NSE 13A/B Lecture Notes - Lecture 23: Fremitus, Skin Fold, Scapula
Document Summary
1: be organized/ systemaic/have equipment, general survey 4 quesions. Personal hygiene: pqrstu (2 quesions for each) What do you think it means: healthy history (2) & subjecive data (3) Note: shape & coniguraion (2: symmetry of scapula, ap diameter (anteroposterior diameter should be less than transverse diameter, straight spinal process, ellipical shape is normal, downward slope ribs (45 degrees, neck muscle development postures. Note: skin/condiion (2: colour, presence/absence of cyanosis, texture, lesion, masses, palpaion. Texture, moisture, masses, lumps, lesions, pain or tenderness (2) Symmetrical chest expansion (t9 to t10: you ind the base of the scapula (5 cm, pinch a skin fold, get client to take a deep breath. Tactile fremitus: palmar surface of your ingerips, 5 areas feeling for vibraions (get paient to say 99 or blue moon , should be equal vibraions bilaterally, percussion. One inger hyperextended -> palm of surface. Listening for resonance to visceral dullness normal indings: auscultaion.
