Exam 1 Vocab Flashcards

1
Q

Autonomy

A

the patient’s need for self-determination.

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2
Q

Beneficience

A

the ethical principle that means “do good” for the patient

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3
Q

Chief Complaint

A

a brief statement telling why the patient is seeking care

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4
Q

History of Prior Illness

A

step by step evaluation surrounding the patient’s reason for seeking medical care

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5
Q

Nonmaleficience

A

the ethical principle that means “do no harm” to the patient.

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6
Q

Past Medical History

A

a statement of the patient’s overall health prior to the onset of the present complaint

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7
Q

Family History (FHI)

A

information about the health of family members to identify a possible health risk for the patient; this should include ages (ages at death) and the causes of death.

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8
Q

Social History (SocH)

A

work, marriage, diet, exercise, sexual and military experiences; use of alcohol, tobacco, and illicit drugs

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9
Q

Review of Systems (RoS)

A

an area where you question the patient about possible complaints for different body systems

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10
Q

Utilitarianism

A

a theory that defines the appropriate use of resources as that which results in the greatest good for the greatest number of people

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11
Q

Values

A

the ideals, customs, institutions and behaviors regarded by a specific group

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12
Q

Acromegaly

A

Growth Disorder associated with a pituitary tumor

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13
Q

Afebrile

A

without fever, denoting apyrexia; normal body temp. >97F(36C), <100.3F(38C) measured rectally.

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14
Q

Ballard Gestational Age Assessment

A

used to assess or confirm the gestational age of a neonate utilizing six physical and six neuromuscular characteristics

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15
Q

Blood Pressure

A

the force of blood against the wall of an artery as the ventricles of the heart contract and relax

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16
Q

Normal BP

A

BP Less than 120 Systolic, less than 80 Diastolic

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17
Q

Prehypertension

A

120-139 Systolic, 80-89 Diastolic

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18
Q

Hypertension Stage 1

A

140-159 Systolic, 90-99 Diastolic

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19
Q

Hypertension Stage 2

A

160+ Systolic, 100+ Diastolic

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20
Q

JNC Recommendation for >= 60 years old

A

BP Less than 150 Systolic, Less than 90 Diastolic

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21
Q

JNC Recommendation for <= 60 years

A

BP Less than 140 Systolic, Less than 90 Diastolic

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22
Q

JNC Recommendation for >18 years with Chronic Kidney Disease

A

BP Less than 140 Systolic, Less than 90 Diastolic

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23
Q

JNC Recommendation for >18 years with Diabetes

A

BP Less than 140 Systolic, Less than 90 Diastolic

24
Q

Body mass index

A

a parameter used to provide guidance regarding the appropriateness of weight for a given height

25
Q

Failure to Thrive

A

a sign defined by growth in an infant or child below the 3rd or 5th percentiles on growth chart

26
Q

Febrile

A

Denoting a fever. (Temperature above 100.4F/38C [rectal])

27
Q

Gestational Age

A

an indicator of a newborn’s maturity

28
Q

Head Circumference

A

Measurement of the circumference of an infant’s head (Duh). Should be obtained on every visit until a child reaches 2 years old.

29
Q

Hypertensive

A

Marked by increased blood pressure. Used to denote a person suffering from high blood pressure.

30
Q

Hydrocephalus

A

a condition that results from excessive accumulation of cerebrospinal fluid in the brain or ventricular system of the brain

31
Q

Hypotensive

A

characterized by low blood pressure or causing reduction in blood pressure

32
Q

Korotkoff Sounds

A

turbulence of blood flow in the artery. Sounds heard when taking BP

33
Q

Normotensive

A

Indicating normal arterial BP

34
Q

Orthostatic Hypotension

A

Pathology of vasculatory system. hypotension occurring when a person assumes an erect position. Systolic blood pressure decrease of at least 20 mm Hg or a diastolic blood pressure decrease of at least 10 mm Hg with a reflex increase in heart rate within three minutes of standing. [Note not from lecture: manifests in head rush/dizzy spell when patient stands up after sitting for a long time resulting from sudden drop in BP. Caused by blood pooling in lower extremities]

35
Q

Pulse Pressure

A

the variation in blood pressure occurring in an artery during the cardiac cycle; it is the difference between the systolic, or maximum, and diastolic, or minimum, pressures. A reading of 30-50 is considered in the normal range

36
Q

Pulse Rate

A

palpated over an artery close to the body surface that lies over bones [Colloquially refered to just as “pulse”

37
Q

Radial Pulse

A

Taken along the radius by the wrist

38
Q

Apical

A

Taken on the chest. Used for people with cardiac history and sometimes children

39
Q

Bradycardia

A

Pulse <60 BPM

40
Q

Tachycardia

A

Pulse >100BPM

41
Q

Respiratory Rate Normal Range

A

In Adults, 12-20 per minute

42
Q

Pulse Scale 4+

A

Bounding, aneurysmal. Can be caused by fever, cocaine, fear, strenuous exercise

43
Q

Pulse Scale 3+

A

Full, increased. Caused by caffeine, fear, anxiety

44
Q

Pulse Scale 2+

A

Expected rating

45
Q

Pulse Scale 1+

A

Diminished, barely palpable. Caused by stenosis, hypovolemia, anemia, dehydration, left ventricular failure

46
Q

Pulse Scale 0

A

Absent, not palpable. Caused by asystole, occlusion, or thrombosis.

47
Q

Tachnypnea

A

> = 20 breaths per minute, normal breaths

48
Q

Bradypnea

A

<= 12 breaths per minute

49
Q

Hypernea

A

> = 20 breaths per minute, deep inspirations

50
Q

Temperature

A

an assessment performed most often by oral, rectal, or tympanic routes

51
Q

Oral Cavity Average Temperature

A

98.6F, 37C

52
Q

Tympanic Difference from Oral

A

Higher than oral by .8C/1.4F

53
Q

Axillary Difference from Oral

A

Lower than oral by .6C/1F

54
Q

Rectal Difference from Oral

A

Higher than oral by .4-.5C/-.7-.9F

55
Q

Temporal

A

Usually least accurate, accuracy increasing in recent iterations. Difference not listed in slides or lab manual