Exam 3 Flashcards
where is the spleen
left upper quad
Where is epigastric area?
sternum, upper stomach area (in the middle)
Where is descending aorta
right in the middle of stomach
gallbladder?
right upper quad
Liver?
right upper quad to the very most right
Palpate the colon?
left lower quad
2 most common hernia
umbilical and inguinal
Blumberg sign test for what organ
appendix
Murphy sign for what organ
gallbladder
If the patient stops breathing in and winces with a ‘catch’ in breath
Percussion sound made over the liver
dull
Percussion sound made over stomach
tympany
Normal bowel sounds
5-30 a minute
Hypoactive
less than 5 a minute
Absent bowel sound
no bowel sounds after listening in each quad for 5 mins
What organ is not palpable until enlarged 3x normal size
spleen
What organ is not palpable until enlarged 3x normal size
spleen
Cryptochidism
one of the testes is not descended
priapism
prolonged erection, lasting more than 4 hours (caused by Viagra)
oliguria
less than 30ml and hour
anuria
NO urine output
polyuria
too much urine (way more than 30ml) maybe cause by diabetes
transillumination testicular test
the light should go all the way through, if not then could be cancer
melena
black tarry stool, caused by upper GI bleeds
Streatorrhea
fat in stool, caused by gallbladder issues, CF, or crohns disease
clay or grey stool
liver or kidney issues
BPH
enlargement of prostate:
distended ab
incontinence
Prostitis
inflammation:
swelling
fever
chills
prostate cancer
BRCA1 and 2 gene, 55-69 years old
presumptive signs of pregnancy (1st trimester)
morning sickness, amenoria, increased urine
Probable signs of pregnancy
Positive Hcg, chadwix sign (blue cervix), enlarged uterus
2nd trimester
increased blood volume, decreased blood pressure, chlostrum (yellow liquid)
3rd trimester
BP is normal, HR increases, blood volume is super high
colon cancer
melena, unexplained weight loss
polyps
pre cancerous signs
diverticulosis
out pouching
diverticulitis
out pouching that get inflamed
hemorrhoids
constant straining
cholecystitis
inflamed gallbladder (murphy’s signs)
appendicitis
at McBurney’s signs, test at Blumberg’s spot right across for rebound tenderness
Lung sounds
resonant sounds
Tinel test
tap radial pulse over and over again: numbness or tingling = indicate carpal tunnel
Phalen test
back to back hands for 90 seconds: numbness or tingling = indicate carpal tunnel
OA
-wear and tear
-herbendon nodes (distal)
-bouchards (proximal)
-PM pain
-unilateral
RA
-autoimmune
-attacking synovial fluids in joints
-boutonniere
-swans neck
strider
constriction caused by foreign airway obstruction
rhonchi
coarse rumbling noises
Tail of spence
top of breast, near armpits
Tanner scale
5= fully developed
BEFAST
balance, eyes, face, arm, speech, time
Snellen test
top is what you can see, bottom is what everyone else can see
Nodule
mass that has defined borders, elevated
Papule
caused by psoriasis, crusts and scales
macule
flat, discolored
vesicle/bulla
poison ivy, chicken pox, blisters, filled with clear fluid
wheal
hives
stage 1 pressure ulcer
non blanching erythema
stage 2
partial thickness ulcer with epidermis and dermis
stage 3
full thickness ulcer extending through derm and subcu
stage 4
deep tissue, may involve muscle and bones
