Exam 3 chs. 11-16, 21-22 Flashcards
define crepitus. if palpated in thorax, it indicates
a grating sound or sensation, severe upper resp pneumonia
pectus excavatum is
funnel chest
pectus cariatum is
pigeon chest
Covered eye test: what If the eye turns outward? inward? constant malalignment of the eyes?
If the eye turns outward it is called exotropia. If the uncovered eye turns inward, it is called esotropia. Strabismus is constant malalignment of the eyes.
ABCDEs of melanoma
assymmetry, border, color, diameter, evolution
clubbing most often seen in pts with
COPD
uremic frost indicates _____. What causes it?
kidney problems, urea and nitrogen in swet
hirsutism often seen in ___ pts
endocrine
hemangiomas usually resolve by age
9
clear fuid leading from ear or nose in head injury could mean —-? what’s the fluid, what’s the risk?
basilar skull fracture, fluid os cerebrospina, risk is infection
emergency lymph node referral needed with ___
larger than 1 cm, fixed, nontender, irregular, hard or rubbery
who usually has shotty lymph nodes
children under 5
Anterior cervical nodes might indicate___, posterior cervical nodes might indicate ____, and posterior auricular nodes might indicate ___
pharyngitis, mononucleosis, otitis media.
why worry about supraclavicular lymph nodes?
can be a sign of metastatic cancer
called the signal node, found on the left supraclavicular) is associated with lung and abdominal cancer.
The Virchow node
Would a hypothyroid lady have high or low TSH?
high
coarse hair is a sign of
hypothyroid
most common type of hypothyroidism
Graves disease
assess me for thyroid disease
palpate, if enlarge, auscultate for bruits (meaning toxic goiter)
can look as if someone is having a stroke. Remember though that it just affects the face and nothing else (meaning no extremity deficits).
• Bells Palsy
buffalo hump, fat deposits at the nape of the neck, moon face and the velvety discoloration around the neck (acanthosis nigra, also seen in diabetes).
• Cushing syndrome
hardening of the skin usually in the face and hands. Presents as shiny, tight skin in the face
• Scleroderma
glaucoma in a first degree relative increases the patient’s risk for the same problem by
two to three times
3 hereditary eye diseases
cataracts, glaucome, macular degeneration
toddler normal vision
20/200
Why check Cardinal fields of gaze?
allow the nurse to detect muscle defects that cause misalignment or uncoordinated movements of the eyes
when you give the cover test, you are checking for
eye accomodation
what is the test for strabismus?
corneal light reflex
2 nongenetic abnormal eye movements
nystagmus, strabismus
what cases Arteriovenous (AV) nicking, and what is it?
results from high blood pressure and retinal hemorrhages in the form of dot-blot spots or flame hemorrhages.
what causes copper wiring
• Chronic hypertension causes retinal arterioles to thicken
what can you visualize on tympanic membrane?
malleus and cone of light