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Week 3 Flashcards

Physical Assessment and Pain Assessment (67 cards)

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1
Q

IPPA stands for

A

Inspection
Palpation
Percussion
Auscultation

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2
Q

bilateral comparison means

A

comparing both sides of the body

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3
Q

what body part do you use when assessing for palpation

A

use hands/fingers - Dorsal of hands for temp

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4
Q

T or F assess painful areas last

A

True

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5
Q

how to position hand when assessing for palpation

A

making sure hands and wrist are parallel to the body

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6
Q

what is crepitation

A

abnormal grating or crunching sounds/felt over joints

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7
Q

vibration is when

A

you feel quivering or shaking over the lungs

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8
Q

what is pulsatility

A

abnormal pulsation felt over heart (aka thrills)

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9
Q

how to do indirect percussion technique

A

use non dominant finger over their body surface, tapping it with your dominant fingers

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10
Q

What type of sound should be heard over bones

A

Flatness

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11
Q

What type of sound should be heard over dense organs (spleens,liver,heart)

A

dullness

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12
Q

What type of sound should be heard over adult lungs

A

resonance

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13
Q

What type of sound should be heard over child lungs

A

hyperresonance

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14
Q

What type of sound should be heard over abnomical areas (stomach, intestines)

A

tympany

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15
Q

in some cases when abdomen is full what sound does it create

A

dullness

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16
Q

do you use diaphragm or bell when listening to high pitched sounds

A

diaphragm

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17
Q

do you use diaphragm or bell when listening to low pitch sounds

A

bell

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18
Q

What type of pain: short term in duration and often caused by something specific. subsides when cause is resolved

A

Acute pain

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19
Q

What type of pain: persistent pain for 3-6 months.

A

chronic pain

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20
Q

secondary chronic pain is

A

pain caused by a disease/condition/treatment

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21
Q

primary chronic pain is

A

pain that is poorly misunderstood and cant be accounted by another cause or disease

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22
Q

fibromyalgia is what type of condition

A

chronic condition that cause pain, fatigue, discomfort over the body

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23
Q

What type of pain: pain felt from a diff site of the origin

A

referred pain

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24
Q

What type of pain: pain from unknown origin, no obvious pathology

A

idiopathic pain

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25
What type of pain: altered nociception, unclear evidence of actual tissue damage
Nociplastic pain
26
What type of pain: sensitive to touch and temp caused by lesion/disease of somatosensory nervous system
neuropathic pain
27
What type of pain: involves noxious stimulus that activates nociceptors (aka pain receptors)
nociceptive pain
28
somatic pain
pain originating from peripheral tissues
29
visceral pain
pain originating from inside the organs
30
dimension of pain includes
subjective physiological behavioural cognition psychological and social reactive
31
choice of pain assessment tools depend on
reason for assessment developmental stage health status institution/unit culture
32
PQRSTU mnemonic
Proactive & Palliative quantity & quality region & radiation severity timing & treatment understanding
33
learn how to use abbey pain scale
https://www.researchgate.net/publication/26874962/figure/fig1/AS:202895204065280@1425385395123/Abbey-Pain-Scale-From-Abbey-J-et-al-The-Abbey-pain-scale-a-1-minute-numerical.png
34
angina
chest pain due to reduced blood flow to heart
35
sepsis
body reaction to infection where it damage its own organs and tissues
36
erythema
redness of skin caused by increased blood flow to area
37
opioids are used for
pain management
38
P in PQRSTU
what makes it better and worse
39
Q in PQRSTU
what does it feel like and how bad is it
40
R in PQRSTU
where do you feel the pain and does it radiate
41
S in PQRSTU
rate pain in 0-10
42
T in PQRSTU
when did it start and if any treatments were done
43
U in PQRSTU
what is your understanding of this pain
44
anterior/ventral
front
45
posterios/dorsal
back side
46
medial
midline of the body
47
lateral
away from mid line, more on side
48
proximal
nearest to trunk/center of the body
49
distal
away from trunk of body
50
inferior
near feet
51
superior
near head
52
superficial
closer to surface
53
deep
further away from surface
54
cranial
near head/skull
55
caudal
towards tailbone/lower body
56
what is tangential lighting
using penlight at low angle and to one side of the are when inspecting
57
diaphoresis is the condition of
excessive perspiration
58
subcutaneous crepitus
when air is trapped in tissues
59
tactile fremitus
quivering/shaking motion felt over lungs
60
what sound do you hear when doing percussion assessment that may indicate a mass
flatness
61
ischemia
deficit of oxygen in tissues
62
pulmonary embolism
blood clot travels from blood vessel to lungs, blocks an artery
63
Carpal Tunnel Syndrome
A condition caused by pressure on the median nerve in the wrist, leading to pain, numbness, and tingling in the hand.
64
Multiple Sclerosis
An autoimmune disease affecting the nervous system, often causing pain, muscle weakness, and fatigue.
65
Herpes Simplex Virus
A viral infection that can cause painful sores, typically around the mouth or genital area.
66
Varicella-Zoster Virus (Shingles)
A reactivation of the chickenpox virus, causing painful, blistering rashes, often on one side of the body.
67
Irritable Bowel Syndrome (IBS)
A digestive disorder causing abdominal pain, bloating, and changes in bowel movements.

NSE (5 decks)

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