General deck 1 Flashcards Preview

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Flashcards in General deck 1 Deck (60)
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1
Q

Case History includes

A

Chief complaint (own words, open ended), present illness (OPQRST), Family, Occupational, Social, ROS

2
Q

Vital signs

A

Temp (bacterial: sustained virus: spikes, fever & chills) B/P - systole (110-140) diastole (60-90) pusle pressure (30-40)

3
Q

Orthostatic hypotension causes

A

syncope

4
Q

Icterus

A

jaundice

5
Q

cataracts

A

abscent red light reflex, lense opacity MC cause of vision loss

6
Q

Retinal detachment

A

abscent red light reflex, flashing lights, falling curtain

7
Q

Intracrainal pressure

A

Papilledema

8
Q

Introccular pressure

A

glaucoma (blurred, halos)

9
Q

Arcus senilis

A

(iris full of crud) Insignificang, elderly

10
Q

Corneal arcus

A

(iris full of crud) significant under 30 years old

11
Q

Diabetic retinopathy

A

waxy exudates and microaneursyms

12
Q

signs of hypertension in the eyes:

A

flame, cotton wool, copper wires

13
Q

crusty discharge of the ears:

A

otitis externa, swimmer’s ear

14
Q

bulging tympanum:

A

otitis media

15
Q

Myringitis:

A

redness (acute infection)

16
Q

Meningitis:

A

common complication

17
Q

Black eardrum:

A

perforation

18
Q

Pearly gray eardrum:

A

normal

19
Q

otosclerosis:

A

chalky white eardrum

20
Q

Causes of sensorineural hearing loss:

A

presbycusis, neuroma, meniere’s

21
Q

Causes of conduction hearing loss:

A

infections, cerumen, otosclerosis

22
Q

red nose:

A

acute rhinitis

23
Q

pale/gray/blue nose:

A

allergies and chronic “itis” (polyps)

24
Q

Foul discharge from the nose:

A

foreign object

25
Q

clear discharge from the nose:

A

CSF and viral infection

26
Q

Malignant lymph nodes:

A

non-mobile and non-tender

27
Q

Benign lymph nodes:

A

mobile and tender

28
Q

Supraclavicular lymph nodes:

A

R: above diaphragm L: everything else

29
Q

Pancreatitis and pancreas cancer symptoms:

A

T-10, epigastrum, fetal position, alcoholism

30
Q

Insulin, polydypsia, polyuria, and polyphagia are associated with:

A

diabetes mellitus

31
Q

Tests for the pancreas:

A

FBS, GTT (8-12 hrs), glycosylated hemoglobin, A1C

32
Q

Type I Diabetes Mellitus:

A

Juvenille, thin, insulin dependent

33
Q

Type II Diabetes Mellitus:

A

obese, receptor site malfunction

34
Q

T/F: Gestational diabetes is very dangerous

A

TRUE

35
Q

Associated items for cholecystitis and cholelithasis:

A

female, multiparous, distension, obese, right scapular pain, jaundice, and steatorrhea

36
Q

Associated items for appendicitis:

A

WBC 17,500, neutrophilia, Schilling’s shift, periumbilical pain, McBurney’s, relief (burst)

37
Q

Peptic ulcers:

A

gastric, duodenal, barium study, infection, heliobacter pylori

38
Q

Stomach cancer:

A

Virchow’s node on the left, occult blood

39
Q

Gastritis:

A

elderly, alcohol, B12 absorption problems, PLS

40
Q

Diverticulosis:

A

elderly, outpouching, fiber

41
Q

Colon cancer:

A

abrupt constipation, following polyps

42
Q

Crohn’s disease:

A

skip lesions, string sign, rectal bleeding

43
Q

Ulcerative colitis:

A

stress, bloody diarrhea, megacolon

44
Q

Ascites:

A

Fluid in abdomen with organ failure (tests: fluid wave and puddle sign)

45
Q

Acute hepatitis:

A

tender, swollen, boggy, IgM, leukopenia, lymphocytosis

46
Q

Leukopenia:

A

decreased WBC

47
Q

Lymphocytosis:

A

increased lymph

48
Q

Chronic hepatitis:

A

non-tender, swollen, boggy, IgG, increased or normal WBC and enzymes

49
Q

Cirrhosis:

A

non-tender, variable, hard (smooth), increased GGT

50
Q

Liver cancer:

A

non-tender, swollen, hard (nodular), increased biopsy

51
Q

Nephrosis:

A

hypertension, edema, proteinuria, chronic failure, fat oval bodies, all casts

52
Q

Kidney cystitis:

A

ascending, e coli, no casts, no fever, nitrates

53
Q

kindey cancer:

A

painless bleeding

54
Q

kidney stones:

A

20yo, sedentary life style, colicky

55
Q

pre-eclampsia:

A

hypertension, edema, proteinuria

56
Q

eclampsia:

A

hypertension, edema, proteinuria AND convulsions

57
Q

RBC casts:

A

glomerulonephritis

58
Q

WBC and waxy casts:

A

pylonephritis

59
Q

All casts:

A

nephrosis

60
Q

hyaline casts:

A

normal