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66 Cards in this Set
- Front
- Back
- 3rd side (hint)
Pagets, Parkinson's, Temporal Arteritis, Aortic Aneurysm and Multiple Myeloma are typically seen in individuals after the age of __.
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50.
Pagets, Parkinson's, Temporal Arteritis, Aortic Aneurysm and Multiple Myeloma are typically seen in individuals after the age of 50. |
D-4
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Regarding pt hx and the Onset question,
sudden onset = ? insidious onset = ? |
sudden onset = neuromuscular
insidious onset = often more dire |
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RA tends to start effecting women at the age of __ and men at the age of __.
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Women, 30
Men, 40 RA tends to start effecting women at the age of 30 and men at the age of 40. |
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OA tends to hit after the age of __.
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40.
OA tends to hit after the age of 40. |
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MS starts to effect women between the ages of __ to __.
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25 to 35.
MS starts to effect women between the ages of 25 to 35. |
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Auto Immune diseases tend to initially afflict women btw the ages of __ - __.
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20 - 40.
Auto Immune diseases tend to initially afflict women btw the ages of 20 - 40. (women are effected more than men) |
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regarding the palliative / provoking part of hx taking ...
If nothing makes it better or worse then dx ___. |
dx cancer.
If nothing makes it better or worse then dx cancer. |
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regarding the palliative / provoking part of hx taking ...
If pt can find a comfortable position then dx ___. |
dx musculoskeletal
If pt can find a comfortable position then dx musculoskeletal. |
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regarding Quality of Pain
Throbbing = ___ Aching or Burning = ___ Tearing = ___ |
Throbbing = vascular
Aching or Burning = nerve Tearing = dissecting aneurysm |
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regarding Radiation / Referral part of hx taking,
1. Nerve Root = ? 2. Facet = ? 3. Kidney = ? 4. Pancreas = ? 5. Gallbladder = ? |
1. Nerve Root = dermatogenous
2. Facet = Scleratogenous 3. Kidney = Flank 4. Pancreas = T10 (pt feels better in fetal position) 5. Gallbladder = inferior angle of right scapula |
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regarding Site portion of hx taking, if pt uses one finger and points to...
epigastric area then ___ & ___ joint area then ___ |
epigastric area then PEPTIC or DEUODENAL ULCER
joint area then BURSA |
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what does hemorrhage and thyrotoxicosis do to pulse rate?
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Increases Pulse rate
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what does myxedema and ateriosclerosis do to pulse rate?
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Decrease Pulse rate
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Body Temperatures;
Normal = Hyperexia = Hypothermia = |
Normal = 37*C or 98.6*F
Hyperexia = 41*C or 106*F Hypothermia = 35*C or 95*F |
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trauma, infections, thyrotoxicosis and MI do what to body temp?
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Increase body temperature
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an increased in respiration rate is also known as ____.
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tachypnea.
an increase in respiration is also known as tachypenia. |
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a decreased in respiration rate is also known as ___.
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bradypnea
a decrease in respiration rate is also known as bradypnea. |
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thyrotoxicosis, coarctation of the aorta and renal artery stenosis can all cause ____.
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Increased Blood Pressure (aka hypertension)
thyrotoxicosis, coarctation of the aorta and renal artery stenosis can all cause increased blood pressure. |
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acute MI, Addison's dz and shock can all cause ___.
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decreased blood pressurre (aka hypotension)
acute MI, Addison's dz and shock can all cause decreased blood presure. |
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What do the letters in the acronym CAGE stand for?
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C = cutting down
A = annoyed by criticisms G = guilty feelings E = eye opener |
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What are the Laboratory Findings for Temporal Arteritis?
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increased ESR
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What are the Laboratory Findings for Allergies & Asthma?
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eosinophils and increased IgE
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What are the Laboratory Findings for Thyroid disorders?
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T3, T4, TSH, PBI, I^131
PBI is protein bound iodine |
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What are the Laboratory Findings associated with a Myocardial Infarction?
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CPK, SGOT, LDH, EKG
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What are the Laboratory Findings associated with Hypertension, Atherosclerosis & Arteriosclerosis
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Lipid Profile, HDL, LDL, VLDL, cholesterol, triglycerides & Fasting Blood Sugar (FBS)
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What are the Laboratory Findings associated with
Hepatitis, Alcoholism, Liver Cancer & Biliary Duct Obstruction? |
SGPT, SGOT, GGT, LDH, A/G ratio, BUN, bilirubin, alkaline phosphatase
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What are the Laboratory Findings associated with Pancreatitis & Pancreatic Cancer?
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amylase & increased lipase
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What Laboratory Findings are associated with Diabetes Mellitus?
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Fasting Blood Sugar (FBS),
Glucose tolerance test (GGT), 2 hr post-prandial glucose, glycosylated hemoglobin |
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What are the Laboratory Findings associated with renal disease?
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BUN
Uric Acid Creatinine |
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What are the Laboratory Findings associated with disorders of Normal pregnancy, hydatiform mole & choriocarcinoma (placenta cancer)
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Human Chorionic Gonadotropin (HCG)
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What are the Laboratory Findings associated with Prostate Cancer?
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Acid Phosphatase &
PSA (prostate specific antigen) |
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What are the Laboratory Findings associated with Muscular Dystrophy?
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CPK increased
Creatinine decreased |
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What are the Laboratory Findings associated with Paget's or a fracture?
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Increased Alkaline Phosphatase
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What are the Laboratory Findings associated with Multiple Myeloma?
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Immuno Protein electrophoresis (M spike, ~92% accurate)
reversal of A/G ratio Bence Jones (60% accurate) proteinuria Rouleaux formation Increased ESR, normochromic, normocytic anemia |
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Cluster Headaches (HA) are more common in what gender?
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Males
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A finding of scaly eyebrows indicates ___.
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A finding of scaly eyebrows indicates SEBORRHEA.
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A finding of loss of lateral 1/3 of the eyebrow indicates ___.
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Myxedema or Hypothyroidism
A finding of loss of lateral 1/3 of the eyebrow indicates Myxedema or Hypothyroidism |
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A finding of Ptosis (drooping eyelid) may indicate ___
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Horner's Syndrome
CN III palsy if unilateral or Myastenia Gravis if bilateral |
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What is Ectropion?
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Ectropion is the eyelid turned outward and is commonly found in the elderly
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What is Entropion?
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Entropion is the eyelid turned in ward and is found in the elderly
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What does Periorbital Edema (generalized swelling about the eyes) indicate?
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Allergies, myxedema, nephrotic syndrome or crying
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What does Blepharitis (dandruff of the eyelashes) indicate?
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Inflammation, Seborrhea or Staph Infection
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What does Exophthalmosis (lid lag, bulging eyes) indicate?
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if Bilateral, Graves
if Unilateral: Tumore |
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A Pale conjunctiva could indicate what?
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Anemia
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A Bright Red & Goopy conjunctiva could indicate ___.
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Infection, conjunctivitis or Red Eye
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A Yellow Sclera could be indicative of ___.
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Jaundice
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A Blue Sclera could indicate ___.
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Osteogenesis Imperfecta
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When examining the cornea we notice corneal arcus (gray ring). What does this indicate?
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hyperlipoproteinemia
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When examining the cornea we notice pterygium, what is that?
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triangular thickening of bulbar conjunctiva that grows across the cornea
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We may commonly find Cataracts in what two situations?
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Old Age & diabetes
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Xerophthalmia
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Dry Eyes
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Emmetropia
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Normal Vision
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Myopia
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Nearsighted
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Hyperopia
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Farsighted
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Presbyopia
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Loss of lens elasticity due to aging
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Argyll Robertson pupil
What does it Indicate and what is the appearance? |
Indicates: Syphilis
Appearance: Small, irregular, bilateral. Accommodates but does not react to light. aka Prostitutes Pupil or Hooker's Eyes |
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Miosis
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small pupil, reacts to light and accommodation but could indicate severe brain damage or Horner's Syndrome
(remember, miosis is a smaller word than mydriasis and refers to the smaller pupils) |
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Mydriasis
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Dilated or Large Pupil
(mydriasis is a larger word than miosis and refers to the larger pupil) |
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Hordeolum (sty)
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pimple or boil on eyelid margin
Indicates infection of the sebaceous glands |
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Chalazion
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nodule which points inside the eyelid
indicates infection of the Meibomian gland |
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Pinguecula
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a yellowish triangular nodule in the bulbar cunjunctiva and is a harmless indication of aging
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Xanthelasma
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deposits of cholesterol on nasal surface of eyelids
indicates normal or hypercholesterolemia |
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Cardinal Fields of Gaze test what cranial nerves?
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CN III, IV and VI
Cranial Nerves 3, 4, 6 |
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An absent Red Light Reflex could indicate ___.
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cataract or detached retina
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If the optic disc shows papilledema (swelling w/ blurred margins) what does this indicate?
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intracranial pressure, eg. brain tumor
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What is indicated when the optic disc is white and absent of disc vessels?
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Otpic Atrophy
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