NURS 190: Physical Assessment (Week 1)
#Basic Assessment Techniques - ANS For all others
-Inspection
-Auscultation
-Percussion
-Palpation
Abdm
-Palpation
-Percussion
\#Bones of the Skull - ANS -Frontal (*single*)
-Parietal (paired)
-Temporal (paired)
-Occipital (*single*)
-Sphenoid (*single*)
-Ethmoid (*single*)
\#Critical Thinking - ANS Organize data
Analyse data
Interpret findings
\#Healthy People 2020 (Skin, Hair, & Nails) - ANS 10 year national objectives for
improving health for Americans
Skin, Hair, & Nails
-Occupational skin disorders
-Education on skin cancer risk and prevention
\#Healthy People of 2020 (Head, Neck, & Lymphatics) - ANS Reduce sports and
recreational injuries
Reduce deaths caused by motor vehicle accident
Increase the use of safety belts
Increased use of helmets
Reduce death by falls
,\#Integumentary System - ANS Skin and accessory structures
Hair
Nails
\Abnormal Findings (*Head, Skull, & Face*-Acromegaly) - ANS Enlargement of the bones,
facial features, hands, and feet due to the increased production of growth hormone by
the pituitary gland
\Abnormal Findings (*Head, Skull, & Face*-Bell's Palsy) - ANS A sudden, temporary
disorder affecting cranial nerve VII (Facial) that produces unilateral facial paralysis. It
may be caused by a virus
\Abnormal Findings (*Head, Skull, & Face*-Craniosynostosis) - ANS Early closure of
sagittal sutures causes the head to elongate; early closure of coronal sutures alters the
head, face, and orbits
\Abnormal Findings (*Head, Skull, & Face*-Down syndrome) - ANS A chromosomal defect
causing varying degrees of intellectual disability and characteristic facial features such
as
-slanted eyes
-a flat nasal bridge
-a flat nose
-a protruding tongue
&
-a short, broad neck
\Abnormal Findings (*Head, Skull, & Face*-Fetal Alcohol Syndrome) - ANS FAS
Results when a alcoholic mother when pregnant
\Abnormal Findings (*Head, Skull, & Face*-Hydrocephalus) - ANS Enlargement of the
head caused by inadequate drainage of cerebrospinal fluid, resulting in abnormal growth
of the skull
\Abnormal Findings (*Head, Skull, & Face*-Pediculosis captis) - ANS white skin that
clings on the shaft of the hair; head lice infestation
Shower after treatment, wash bedding and clothing to kill the bugs w/ hot, warm water &
detergent
If it's only dandruff, it falls off like snow after you shake your head
\Abnormal Findings (*Head, Skull, & Face*) - ANS Headaches
FAS-Fetal Alcohol syndrome
Hydrocephalus
Crainosynostosis
, Acromegaly
Down syndrome
Bell's palsy
Pediculosis captis
\Abnormal Findings (*Thyroid*) - ANS Hypothyroidism
-weight gain & tiredness
-low metabolism
Hyperthyroidism
-weight loss (high metabolism)
-High HR
-Sweating & irritability
Goiter
-lack of iodine
-gland will grow large
\Abnormal Skin Findings - ANS Moles
Primary & Secondary lesions
Configurations & Shapes
Common skin lesions
Vascular lesions
Malignant lesions
Hair abnormalities
\Assessment of Lymphatics (*How*) - ANS 10 sets of lymph nodes drain the head & neck
*Palpation of lymph nodes* gentle circular motion
-do not push hard it may result in false normal findings
Normal:
*Adults*-nonpalpable
*Children*-can be nonpalpable or swollen; sometimes palpable and it is normal for them
\Assessment of Lymphatics (Nodes) - ANS *Preauricular* (ears front)
#Basic Assessment Techniques - ANS For all others
-Inspection
-Auscultation
-Percussion
-Palpation
Abdm
-Palpation
-Percussion
\#Bones of the Skull - ANS -Frontal (*single*)
-Parietal (paired)
-Temporal (paired)
-Occipital (*single*)
-Sphenoid (*single*)
-Ethmoid (*single*)
\#Critical Thinking - ANS Organize data
Analyse data
Interpret findings
\#Healthy People 2020 (Skin, Hair, & Nails) - ANS 10 year national objectives for
improving health for Americans
Skin, Hair, & Nails
-Occupational skin disorders
-Education on skin cancer risk and prevention
\#Healthy People of 2020 (Head, Neck, & Lymphatics) - ANS Reduce sports and
recreational injuries
Reduce deaths caused by motor vehicle accident
Increase the use of safety belts
Increased use of helmets
Reduce death by falls
,\#Integumentary System - ANS Skin and accessory structures
Hair
Nails
\Abnormal Findings (*Head, Skull, & Face*-Acromegaly) - ANS Enlargement of the bones,
facial features, hands, and feet due to the increased production of growth hormone by
the pituitary gland
\Abnormal Findings (*Head, Skull, & Face*-Bell's Palsy) - ANS A sudden, temporary
disorder affecting cranial nerve VII (Facial) that produces unilateral facial paralysis. It
may be caused by a virus
\Abnormal Findings (*Head, Skull, & Face*-Craniosynostosis) - ANS Early closure of
sagittal sutures causes the head to elongate; early closure of coronal sutures alters the
head, face, and orbits
\Abnormal Findings (*Head, Skull, & Face*-Down syndrome) - ANS A chromosomal defect
causing varying degrees of intellectual disability and characteristic facial features such
as
-slanted eyes
-a flat nasal bridge
-a flat nose
-a protruding tongue
&
-a short, broad neck
\Abnormal Findings (*Head, Skull, & Face*-Fetal Alcohol Syndrome) - ANS FAS
Results when a alcoholic mother when pregnant
\Abnormal Findings (*Head, Skull, & Face*-Hydrocephalus) - ANS Enlargement of the
head caused by inadequate drainage of cerebrospinal fluid, resulting in abnormal growth
of the skull
\Abnormal Findings (*Head, Skull, & Face*-Pediculosis captis) - ANS white skin that
clings on the shaft of the hair; head lice infestation
Shower after treatment, wash bedding and clothing to kill the bugs w/ hot, warm water &
detergent
If it's only dandruff, it falls off like snow after you shake your head
\Abnormal Findings (*Head, Skull, & Face*) - ANS Headaches
FAS-Fetal Alcohol syndrome
Hydrocephalus
Crainosynostosis
, Acromegaly
Down syndrome
Bell's palsy
Pediculosis captis
\Abnormal Findings (*Thyroid*) - ANS Hypothyroidism
-weight gain & tiredness
-low metabolism
Hyperthyroidism
-weight loss (high metabolism)
-High HR
-Sweating & irritability
Goiter
-lack of iodine
-gland will grow large
\Abnormal Skin Findings - ANS Moles
Primary & Secondary lesions
Configurations & Shapes
Common skin lesions
Vascular lesions
Malignant lesions
Hair abnormalities
\Assessment of Lymphatics (*How*) - ANS 10 sets of lymph nodes drain the head & neck
*Palpation of lymph nodes* gentle circular motion
-do not push hard it may result in false normal findings
Normal:
*Adults*-nonpalpable
*Children*-can be nonpalpable or swollen; sometimes palpable and it is normal for them
\Assessment of Lymphatics (Nodes) - ANS *Preauricular* (ears front)