REGIS NU650/NU 650 Final Exam SG 100% Verified
Order of Assessment - -Inspection, Palpation, Percussion and Auscultation. EXCEPT
with abdomen
Comprehensive Health History - -chief complaint, reason for visit, ROS, past
medical and surgical history, social history and family history
Pediatric Body measurements - -length, height, weight, head circumference fro birth
to 36 months
Normal/Hypertension cut off - -<130 normal 140+ hypertension
Fontanel Closure - -posterior 1-2 months, anterior 9mo-2years
otoscope - -adult-up and back, peds- down and back, using largest speculum that
will fit comforably
tympanic membrane - -Cone of light R-5 l-7
EOM testing - -CN III, IV, VI
AP diameter of chest - -1:2 (AP less than transverse)
barrel chest - -COPD
Flat or Dull percussion - -effusion or pneumonia
normal resonant percussion - -healthy lung
,Hyperressonance (percussion) - -trapped air
crackles/rales - -high pitched, discontinuous
Wheezes - -high-pitched whistling or squeaking sounds during inspiration or
expiration
Rhonchi - -snoring, rumbling sounds heard upon auscultation of the chest during
respiration-low pitched
tactile fremitus - -• INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as with pneumonia)
- Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
Bronchophony - -the spoken voice sound heard through the stethoscope, which
sounds soft, muffled, and indistinct over normal lung tissue, clearer over disease
Egophony - -abnormal change in tone of voice that is heard when auscultating the
lungs EE-->AA
UE Arteries - -radial-thumb side, ulnar pinky side
Pulse grading - -0 absent
, 1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
PMI - -point of maximal impulse mid-clavicular and 5th ICS
S1 - -normal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles
S2 - -normal, closure of semilunar, end of systole, loudest at base, filling of ventricles
S3 - -third heart sound (normal in pregnant young adults, and children), gallop
S4 - -extra heart sound, end of diastole, indicative of disease-AFIB
murmur grading scale - -I-Barely Audible
II-Quiet, Clearly Audible
III-moderately Loud
IV-loud, thrill
V-Very loud, can palpate thrill
VI-Very loud, thrill palpable and visible
Order of Assessment - -Inspection, Palpation, Percussion and Auscultation. EXCEPT
with abdomen
Comprehensive Health History - -chief complaint, reason for visit, ROS, past
medical and surgical history, social history and family history
Pediatric Body measurements - -length, height, weight, head circumference fro birth
to 36 months
Normal/Hypertension cut off - -<130 normal 140+ hypertension
Fontanel Closure - -posterior 1-2 months, anterior 9mo-2years
otoscope - -adult-up and back, peds- down and back, using largest speculum that
will fit comforably
tympanic membrane - -Cone of light R-5 l-7
EOM testing - -CN III, IV, VI
AP diameter of chest - -1:2 (AP less than transverse)
barrel chest - -COPD
Flat or Dull percussion - -effusion or pneumonia
normal resonant percussion - -healthy lung
,Hyperressonance (percussion) - -trapped air
crackles/rales - -high pitched, discontinuous
Wheezes - -high-pitched whistling or squeaking sounds during inspiration or
expiration
Rhonchi - -snoring, rumbling sounds heard upon auscultation of the chest during
respiration-low pitched
tactile fremitus - -• INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as with pneumonia)
- Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
Bronchophony - -the spoken voice sound heard through the stethoscope, which
sounds soft, muffled, and indistinct over normal lung tissue, clearer over disease
Egophony - -abnormal change in tone of voice that is heard when auscultating the
lungs EE-->AA
UE Arteries - -radial-thumb side, ulnar pinky side
Pulse grading - -0 absent
, 1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
PMI - -point of maximal impulse mid-clavicular and 5th ICS
S1 - -normal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles
S2 - -normal, closure of semilunar, end of systole, loudest at base, filling of ventricles
S3 - -third heart sound (normal in pregnant young adults, and children), gallop
S4 - -extra heart sound, end of diastole, indicative of disease-AFIB
murmur grading scale - -I-Barely Audible
II-Quiet, Clearly Audible
III-moderately Loud
IV-loud, thrill
V-Very loud, can palpate thrill
VI-Very loud, thrill palpable and visible
