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Pain

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• Pain is considered to be the 5th vital sign.
• Patient has to use a pain rating chart to describe their pain 0 (no pain) to 10 (severe pain)
• Patient has to use a pain rating chart to describe their pain 0 (no pain) to 10 (severe pain)
• Acute Pain comes quickly, can be severe and lasts only a relatively short time..
• Chronic Pain can be mild or severe, persists over a longer period of time than acute pain and is resistant to medical treatment
• Legenda: Pain Rating Chart 0-10

Respiratory Sounds

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• Rale: Also known as Crackle, is an abnormal crackle an abnormal lung sound through a stethoscope during inspiration
• Rhonchi: Coarse rattling sounds that are somewhat like snoring
• Stridor: Abnormal high pitched musical breathing sound caused by a blockage in the throat or in the larynx

Heart Sounds

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• Lubb Sound: Heard first, caused by the tricuspid and mitral valves closing between the atria and the ventricles
• Dupp Sound: Shorter and higher pitched heard after Lubb. Caused by the closing of the semilunar valves in the aorta and pulmonary arteries as blood is pumped out of the heart
• Bruit: Abnormal sound or murmur heard during auscultation of an artery
• Thrill: Abnormal rhythmic vibration felt when palpating heart valves
• Heart Murmur: Abnormal heart sound that is most common sign of defective heart valves

Abdominal Sounds

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• Abdominal Sounds: Also known as bowel sounds, are noises made by the intestine
• Palpation: Examination technique the examiners hand are used to feel the texture, size, and location of certain body parts
• Percussion: Diagnostic procedure designed to determine the density of a body part by the sound produced by tapping the surface with the fingers

Basic Exam Instruments (1)

Slide 6