Diane S Wrigley – Mastering Physical Assessment Skills

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Diane S Wrigley – Mastering Physical Assessment Skills

Description:

• Strategies to detect abnormal sounds in the heart and lungs
• Enhance learning with case studies and audio playback
• Crackles, wheezes. Rubs. Gallops. Clicks. Snaps.
• We will discuss the process and show you how it leads to differential diagnoses.
• Heart murmurs: Characteristics and causes
• Complete 6-Part Neuro Exam made easy – Exam will Be Demonstrated
• Discussion and work-Up for mental status changes

Learn how to identify and distinguish the various variants of the neurological, cardiac and respiratory assessments at this seminar. Expert national speaker Diane Wrigley, BS, PA-C has created a CD that accurately reproduces abnormal and normal sounds from the heart and lungs. Diane This CD will help you understand the significance and origin of the sounds by using the auditory portion. Differential diagnoses will be discussed and a systematic six-step process will be used.-You can review a part of the neurological assessment and have it demonstrated.

To reinforce listening skills and physical assessment skills, case studies will be discussed. Diane You will also learn how to properly document your findings and assessments. This seminar will provide you with the information that you need to conduct future patient assessments.

Past attendees applaud Diane Wrigley And this seminar:

“The incorporation of real-life heart and lung sounds make this presentation come alive.”

“I would love to attend another seminar by this presenter! I liked the clinical assessment situations and the step by step helpful hints provided!”

Would you like a gift? Diane S Wrigley – Mastering Physical Assessment Skills ?

OUTLINE

Respiratory Examination

Abnormal Lung Sounds

• • Pneumonia
  • Atelectasis
  • URI
  • Bronchial Breathing
  • Bronchophony
  • Egophony
  • Whispered Petroliloquy
  • Death Rattle
  • Absent Breath Sounds
  • Pneumothorax
  • Hemothorax
• Crackles
• Rhonchi
• Stridor
• Wheezes
  • Asthma
  • COPD
  • Emphysema
• Pleural Friction Rub

Strategies for Detection

• Chronic Bronchitis
• Pneumonia
• Emphysema
• Acute Asthma
• Croup

NEUROLOGICAL EXAM

Mental Status

• Mnemonic to Cover All Bases
  • Stroke
  • Overdose
  • Infection
  • Toxic states
  • Mental illness

Cranial Nerves

• Techniques to Cover I-XII Fastly and Completely
• Motor
• Evaluate Strength and Symmetry

Sensory

• Quick Field/Bedside Assessment

Coordination

• Simple Test to Evaluate

Reflexes

• Systematic Approach/Technique

Evaluation for Head Injury

• Glasgow Coma Scale

Abnormalities in Consciousness

Clinical Clues

• Delirium
• Stupor
• Coma

Alternate Mental Status

• Confusion Assessment Method (CAM).

CARDIAC EXAM

Auscultation Sites, Sequencing Skills

• Splitting S2
• S3
• S4
• Gallop
• Snapshot
  • Tricuspid, Mitral and Tricuspid Valves
• Clicks
  • Mitral Valve Prolapse
• Systolic Ejection Sounds
  • Hyperdynamic State

Murmurs

• Intensity (Grade I-VI)
• Localization
• Radiation
• Pitch
• Qualitative
• Timing
• Pattern or Configuration
• Functional vs. pathologic murmur

Strategies to detect abnormal cardiac sounds

• Innocent Systolic Erjection Murmur
• Mitral Valve Prolapse
• Aortic Stenosis
• Systolic Regurgitation
• Mitral Regurgitation
• Tricuspid Regurgitation

Diastolic Murmurs

• Aortic Regurgitation
• Aortic Stenosis
• Mitral Stenosis
• Patient Ductus Arteriosis

Prosthetic Heart Sounds

• Pericardial Rubs
• Mediastinal Crunch

OBJECTIVES

• Identify the location and reason for bronchovesicular, normal and abnormal bronchial sounds and their significance.
• Interpretation of pathophysiology and differential diagnosis for crackles, wheezes and rhonchi.
• Discuss the management of restrictive vs. obstructive lung disease.
• Explain and demonstrate 6-Part neurological exam and report findings
• It is important to identify the main causes of mental state changes, and to determine which patients are most at risk for delirium.
• Determine whether abnormal S1 or S2 heart sounds can be distinguished as pathological, benign, or both.
• Define whether diastolic and systolic murmurs can be benign or indicative of cardiac disease.