11:709:364 Lecture Notes - Lecture 5: Stethoscope, Auscultation, Palpation
23 Sep 2020
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20-50% of patients are at risk for malnutrition at their admission: doesn"t take into account npo status, potentially disliking hospital food, surgery, etc. Techniques for examination: inspection: looking (most frequently used, palpation: using fingertips to feel vibrations and pulsations, percussion: tapping of fingers to hear sounds, auscultation: using ears, stethoscope, rd primarily listens to bowel sounds. 3 & 4 are not commonly used by rds in examination. Orbital fat pads: assess under and above eyes for prominence of brow/cheek bones. Triceps: pinch between thumb and forefinger and roll down to separate muscle from fat. Ribs/mid auxiliary line: are ribs visible, gently pinch love handles . Temporalis muscle: look for scooping or hollowing out. Clavicle region (trapezius muscle: fingers should not be able to slide under the bone. Shoulder/acromion process (deltoid muscle: observe shape of shoulders, cup shoulder and squeeze. Scapular region (trapezius muscle: palpate area above and around shoulder blade as patient pushes into something, stand alongside patient.
