A | B |
inspection | visual examination of the external surface of the body and its movements and posture, including observation of moods and all responses and nonverbal behaviors |
LOC | level of conciousness. Is the patient oriented to person, place, time, and purpose? |
neoplastic | any abnormal growth of new tissue, benign, or malignant |
nursing health history | data collected about the patient's level of wellness, changes in life patterns, sociocultural role, and mental and emotional reactions to illness |
nursing physical assessment | identification by a nurse of the needs, preferences, and abilities of a patient. Assessment provides the scientific basis for a complete nursing care plan |
objective data | of or pertaining to a clinical finding that is observed, palpated, or auscultated. Laboratory findings, as well as radiologic and other studies, are included; observable and measurable signs. |
organic disease | results in a structural change in an organ that interferes with its functioning |
palpation | a technique used in physical examination in which the examiner feels the texture, size, consistency, and location of certain parts of the body with the hands |
percussion | using fingertips to tap the body's surface to produce vibration and sound |
pruritis | the symptoms of itching; an uncomfortable sensation leading to the urge to scratch; scratching often leads to secondary infection. Some causes of pruritis are allergy, infection, elevated serum urea, jaundice, and skin irritation |
purulent | producing or containing pus |
remission | a decrease in the severity of a disease or any of its symptoms |
signs | an objective finding as perceived by the examiner; a sign can be seen, heard, measured, or felt by the examiner |
subjective data | symptoms; verbal statements provided by the patient. That which arises from within or is perceived by the individual and related to the examiner |
symptoms | subjective indication of a disease or a change in condition as perceived by the patient. |
thrill | fine vibration sensation along the artery, which is palpated by the examiner |
turgor | the normal resiliency of the skin caused by the outward pressure of the cells and interstitial fluid; may be assessed as increased or decreased skin turgor. |
tympany | a high-pitched drumlike sound produced by performing percussion over a hollow organ such as the stomach |
wheezes | adventitious breath sounds that have a whistling or sighing sound resulting from narrowing of the lumen of a respiratory passageway. May be heard both on inspiration and expiration. Wheezes characteristically clear on coughing |