Nurs 190 Physical Assessment
- ANS -
\Acromegaly - ANS - enlargement of the extremities
\Annular Lesions - ANS - Circular, begins in center and spreads to periphery. Its only one
circle
\Antecubital parts of the arm - ANS - Brachial pulse
\Apocrine glands - ANS - made of water salts, proteins and fatty acids. Usually located in
areas with hair follicles like groin, axillary region.
\Assessment of newborns - ANS
\Atrophy - ANS - translucent, dry paper like sometimes wrinkled skin resulting from
thinning or wasting of skin due to loss of collagen and elastic.
\basal cell carcinoma - ANS - Most common and least severe type of skin cancer; often
characterized by light or pearly nodules.
- Usually starts as a skin-colored papule with a pearly translucent top and overlying
telangiectasia (broken blood vessel). Then develops rounded, pearly borders with central
red ulcer or looks like a large open pore with central yellowing.Most common form of
skin cancer; slow but inexorable growth.
\Bullae - ANS - a fluid-filled sac or lesion that appears when is trapped under a thin layer
of skin.
\Classic migraine - ANS - head ache preceded by aura, patient sees spots and flashes of
lights accompanied by nausea or vomiting, tingling and numbness of face and
extremities.
\Cluster headache - ANS - Onset is sudden usually onside of the face spreading upward
behind one eye that last a few minutes to few hours with several episodes for days or
months.
\Confluent Lesions - ANS - Lesions run together (hives)
\Cranial stenosis - ANS - premature fusion of cranial bones
stunt brain growth
\Different types of Assessment techniques - ANS - INPECTION is the technique used
initially in physical assessment.
- AUSCULATION is the use of your stethoscope
- PERCUSSION use of your fingertips, the middle finger tips or blunt percussion which is
the use of the palm of your hands with your fist type twice.
- PALPATION use the finger pads or metacarpophalangeal joints of the hand.
\Different types of vascular lesions - ANS
\Differentiate amongst the following - ANS
\Discrete Lesions - ANS - Distinct, individual lesions that remain separate
\Femoral pulses would be located - ANS - inguinal area
\fetal alochol syndrome - ANS
\Finger pads used to assess - ANS - pulses, edema, lymph nodes, light palpation
, \Fissure - ANS - Linear breaks in the skin that go deeper than the epidermis into the
dermis. They can be painful and can be caused by excessive dryness
\For an infant that the skin appears white and hair is pale blond and iris's of the eye are
pink what condition does this child have? - ANS - The child has absence of color
\Goniometer - ANS - used to asses the degree of joint flexion and extension.
\Grouped Lesions - ANS - Clusters of lesions
\Herpes zoster - ANS - painful lesions along the nerve path ways
\How do you asses for clubbing of the fingers? - ANS - You have the client bring the
dorsal aspect of the corresponding finger together to create a mirror image. The normal
findings would be a diamond space between the fingers and the angle of the nail bed is
one 160 degrees. More than 160 degrees would be a sign of clubbing.
\How do you grade edema - ANS +1 = minimal edema of LE, 2mm
+2 = marked edema of LE, 4mm
+3 = Edema of LE, face, hands, and sacral area, 6mm
+4 = Generalized massive edema (ascites), 8mm
- graded 0-4 + and its by two's
\How do you grade pulses - ANS - 0-4+
- 0 non palpable pulse
- 1+ weak and thready
- 2+ Normal
- 3+ brisk
- 4+ bounty
\How do you rule out malignant lesions on the skin? - ANS - rule it out by using the A, B,
C, D, E criteria
Asymmetrical
Border irregular
Two or more colors in one lesion
Diameter more than 6mm
Evolving change, lesion is changing
\How do you stage decubitus - ANS Stage 1 one only one layer is involved, reddened
epidermis
\hydrocephalus - ANS accumulation of fluid in the spaces of the brain
\Identify the different types of malignant lesions - ANS Kaposi's sarcoma; Form of skin
cancer frequently seen in acquired immunodeficiency syndrome (AIDS) patients.
Consists of brownish-purple papules that spread from the skin and metastasize to
internal organs.
\Identify the different types of secondary lesions - ANS - Keloids; are raised overgrowths
of scar tissue that occur a the site of injury. They occur where trauma, surgery, blisters,
vaccinations, acne or body piercing have injured the skin.
- Fissure; Linear breaks in the skin that go deeper than the epidermis into the dermis.
They can be painful and can be caused by excessive dryness.
- Lichenification; a rough, thickening of the epidermis
- Atrophy, translucent, dry paper like sometimes wrinkled skin resulting from thinning or
wasting of skin due to loss of collagen and elastic.
- ANS -
\Acromegaly - ANS - enlargement of the extremities
\Annular Lesions - ANS - Circular, begins in center and spreads to periphery. Its only one
circle
\Antecubital parts of the arm - ANS - Brachial pulse
\Apocrine glands - ANS - made of water salts, proteins and fatty acids. Usually located in
areas with hair follicles like groin, axillary region.
\Assessment of newborns - ANS
\Atrophy - ANS - translucent, dry paper like sometimes wrinkled skin resulting from
thinning or wasting of skin due to loss of collagen and elastic.
\basal cell carcinoma - ANS - Most common and least severe type of skin cancer; often
characterized by light or pearly nodules.
- Usually starts as a skin-colored papule with a pearly translucent top and overlying
telangiectasia (broken blood vessel). Then develops rounded, pearly borders with central
red ulcer or looks like a large open pore with central yellowing.Most common form of
skin cancer; slow but inexorable growth.
\Bullae - ANS - a fluid-filled sac or lesion that appears when is trapped under a thin layer
of skin.
\Classic migraine - ANS - head ache preceded by aura, patient sees spots and flashes of
lights accompanied by nausea or vomiting, tingling and numbness of face and
extremities.
\Cluster headache - ANS - Onset is sudden usually onside of the face spreading upward
behind one eye that last a few minutes to few hours with several episodes for days or
months.
\Confluent Lesions - ANS - Lesions run together (hives)
\Cranial stenosis - ANS - premature fusion of cranial bones
stunt brain growth
\Different types of Assessment techniques - ANS - INPECTION is the technique used
initially in physical assessment.
- AUSCULATION is the use of your stethoscope
- PERCUSSION use of your fingertips, the middle finger tips or blunt percussion which is
the use of the palm of your hands with your fist type twice.
- PALPATION use the finger pads or metacarpophalangeal joints of the hand.
\Different types of vascular lesions - ANS
\Differentiate amongst the following - ANS
\Discrete Lesions - ANS - Distinct, individual lesions that remain separate
\Femoral pulses would be located - ANS - inguinal area
\fetal alochol syndrome - ANS
\Finger pads used to assess - ANS - pulses, edema, lymph nodes, light palpation
, \Fissure - ANS - Linear breaks in the skin that go deeper than the epidermis into the
dermis. They can be painful and can be caused by excessive dryness
\For an infant that the skin appears white and hair is pale blond and iris's of the eye are
pink what condition does this child have? - ANS - The child has absence of color
\Goniometer - ANS - used to asses the degree of joint flexion and extension.
\Grouped Lesions - ANS - Clusters of lesions
\Herpes zoster - ANS - painful lesions along the nerve path ways
\How do you asses for clubbing of the fingers? - ANS - You have the client bring the
dorsal aspect of the corresponding finger together to create a mirror image. The normal
findings would be a diamond space between the fingers and the angle of the nail bed is
one 160 degrees. More than 160 degrees would be a sign of clubbing.
\How do you grade edema - ANS +1 = minimal edema of LE, 2mm
+2 = marked edema of LE, 4mm
+3 = Edema of LE, face, hands, and sacral area, 6mm
+4 = Generalized massive edema (ascites), 8mm
- graded 0-4 + and its by two's
\How do you grade pulses - ANS - 0-4+
- 0 non palpable pulse
- 1+ weak and thready
- 2+ Normal
- 3+ brisk
- 4+ bounty
\How do you rule out malignant lesions on the skin? - ANS - rule it out by using the A, B,
C, D, E criteria
Asymmetrical
Border irregular
Two or more colors in one lesion
Diameter more than 6mm
Evolving change, lesion is changing
\How do you stage decubitus - ANS Stage 1 one only one layer is involved, reddened
epidermis
\hydrocephalus - ANS accumulation of fluid in the spaces of the brain
\Identify the different types of malignant lesions - ANS Kaposi's sarcoma; Form of skin
cancer frequently seen in acquired immunodeficiency syndrome (AIDS) patients.
Consists of brownish-purple papules that spread from the skin and metastasize to
internal organs.
\Identify the different types of secondary lesions - ANS - Keloids; are raised overgrowths
of scar tissue that occur a the site of injury. They occur where trauma, surgery, blisters,
vaccinations, acne or body piercing have injured the skin.
- Fissure; Linear breaks in the skin that go deeper than the epidermis into the dermis.
They can be painful and can be caused by excessive dryness.
- Lichenification; a rough, thickening of the epidermis
- Atrophy, translucent, dry paper like sometimes wrinkled skin resulting from thinning or
wasting of skin due to loss of collagen and elastic.
