Common Disorders Flashcards

1
Q

difference between respiratory illness

A

Chronic Bronchitis - blue bloater - Blue lips (cyanosis) Productive cough for over 3 mos of year. Crackle and wheeze. (COPD) Normally history of smoking. Had a cold that develops into respiratory infection.

Emphysema - Pink puffer. Pursed lips. Barrel chest. minimal cough. decreased breath sounds. Pink skin. (COPD) Normally history of smoking.

Asthma - Trouble on exhale, mucus, difficulty breathing, chest pain, inflammation in airway.

Pneumonia - during occultation - pneumonia has dull sounds.

  • Fatigue, loss of appetite
  • air-sac of one or both lungs fills with fluid
  • more deadly for younger and older
  • fever chills
  • difficulty breathing
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2
Q

Sounds associated with pulmonary disorders

A

Bronchitis - Rhonchi- low pitched wheezing that happens on exhale and is a sign of bronchitis or COPD

Asthma- high pitched wheezing

Pneumonia - Rales - cracking or bubbling noises. Dull percussion sound when tapping lungs.

emphysema - reduction of lung sounds

Whooping cough- pertussis- high pitched crowing

Croup- (steeple sign), strider - barking

Health liver - percussion is full

Healthy lungs - percussion is resonant

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3
Q

Brain Aneurysm

A

epidural - Lucid intervals - emergency
subdural hematoma- elderly and alcoholics
arachnoid - Thunderclap headache - emergency

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4
Q

Angina Pectoris

A

a condition marked by severe pain in the chest, often also spreading to the shoulders, arms, and neck, caused by an inadequate blood supply to the heart.

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5
Q

Arrhythmia

A

Irregular heart beat

Afibulation - The heart’s upper chambers (atria) beat out of coordination with the lower chambers (ventricles). Can lead to a blood clot. Increases risk of stroke, heart failure and other HT related complications.

Premature ventricular contraction - a too-early heartbeat that originates in the ventricles and disrupts the heart’s normal rhythm. can be associated with: Certain medications, including decongestants and antihistamines.

tachycardia

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6
Q

Peripheral Artery Disease

A

Poor circulation caused by arteriosclerosis

Sx - Claudication- arm or leg pain when walking, skin is cool, loss of hair on legs, thin skin, ulcers

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7
Q

Coronary Artery Disease

A

Another form of arteriosclerosis

Build up of plaque. No sx to chest pain, HT attack, indigestion, nausea, light headed, shortness of breath

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8
Q

Myocardial Infarction

A

Blockage of blood flow to HT

tightness, pain, anxiety, radiating pain

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9
Q

Congestive Heart failure (CHF)

A

Pitting edema in their legs, feet, excess urine in night (nocturia), palpitations, fast breathing, SOB lying down

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10
Q

Deep Vein Thrombosis

A

Normally one leg
Red or discolored, feeling of warmth

Test - squeeze the calf and n

Homan’s test - dorsiflex ankle and squeeze calf - causes pain, is hot and red

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11
Q

Cellulitis

A

Bacterial infection that causes pain, heat, swelling, tenderness

Treat with antibiotic

Group A and B: Hemolytic strep and sterp pneumoniae

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12
Q

hypertension

A

120/80 - normla
120-129 - elevated
130 - hypertension

Hypertension crisis: 180/120

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13
Q

Hypotension

A

90/60

Light headed, dizzy, fainting, confusion

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14
Q

Dermatological conditions

A

Next

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15
Q

Scabies

A

Tracks - between fingers and folds like armpits

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16
Q

Impetigo

A

Usually young, face, red and yellow crusty

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17
Q

Atopic dermatitis / eczema

A

Arms, behind knees (yin side of body)
Red, itchy
Pin point bleeding
often accompanies with allergies

Contact. - chemical/dyes/poison oak leads to eczema

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18
Q

Erysipelas

A

Painful red cheeks and nose. - upper dermis

Bacterial infection,

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19
Q

Cellulitis

A

hot, red, fevers, chills, bacterial infection

Deeper infection

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20
Q

Posriasis

A

Dry, itchy, scrapes off, silvery scales
More chronic
systemic inflammation - chronic autoimmune condition

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21
Q

tinnea

A

Ringworm
scaly, red itchy, round rings
pedis tinnea - athletes foot

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22
Q

Urticaria

A

Hives

Triggered by some allergen

23
Q

Alopecia

A

Going bald

24
Q

Burns

A

1st - superficial - epidermis
2 - partial depth - can go into dermis - blisters
3. Epidermis Full dermis - no sensitive to light touch - hospitalization
4. goes to muscle or bone - no pain- hospitalization

25
Endocrine
Next
26
Cushings
Moon face Taking cortisol for too long thin skin hump back. weight gain around the midsection and upper back, thinning of your arms and legs, easy bruising and stretch marks
27
Addisons
Autoimmune low cortisol - deficient aldosterone hyperpigmentation, Fatigue, anxiety, loss of appetite, unintentional weight loss, low bp (President Kennedy)
28
Diabetes
Type I - can't create insulin (genetic, kid, dizziness, peeing a lot, tired) II - Insulin resistance (lifestyle, overweight, smokes drinks, poor diet) Fruity smell - keto-acidosis Treatment - insulin, diet, lifestyle Insulin and glucogon created in pancreas Insulin helps cells absorb glucose and reduces blood sugar and provides cells with energy Glucogon is released from the pancreas with blood sugar levels are too low bring more glucose into blood
29
Diabetes Inspidus
an uncommon disorder that causes an imbalance of fluids in the body. This imbalance leads you to produce large amounts of urine. It also makes you very thirsty even if you have something to drink.
30
Hyperlipidema
High Cholesterol - LDL Risks - MI or stroke Statin - myalgia
31
Metabolic syndrome
High blood sugar, weight around waist, high triglyceride (cholest), reduced HDL, high BP Increased risk of heart disease, stroke, diabetes
32
Parathyroid disorders
Lead to high levels of calcium in blood which can lead to brittle bones Calcitonin (Thyroid)- carries calcium to bones PTH- calcium to blood Hyperparathyroid can lead to osteoporosis, KD disease, HT disease
33
pituitary disorders
Cushings - The hypothalamus-pituitary-adrenal axis regulates both production and secretion of cortisol acromegaly growth hormone deficiency
34
Pituitary
Anterior- Growth hormone - LH (triggers ovulation) and FSH (Increase--> monopause) GH(hypo-dwarf, hyper-acromegaly), PRL, ACTH, TSH, MSH, FSH, LH Posterior- Oxytocin - uterine contraction ADH - decreases urine volume and raised blood pressure by constricting vessels
35
Gastrointestinal
NEXT
36
Appendicitis
pain RLQ Mcburneys point - Rebound pain Rovsing sign- push left, and pain on right Hambergers sign - Not hungry Emergency
37
Cirrhosis
Late state LV disease Often from hepatitis or alcoholic Jaundice, GI bleeding, fatigue, weight loss, abdominal swelling, fatigue, weak Pellegra - B3 deficiency - Avoid Tylenol, ACE, NSAIDs -Abdominal swelling caused by accumulation of fluid, most often related to liver disease.
38
Menstruation phases
Menstrual Follicular - Estrogen spikes, LH spikes right before ovulation Ovulation Luteal - Progesterone spikes
39
Diverticulosis vs Diverticulitis
LLQ pain Diverticulosis occurs when small, bulging pouches (diverticula) develop in your digestive tract. - Painless lower GI bleeding. Most common 40+ Diverticulitis- When one or more of these pouches become inflamed or infected, the condition is called. Pain, fever. Colonoscopy can be risk factor. NPO- nothing by mouth - IV fluid
40
Celiacs disease
Sx: Weight loss, diarrhea, bloating, gas, fatigue, low blood count (anemia)- occurring in ilium first part of SI, with celiac disease not absorbing nutrients, and osteoporosis. Many people have no symptoms.
41
Lactose intolerance
Symptoms can include abdominal cramps, bloating, and diarrhea.
42
cholelithiasis vs cholecystitis
``` cholelithiasis: Gall stone - Pain in RUQ that can radiate to scapula 4F: Forties Fat Female Fertile ``` cholecystitis- gall bladder infection, fever, chills, pain in RUQ - often caused by gall stones Murphey's sign - palpate and it causes inspiratory arrest
43
Gastritis
Inflammation of lining of stomach Causes include infection, injury, regular use of pain pills called NSAIDs, and too much alcohol. Symptoms include upper belly pain, nausea, and vomiting. Sometimes, there are no symptoms. Gastritis can lead to ulcers or ST cancer. Antibiotics and antacids might help. Ulcer - deeper, open sore in lining
44
Peptic Ulcer VS Gerd
GERD - acid in esophagus (food pipeline), HT burn/indigestion, burning pain in chest occurs after eating and worsens lying down, nausea, regurgitation, bitter taste, dry cough
45
Peptic ulcers
Peptic Ulcer - acid in stomach lining - H-pylori, aspirin, HT burn, indigestion, nausea, vomiting. Coming up into food pipe Gastric - greater pain with food Duodenal - decrease pain with food
46
Hepatits
``` Vaccine - A, B Blood - B, C Fecal Oral - A, E Acupuncturists - B Chronic - C, E ```
47
Cronhs - IBS
Discontinuous - skip lesions | Anywhere in digestive tract. Ileum often included
48
Ulcerative Colitis - IBD
blood in stool more rx of colon cancer continuous normally starts from bottom of colon - rectum
49
Irritable Bowel Syndrome
More psychological - acupuncture is best
50
Pancreatitis
Pancreatitis - inflammation of pancreas - auto-digestion of pancreas by pancreatic enzyme which causes inflammation Acute - GET SMASHED Gall stone, alcohol, trauma Steroids, mumps, autoimmune, scorpion sting etc Chronic Adults - Alcohol related kids - cystic fibrosis Steatorrhea - fat in stool (both?)
51
Pancreatic cancer
Abdominal pain radiating to back weight loss 75% occur in head of pancreas Whipple treatment - remove pancreas, bile duct, duodenum
52
Guillain-barre syndrome
Guillain-Barré syndrome (GBS) is a rare, autoimmune disorder in which a person's own immune system attacks your nerves & damages myelin sheath. First sx are weakness and tinging in extremities, and can eventually cause muscle weakness and sometimes paralysis of your whole body 2/3 patients report symptoms of an infection in the 6 weeks preceding including respiratory and GI infect or zika virus. Tx: Special blood treatments (plasma exchange and immunoglobulin therapy) can relieve symptoms. Physical therapy is needed. GBS can cause symptoms that last for a few weeks to several years. Most people recover fully, but some have permanent nerve damage.
53
Myasthenia Gravis
Autoimmune dx - immune system attacks postsynaptic acetacholine (ACH) receptor so there is reduced transmission of nerve impulses. Key Sx: Drooping eyelids (ptosis), double vision (diplopia), problems swallowing (dysphasia), trouble walking (worse after use, later ind day) Treatment consists of transfusions Special blood treatments (plasma exchange and immunoglobulin therapy) can relieve symptoms. Physical therapy is needed.