AHN 568 USA Exam 3 Health Hx, CV/PV Assessment
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What are you inspecting during a PV exam of the
abdomen? What would this signify? - ANSWER-pulsatile
mass; aneurysm
What are you palpating in the PV abdominal exam? How
do you measure the width? - ANSWER-abdominal aorta in
the epigastric region; measure the width between 2 fingers
What are you auscultating during the PV abdominal
exam? - ANSWER-aortic, femoral, renal bruits
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What is a bruit? - ANSWER-the abnormal sound
generated by turbulent flow of blood in an artery due to
either an area of partial obstruction; or a localized high
rate of blood flow through an unobstructed artery. {A bruit
sounds like a hum (lecture note)}
What are causes of chest pain? - ANSWER-PE,
indigestion, spinal nerve issues can cause radiating
thoracic pain
What are causes of syncope? - ANSWER-most common
cause is cardiogenic which is vasovagal, get orthostatic
BP
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What are we asking the patient with arrhythmias? -
ANSWER-does it flutter up to your throat? Can you feel it
beating out of your chest? Do you know when you have
the arrythmia?
What are common areas of health history in PV ROS you
would address? - ANSWER-edema, extremity
pain/weakness, loss of hair, cold extremities, claudication,
cyanosis, pallor, ulcerations, wounds, redness
What are common areas of health history in pulmonary
ROS you would address? - ANSWER-dyspnea, cough,
orthopnea, paroxysmal nocturnal dyspnea
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What are common areas of health history in abdominal
ROS you would address? - ANSWER-abd/back pain
(could be caused from AAA), food associated with pain,
melena
What are the areas covered in the regional CV/PV
assessment? - ANSWER-pulse/BP, carotid arteries &
jugular veins, precordium, abdominal bruits, upper
extremities, lower extremities
If an aortic issue is suspected, how would you check the
BP? - ANSWER-check in both arms, could be subclavian
steel syndrome