signs of periotonitis
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rebound tenderness, voluntary guarding, rigidity
patient comes in for routine visit, BP is elevated, what do you do next?
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repeat bp and check in bilateral arms
OPQRST
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onset, precipitating and palliating factors, quality, region or radiation,
severity, timing or temporal characteristics
Diaphragm of stethoscope
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higher pitched sounds
- murmurs of aortic and mitral regrug and pericardial rubs
Rhonchi
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-deep coarse sounds that have a snoring quality and are heard during
expiration
- cause: secretions in the large airways and typically clear after coughing
- bronchitis or pneumonia
, pectoriloquy
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Ask patient to whisper 1 - 2 - 3. Response should sound muffled and faint.
- Clear response indicates consolidation
Friction rub
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- a deep, harsh, grating or creaking sound that is usually heard more often
during inspiration than expiration
- causes pleural surfaces lose their normal lubricating fluid and rub
together during respiration
- pleural irritation= pleuritis or pneumonia
OLDCARTS for HPI
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onset, location, duration, character, alleviating/aggravating factors,
radiation, time of occurrence, severity
who to ask about on family medical history
Give this one a try later!
Give this one a try later!
rebound tenderness, voluntary guarding, rigidity
patient comes in for routine visit, BP is elevated, what do you do next?
,Give this one a try later!
repeat bp and check in bilateral arms
OPQRST
Give this one a try later!
onset, precipitating and palliating factors, quality, region or radiation,
severity, timing or temporal characteristics
Diaphragm of stethoscope
Give this one a try later!
higher pitched sounds
- murmurs of aortic and mitral regrug and pericardial rubs
Rhonchi
Give this one a try later!
-deep coarse sounds that have a snoring quality and are heard during
expiration
- cause: secretions in the large airways and typically clear after coughing
- bronchitis or pneumonia
, pectoriloquy
Give this one a try later!
Ask patient to whisper 1 - 2 - 3. Response should sound muffled and faint.
- Clear response indicates consolidation
Friction rub
Give this one a try later!
- a deep, harsh, grating or creaking sound that is usually heard more often
during inspiration than expiration
- causes pleural surfaces lose their normal lubricating fluid and rub
together during respiration
- pleural irritation= pleuritis or pneumonia
OLDCARTS for HPI
Give this one a try later!
onset, location, duration, character, alleviating/aggravating factors,
radiation, time of occurrence, severity
who to ask about on family medical history
Give this one a try later!