|
SKILL
|
ANATOMICAL
LOCATION |
TESTING PROCEDURE |
MATERIALS NEEDED |
SPECIAL NOTES |
MOUSE
OVER PICTURE TO VIEW CLIP
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Chest Auscultation
|
Left/Right chest over the
lungs |
1)Place stethoscope firmly on
chest and hold it steady
2)Instruct patient to breath normally at first, then repeat with a deep
breath |
Stethoscope |
Repeat procedure on patient's back, over the lungs;
abnormalities should be noted |
|
|
Bowel Auscultation
|
Abdomen |
1)Place stethoscope firmly on
abdomen and hold steady
2)Listen for 15-20 seconds while patient breaths normally |
Stethoscope |
Listen for abnormalities or absence of sounds |
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|
Chest Percussion
|
Left/Right chest over the
lungs |
Using your index, middle, and
ring fingers, tap over lungs until sound is produced
|
|
Repeat procedure in various locations on chest and back
over the lungs |
|
| Abdominal
Percussion |
Abdomen |
1)Cup one hand and place it
palm-side down on the abdomen
2)Use the opposite hand to tap on the cupped hand
3)Repeat procedure for entire abdomen |
|
Abnormal or diminished sounds should be noted |
|
|
Rebound Tenderness |
Abdomen |
1)Using your
index and middle fingers, depress the abdomen 2-3 inches
2)Release quickly
3)Repeat procedure for entire abdomen |
|
Rigidity,
guarding, or pain elicited is a positive sign for this test |
|
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Inspiration/Expiration
Test |
Both lungs |
Instruct patient
to inspire & expire maximally |
|
Test is positive
if there is pain, guarding, or inability to maximally inspire |
|
|
Chest Compressions |
Left and right
rib cages |
1)Using both
hands, try to compress the rib cage towards the sternum
2)On one side at a time, place one hand on patient's chest and other
hand on patient's back
3)Compress rib cage
4)Repeat for opposite side |
|
Test is positive
is pain or guarding is elicited.
May be necessary to perform test with
patient lying down or sitting.
|
|
|
Valsalva Test |
Abdomen |
1)Instruct
patient to take in a full breath and hold
2)Patient should then bear down AS IF they were trying to move the
bowels |
|
Test is positive
if pain increases or there is a mass protrusion |
|
|
Heel Pound Test |
Abdomen |
1)Instrtuct
patient to lie on his/her back on table
2)With one hand, grasp the patient's foot and lift leg approximately
4". Athlete should be completely relaxed
3)With palm side of opposite hand, pound on patients' heel with a
moderate force |
|
Pain will be felt
in the abdominal area if an internal organ is injured. |
|
|
Iliopsoas Test |
Knee/Hip |
1)Have patient
sit at end of table with legs hanging off of the end
2)Place one hand on the patients' knee and ask him/her to raise his/her
leg against resistance |
|
Test is positive
if raising the hip against resistance produces pain or muscle guarding |
|
|
Obturator Test |
Hip |
1)Instruct the
patient to lie on his/her back on a table
2)Place your hand that is nearest the patient's head on the patient's
knee and your hand that is nearest the patient's foot on the patient's
heel
3)Lift the leg so that the thigh and lower leg form a 90° angle
4)Pull the knee towards your body with your left hand and push the foot
away from your body with your right hand
5)Repeat the process in the opposite direction |
|
Test is positive
if pain or muscle guarding is produced |
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