UNIVERSIDAD TÉCNICA DE MACHALA

Calidad, Pertinencia y Calidez

UNIDAD ACADÉMICA DE CIENCIAS QUÍMICAS Y DE LA SALUD
CARRERA DE CIENCIAS MÉDICAS

Name: Ghislaynne Andrade y Laleshka Macharé.

Date: Tuesday, 8th June, 2021.

ACTIVITIES
ACTIVITY 1: DESCRIBE AN ALTERATION OF CONSCIOUSNESS
In the exploration of patients with a deterioration in the level of consciousness, after
stabilizing the patient, it is important to carry out a neurological examination
systematically, mainly evaluating: ocular opening to stimulus, verbal response, position of
the eyes at rest, size and pupillary response to light stimulus, oculocephalic reflexes and
motor response.

It will be run repeatedly to detect subtle changes, which may be significant.

Stupor: incomplete awakening to painful stimuli. There is no response or, if there is, it is of
a minimal degree to verbal stimuli. No verbal responses are obtained and there is still a
self-defense response.

ACTIVITY 2: LINK WITH LINES THE CORRECT DEFINITION ABOUT

PALPATING THE SKIN.

Skin quality The back of the hand strokes the skin.

Skin Displacement test, skin lifting test, skin

temperature rolling.

Skin
consistency The palm of the hand strokes the skin.

ACTIVITY 2: CHOOSE THE CORRECT ANSWER

 UNIVERSIDAD TÉCNICA DE MACHALA
Calidad, Pertinencia y Calidez
UNIDAD ACADÉMICA DE CIENCIAS QUÍMICAS Y DE LA SALUD
CARRERA DE CIENCIAS MÉDICAS
2.1. What is the technique of palpating bone edges?
a) The palpating fingers can be positioned using fingertips and should be placed
against the edge of the bone.
b) The fingertip palpates perpendicular to the edge of the bone.
c) A finger pad is placed flat and with very little pressure over the presumed position
of the bone.
d) Circular palpation using the finger pads and a minimal amount of pressure.

2.2. Choose the wrong answer:

The Abdomen is generally palpated in 5 areas:
a) Hypochondrium
b) Epigastrium
c) Umbilical area
d) Lateral-lower abdomen
e) Skin

2.3. Choose the correct answers

Characteristics of palpable mass.
a) Size: head of the pin, pepper, bean, peanut, green nut, apple, fist of child or of an
adult, head of a child or of an adult etc.
b) Surface: Smooth, nodular (micro/macro), lobulated, irregular.
c) Consistency: Soft, glandular, rubbery, firm, hard (like cartilage, wood, stone),
fluctuating.
d) Mobility Pulsation, Resonance, Tenderness

ACTIVITY 3: Look at the picture and complete with the abnormalities thorax

Pectus carinatum Pectus excavatum

 UNIVERSIDAD TÉCNICA DE MACHALA
Calidad, Pertinencia y Calidez
UNIDAD ACADÉMICA DE CIENCIAS QUÍMICAS Y DE LA SALUD
CARRERA DE CIENCIAS MÉDICAS

1. Match the following

1. Thorax A. Any lesions and their level

of dryness or moisture.
2. Neurological System B. presence of any skin lesions
and/or misalignment of the
3. Nose spine
C. Balance, gait, gross motor
4. Mouth function, fine motor function
and coordination
D. any presence of drainage,
flaring, tenderness, and
masses are assessed

Match the following inspection positions.

Prone Position

Fowler's Position

Supine Position

6. Join as appropriate

Technique: Circular palpation using the finger

pads and a minimal amount of pressure.

Technique: The fingertip palpates

perpendicular to the edge of the bone.
 UNIVERSIDAD TÉCNICA DE MACHALA
Calidad, Pertinencia y Calidez
UNIDAD ACADÉMICA DE CIENCIAS QUÍMICAS Y DE LA SALUD
CARRERA DE CIENCIAS MÉDICAS

5. Mentions 6 references points to take a patient’s pulse.

1. femoral artery
2. Tibial artery
3. Carotid artery
4. Popliteo artery
5. Radial artery
6. dorsalis pedis

ACTIVITY 4: Write a case study using 10 simple sentences.

A 35-year-old patient came to the consultation. The doctor says the patient is pale. The
patient have a fever. The doctor proceeds to take his data. On deep palpation he notes a
mass in the right quadrant. The doctor asks how bad the pain is on a scale of 1 to 10. The
patient answers a 7. The doctor listens to the patient and does not notice any abnormal
noise. The doctor asks for complementary test. The patient claims consume alcohol every
weekend.

ACTIVITY 5: Write a dialogue where the doctor performs inspection and palpation
technique and simple sentences. (at least 10 questions and answers.)
Patient: Good Morning Doctor
Doctor: Good Morning , Why did you come to see me today?. How can I help you?
Patient: I've been feeling bad these last few days
Doctor: What symptoms does it present?
Patient: I'm short of breath and I've been feeling tired
Doctor: What happened first, chest pain or shortness of breath?
Patient: Chest pain
 UNIVERSIDAD TÉCNICA DE MACHALA
Calidad, Pertinencia y Calidez
UNIDAD ACADÉMICA DE CIENCIAS QUÍMICAS Y DE LA SALUD
CARRERA DE CIENCIAS MÉDICAS
Doctor: When did the pain start?
Patient: The pain started about 3 days ago
Doctor: Now, I´m going to take your vital signs
Patient: Ok, Doctor
Doctor: Your vital signs are fine.
Doctor: How many floors is your house?
Patient: 3-story, doctor.
Doctor: when walking short distances does the difficulty to breathe or when climbing stairs
begin?
Patient: when climbing stairs.
Doctor: are you hypertensive?
Patient: no doctor.
Doctor: We are going to perform abdominal palpation to see if you have anything.