Day 4 Review Flashcards
Icterus
Yellowing also known as jaundice
Purulent
Pus-like
Redness
Erythema
Organomegaly
Organ enlargement
Perfusion
Flow of blood through body’s blood vessels
Affect
Feeling and emotion
Consolable
Able to be comforted
GCS
Glasgow Coma Scale, used to assess level of consciousness in trauma Pt’s
Do any Pt complaints belong in the PE
No
PERRL
Pupils are equal, round, and reactive to light
What does AT/NT mean
Atraumatic / Normocephalic (head and head organs normal)
NAD
No acute distress
What does pale conjunctiva indicate
Anemia
What is scleral icterus, and what does it indicate
Yellowing of eyes; liver failure
Name an instrument the Physician may use to closely investigate the eyes
Slit lamp, woods lamp, ophthalmoscope (aka fundoscopic Exam)
Medical term for nostril
Naris (plural form: nares)
Medical term for runny nose
Rhinorrhea
Medical term for epistaxis
Nose bleed
What would dry mucous membranes indicate
Dehydration
Why is midline body tenderness worse than paraspinal tenderness
Bony tenderness (vertebral point tenderness) points toward spinal fracture and therefore concern for spinal cord injury
Paraspinal tenderness = muscle sprain or strain
RRR
Regular Rate and Rhythm (normal cardiac finding)
Name the rhythm the physician would hear if the Pt was in AFib
Irregularly irregular rhythm
Edema
Swelling
Medical term for Wrist pulse
Radial pulse
Medical term for Neck pulse
Carotid pulse
Medical term for Groin pulse
Femoral pulse
Medical term for Top of foot pulse
Dorsalis pedis (DP) pulse
Medical term for Side of foot pulse
Posterior Tibialis pulse (PT)
If physician checks pulse on the right wrist and says “pulses are fine” what would you document
Right radial pulse is 2+
Name and describe the paritoneal signs (3)
Voluntary guarding
Rebound tenderness (tenderness when Dr releases from palpating abd)
Rigidity (involuntary guarding; organs feel stiff and hard)
= G.R.R.
Paritoneal signs are signs of a surgical __________
Abd
What abd exam sign is indicative of cholecystitis
Murphy’s sign
If a Dr takes one finger and presses in a specific spot in the RLQ, what is the name of the finding they are investigating?
McBurney’s point tenderness
What would a “Guaiac positive” stool sample diagnose?
GI bleed
What phrase do you have to doc in the GU exam for every female pelvic exam performed by a male physician?
Female chaperone present
What is bony tenderness a sign of?
Bone deformity, fracture or injury
What is CVA tenderness?
Costo-vertebral angle tenderness (tenderness over the kidneys)
What is fluctuance a sign of?
Abscess
Laceration vs abrasion
Laceration: incision in skin that usually needs sutures
Abrasion: scrape
What procedure is associated with lacerations not abrasions
Laceration repair, sutures
A&Ox3
Alert and oriented to person, place, and time
What section of the neuro exam would you document “normal finger-nose-finger test” and “normal heel-to-shin”?
Cerebellar/coordination
DTR
Deep tendon reflex
What general area of your body does the cranial nerves (CN) control?
Face
In Neurological exam, what does “normal gait” mean?
Waking normally
In psych exam, what SI and HI stand for?
Suicidal and homicidal ideations
Is the Glasgow Coma Scale (GCS) associated with trauma or medical Pt’s? (Score btw 3-15)
Trauma
Would you doc “RUE strength 3/5” under the neuro or extremities sec of the exam?
Neuro
TTP
Tender to palpation
If a mother states that her child has been extremely tired and drowsy recently, can you doc “lethargy” in PE, just based on that?
No (subj)
Medical term for hives (allergic rxt rash)
Urticaria
Medical term for “swollen lymph nodes”
Lymphadenopathy
If doc “there is right pronator drift”, can you also doc “no focal neuro deficits?
No, contradiction
If doc NAD in constitutional sec, would you be contradicting yourself if you wrote “mild respiratory distress” in pulmonary exam?
Yes
