do you tell patient to do when assessing the temporomandibular joint? >>>Open normally Slightly open mouth and move it side to side Stick out lower jaw What do you palpate when assessing cervical spine? >>>Spinous process Sternomastoid Trapezius Paravertebral muscles What positions do you ask the patient to do when assessing the cervical spine? >>>1. Touch chin to chest and lift to ceiling 2. Touch each ear with shoulder without lifting shoulder 3. Turn chin towards shoulders Then repeat motions but apply some pressure w/ your hand What 4 positions do you do to assess the shoulder? >>> Tennis elbow occurs at what common sites? >>>Epicondyles Head of Radius Tendons Normal or abnormal When palpating, the olecranon process should present hollows on each side? >>>True What are the 3 positions for the arm when assessing the elbow? >>>1. Palpate w/ elbow flexed about 70deg and as relaxed as possible. 2. Flexion of 150 to 160deg of entire arm 3. 90 deg supination and pronation of the hand. Define ankylosis Is it a normal finding? >>>Wrist in extreme flexion Abnormal Abnormal findings of assessing the interphalangeal joints? >>>Heberden and Bouchard nodules are hard and nontender Occurs w/ osteoarthritis What is the phalen test? >>>Put back of both hands together and hold for 60sec What is the tinel test? >>>Direct percussion of the median nerve at wrist. Normal/abnormal findings of the tinel test? >>>Normal - no symptoms produced Abnormal - Carpal tunnel causes burning and tingling along its distribution T/F Concavities or hollows are present on either side of the patella >>>T What is the bulge sign? >>>If there appears to be fluid in the knee area... 1. Stroke 2-3 times to displace the fluid if there is any. 2. Watch the hollow side for a fluid wave. [Show More]

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