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29 terms

Ch 33

STUDY
PLAY
adventitious sound
abnormal sounds
aphasia
loss of ability to understand or express speech, caused by brain damage
apical impulse
Where the apex of the heart touches the anterior chest wall at approximately the fourth to fifth intercostal space just medial to the left midclavicular line
bruit
blowing sound created by the narrowing of the lumen of a blood vessel, the narrowing creates turbulence causing a blowing or swishing sound
capillary refill
used to determine how quickly blood returns to the capillaries in the nailbeds after they have been blanched;
clubbing
bulging of the tissues at the and nail base due to insufficient oxygenation at the periphery resulting from conditions such as chronic emphysema and congenital heart disease
cyanosis
bluish discoloration of the skin or mucous membranes due to tissues near the skin surface being low in oxygen
distention
swelling usually caused by intestinal gas, a tumor, or fluid in the abdominal cavity
erythema
red discoloration of the skin due to localized vasodilation
excoriation
skin breakdown characterized by redness and skin sloughing
indurated
hardened
integument
consisting of the skin, hair, scalp, and nails
occlusion
blockage
orthopnea
shortness of breath
ototoxicity
injury to auditory nerve
palpitation
involves the use of hands to touch body parts to make sensitive assessments
paralytic ileus
Absent sounds upon auscultation of bowel sounds indicating a lack of peristalsis possibly due to late stage bowel obstruction or peritonitis.
peritonitis
Peritonitis is an inflammation (irritation) of the peritoneum
PERRLA
pupils equal, round, reactive to light, and accommodation
petechiae
pinpoint sized red or purple spots on the skin caused by small hemorrhages in the skin layers; they do not blanch, but may indicate serious blood-clotting disorders, drug reactions, or liver disease.
phlebitis
an inflammation of a vein that occurs commonly after trauma to the vessel wall, infection, immobilization, and prolonged insertion of IV catheters;
point of maximal impulse PMI
same as apical impulse
pulse deficit
when the radial pulse is slower than the apical pulse because ineffective contractions fail to send pulse waves to the periphery;
stenosis
narrowing
striae
stretch marks
syncope
Partial or complete loss of consciousness with interruption of awareness of oneself and ones surroundings; circulatory arrest ex: due to heart rate or blood pressure
thrill
a continuous palpable sensation like the purring of a cat heard in heart murmurs; record intensity in the following grades:
turgor
the skin's elasticity
variscosities
swollen, tortuous veins common in older patients.