Diagnosis of Shoulder injury
Shoulder injury Diagnosis: Book Excerpts
Diagnostic Tests for Shoulder injury: Online Medical Books
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Retractions, costal and sternal:
History and physical examination
(Handbook of Signs & Symptoms (Third Edition))
If the child’s condition permits, ask his parents about his medical history. Was he born prematurely? Was he born with a low birth weight? Was the delivery complicated? Ask about recent signs of an upper respiratory tract infection, such as a runny nose, a cough, and a low-grade fever. How often has the child had respiratory problems during the past year? Does he participate in a day care program or have school-aged siblings? Has he been in contact with anyone who has had a cold, the flu, or other respiratory ailments? Did he ever have respiratory syncytial virus? Did he aspirate food, liquid, or a foreign body? Inquire about a personal or family history of allergies or asthma.
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Source: Handbook of Signs & Symptoms (Third Edition), 2006
Retractions, costal and sternal:
History and physical examination
(Professional Guide to Signs & Symptoms (Fifth Edition))
If the child’s condition permits, ask his parents about his medical history. Was he born prematurely? Was he born with a low birth weight? Was the delivery complicated? Ask about recent signs of an upper respiratory tract infection, such as a runny nose, cough, and a low-grade fever. How often has the child had respiratory problems during the past year? Has he been in contact with anyone who has had a cold, the flu, or other respiratory ailments? Did he ever have respiratory syncytial virus? Did he aspirate any food, liquid, or foreign body? Inquire about any personal or family history of allergies or asthma.
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Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Retractions, costal and sternal:
History
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
After the child’s condition has been stabilized, obtain his medical history from his parents. Was he born prematurely? What was his birth weight? Was the delivery complicated? Ask about recent signs of an upper respiratory tract infection, such as runny nose, cough, and low-grade fever. How often has the child had respiratory problems during the past year? Has he been in contact with anyone who has had a cold, the flu, or other respiratory ailments? Did he ever have respiratory syncytial virus? Did he aspirate food, liquid, or a foreign body? Inquire about a personal or family history of allergies or asthma.
Physical examination
If the child isn’t in distress, complete a cardiopulmonary assessment. Take the child’s vital signs, including his temperature. Monitor the child’s level of oxygenation and breath sounds.
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Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Retractions, costal and sternal:
History
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If the child’s condition permits, ask his parents about his medical history. Was he born prematurely? Was he born with a low birth weight? Was the delivery complicated? Ask about recent signs of an upper respiratory tract infection, such as a runny nose, a cough, and a low-grade fever. How often has the child had respiratory problems during the past year? Has he been in contact with anyone who has had a cold, the flu, or other respiratory ailments? Did he ever have respiratory syncytial virus? Did he aspirate any food, liquid, or foreign body? Inquire about any personal or family history of allergies or asthma.
CULTURAL CUE:When speaking to the parents of a child, determine who in the family makes the health care decisions. In the patriarchal family, a male, such as the father, makes health care decisions. In the matriarchal family, health care decisions are made by a female, such as the mother or grandmother.
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Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Retractions, costal and sternal:
History and physical examination
(Nursing: Interpreting Signs and Symptoms)
If the child's condition permits, ask his parents about his medical history. Was he born prematurely? Was he born with a low birth weight? Was the delivery complicated? Ask about recent signs of an upper respiratory tract infection, such as runny nose, cough, and low-grade fever. How often has the child had respiratory problems during the past year? Does he participate in a day care program or have school-aged siblings? Has he been in contact with anyone who has had a cold, the flu, or other respiratory ailments? Did he ever have respiratory syncytial virus? Did he aspirate food, liquid, or a foreign body? Inquire about a personal or family history of allergies or asthma.
Observe the depth and location of the retractions. Also, note the rate, depth, and quality of respirations. Look for accessory muscle use, nasal flaring during inspiration, or grunting during expiration. If the child has a cough, record its characteristics as well as the color, consistency, amount, and odor of any sputum. Note whether the child appears restless or lethargic. Finally, auscultate the child's lungs to detect abnormal breath sounds. (See Observing retractions, page 540.)
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Source: Nursing: Interpreting Signs and Symptoms, 2007
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