Portable symptoms & Symptoms is a compact powerhouse of scientific info on symptoms, signs, and overview options. Our nurse-experts have looked after in the course of the mass of scientific info and concentrated in on what nurses want such a lot in day-by-day perform. This need-to-know details is gifted in an easy-to-use, concise structure for time-starved nurses, with bullets, lists, and 1000's of illustrations, charts, diagrams, and photographs.
A full-color review part deals step by step info on crucial nursing evaluate thoughts. the second one part offers descriptions and factors for 1000's of symptoms. Banner headlines point out life-threatening symptoms, and textual content packing containers spotlight emergency interventions.
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Additional info for Portable Signs & Symptoms
Its size will de- pend on the patient’s age and overall development. The penile skin should be slightly wrinkled and pink to light brown in a white patient, and light brown to dark brown in a black patient. ◆ Check the penile shaft and glans for lesions, nodules, inflammation, and swelling. Also check the glans for smegma, a cheesy secretion. ◆ Gently compress the glans, and inspect the urethral meatus for discharge, inflammation, and lesions, specifically genital warts. If you note a discharge, obtain a culture specimen for gonorrhea and chlamydia.
Acoustic (CN VIII) To assess the acoustic portion of this nerve, test the patient’s hearing acuity. The patient should be able to hear a whispered voice or the ticking of a watch. Romberg’s test is one way to test the vestibular nerve. Observing for nystagmus during extraocular movements is another test of the vestibular nerve. The patient should display normal eye movement and balance, with no dizziness or vertigo. Glossopharyngeal (CN IX) and vagus (CN X) To assess these nerves, which have overlapping functions, first listen to the patient’s voice for indications of a hoarse or nasal quality.
The pressure that the tongue exerts on the tongue blade should be equal on both sides. Speech should be clear. ◆ In patients with disorders of the Sucking reflex pyramidal tract (such as stroke), Babinski’s reflex, an abnormal response, is elicited. The patient responds to the stimulus with dorsiflexion of his great toe. You may also see a more pronounced response in which the other toes extend and abduct. In some cases, you may even see dorsiflexion of the ankle, knee, and hip. ◆ If the patient begins sucking while Primitive reflexes ◆ If the patient grasps your fingers be- Although normal in infants, primitive reflexes are pathologic in adults.