Extra Flashcards

1
Q

Subjective

A

Pt’s feeling, pain

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2
Q

Objective

A

Dr.’s findings, tenderness

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3
Q

5 Vitals

A

HR, RR, T, O2 sat, BP

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4
Q

of Elements for Level 5

A

HPI: 4
ROS: 10/2
PMHx: 2
PE: 8

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5
Q

3 Types of Disposition

A

Discharged
Admitted
Transferred

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6
Q

GERD

A

gastroesophageal reflux disease

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7
Q

Throat redness

A

Pharyngeal erythema

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8
Q

7 parts of abdomen

A

RUQ, RLQ, LUQ, LLQ, Epigastric, Periumbilical, Suprapubic

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9
Q

Kidney infection

A

Pyelonephritis

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10
Q

G, P, A

A

G = # of total pregnant, P = # of pregnancies carried to term, A = # of miscarriages/abortions

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11
Q

Smells like fruit/alcohol, vomiting

A

Diabetic Ketoacidosis

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12
Q

Can cause death rapidly (2 head, 2 abdomen)

A

Head: meningitis,
Abdomen: GI bleed, AAA, ectopic pregnancy

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13
Q

Peritoneal signs

A

guarding (voluntary or involuntary) and rebounding

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14
Q

Status after seizure

A

Post-ictal

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15
Q

Angioplasty

A

Balloon in heart

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16
Q

Open Heart Surgery

A

CABG

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17
Q

Cleaning of carotid artery

A

Carotid Endarterectomy

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18
Q

Stomach stapled

A

Bariatric surgery

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19
Q

Kidney removed

A

Nephrectomy

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20
Q

Ovaries and Fallopian tubes removed

A

Salpingo-oophorectomy

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21
Q

PICC line

A

Peripherally inserted central catheter

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22
Q

Meds that prevent clots

A

Anticoagulants

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23
Q

PHI

A

Protected health info

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24
Q

Differential Diagnoses

A

Disease being considered

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25
Q

CAD

A

Phrase: CP
Meds: ASA and NTG
PE: cardiac catheterization

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26
Q

MI

A

Phrase: chest pressure
Risk Factors: CAD, HTN, HLD, DM, Smoking, FHx < 55 y/o
PE: EKG or Troponin
Meds: ASA

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27
Q

CHF

A

Phrase: SOB w/ pressure
Meds: Diuretics
PE: Rales, JVD

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28
Q

AFib

A

Irregularly Irregular Rhythm
Palpitations
PE: EKG
Meds: Warfarin and Digoxin

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29
Q

RVR

A

Rapid Ventricular Response

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30
Q

PE

A

Phrase: chest pain
Risk Factors: DVT, PMHx of DVT/PE, FHx, surgery, pregnancy, CA, AFib
PE: D-Dimer, CTA, VQ Scan

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31
Q

PNA

A

Phrase: productive cough and fever

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32
Q

PTX

A

PE: absent breath sounds and CXR

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33
Q

COPD

A

Risk Factors: Smoking, SOB

PE: wheezing, rales, CXR

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34
Q

Ischemic CVA

A

CC- one-sided neurological deficits

Risk Factors: HTN, HLD, DM, Hx TIA/CVA, Smoking, Afib

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35
Q

4 Focal Neurological deficits

A

speech, vision, one-sided weakness, one-sided numbness

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36
Q

Meningitis

A

Neck stiffness, Lumbar puncture

Bacteria is the worst kind

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37
Q

HA

A

Headache, Cephalgia

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38
Q

Syncope

A

Fainting

Document before, during, after and current feeling

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39
Q

Vertigo

A

Horizontal nystagmus and Romberg’s Test

Inner ear

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40
Q

Appendicitis

A

RLQ
McBurney’s Point, Psoas, Opeterator and
CT A/P w/ PO contrast

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41
Q

3 key tests

A

Creatinine, Troponin, D-Dimer

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42
Q

SBO

A

Periumbilical

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43
Q

Cholelithiasis

A

Gallstones
RUQ, Murphy’s sign
PE: US

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44
Q

Diverticulitis

A

LLQ

CT A/P w/ PO contrast

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45
Q

Pancreatitis

A

LUQ

amylase and lipase

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46
Q

Kidney stone

A

hematuria, flanks

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47
Q

AAA

A

Deadly, CT A/P w/ IV contrast

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48
Q

Aortic Dissection

A

separating of muscular wall of artery from membrane

CT w/ IV contrats

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49
Q

Sepsis

A

Lactate

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50
Q

Cellulitis

A

infection, treat w/ antibiotics

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51
Q

4 Components of true allergic reaction

A

Swelling, Itching, Rash, SOB

52
Q

Ecchymosis

A

Bruise

53
Q

Diaphoresis

A

Sweating

54
Q

Elements of HPI

A

Onset, Severity, Quality, Timing, Location, Modifying Factors, Associated symptoms, Pertinent Negatives, Context

55
Q

PTA

A

Prior to arrival

56
Q

Coagulation

A

Blood clotting

57
Q

CBC

A

H&H, WBC, Platelets

58
Q

Differential

A

CBC and infection

59
Q

BMP/Chem 7

A

electrolytes, sugar and kidneys

60
Q

CMP/Chem 12

A

BMP, liver tests

61
Q

Arterial/Venous Blood Gas

A

DKA

62
Q

INR

A

Coumadin

63
Q

Thyroid

A

TSH, T3, T4

64
Q

OBGYN Tests

A

HCG, Serum, Blood type w/ T+S/ABORh

65
Q

Urine Dip

A

Done bedside, UTI

66
Q

Urinalysis

A

Done in las, UTI

67
Q

Splint Application

A

Joint injury

68
Q

Joint reduction

A

Dislocation

69
Q

Arthrocentisis

A

Joint Effusion

70
Q

Abscess

A

I&D, purulence = amount of pus

71
Q

Fluctulant

A

Filled w/ pus

72
Q

NSR

A

Normal sinus rhythm

73
Q

SB

A

Sinus bradycardia

74
Q

ST

A

Sinus tachycardia

75
Q

Afib

A

Atrial fibrillation

76
Q

Paced

A

Pacemaker

77
Q

SVT

A

supraventricular tachycardia

78
Q

PVC

A

Premature ventricular contraction

79
Q

PAC

A

Premature aortic contraction

80
Q

LAD

A

Left acid deviation

81
Q

RAD

A

Right axis deviation

82
Q

LAFB

A

Left Anterior Fascicular block

83
Q

LBBB

A

Left bundle branch block

84
Q

RBBB

A

Right bundle branch block

85
Q

AVB

A

AV Block

86
Q

LVH

A

Left ventricular hypertrophy

87
Q

PRWP

A

Poor R wave progression

88
Q

ST up

A

Acute ST elevation

89
Q

ST down

A

Acute ST depression

90
Q

NSST’s

A

Nonspecific ST/T changes

91
Q

Reciprocal changes

A

ST elevation w/ reciprocal depression

92
Q

Inferior Leads

A

II, III, aVF

93
Q

Lateral Leads

A

I, aVR, aVL, V5, V6

94
Q

Anterior Leads

A

V3, V4

95
Q

Septal Leads

A

V1, V2

96
Q

Possible Sepsis

A

tachycardia, febrile, tachypnea, hypotension

97
Q

Reasons for consult

A

Admit, Specialist, PCP

98
Q

Reasons for Re-Eval

A

Discharged, Admit, Check vitals again, See if anything has changed after meds

99
Q

AMA

A

Against medical adivce

100
Q

Eloping

A

Leaving before doctor gets to talk to Pt

101
Q

Oxygen routes

A

Room air, Nasal Cannula, Facial Mask, Non-rebreather Mask

102
Q

C.C. Oxygen Routes

A

CPAP, BiPAP, BVM, ETT

103
Q

Icterus

A

yellowing, jaundice

104
Q

ENT

A

Moist mucous

105
Q

AT/NC

A

Atraumatic and Normocephalic, used for head

106
Q

Auscultating

A

Listening with stethoscope

107
Q

Pulse Types

A
Radial: Wrist
Carotid: Neck
Femoral: Hip
Posterior Tibial: Ankle
Dorsalis Pedis: Foot
108
Q

General

A

Cachectic, Somnolent

109
Q

EOMI

A

Extraocular Movements Intact

110
Q

Otitis Media

A

TM messed up

111
Q

Peritonsillar Abscess

A

Uvular shift and Tonsillar Asymmetry

112
Q

JVD

A

Jugular Vein Distension

113
Q

DOE

A

Dyspnea on exertion

114
Q

Clear to auscultation bilaterally

A

Normal breathing sounds

115
Q

Homan’s sign

A

calf is tender, DVT

116
Q

Bony is tender

A

Fracture

117
Q

CVA tenderness

A

Pyelonephritis

118
Q

Vertebral Point

A

Spinal Cord injury

119
Q

Paraspinal

A

Muscle Pain

120
Q

Dry Skin

A

Diaphoretic, sweating

121
Q

Calor

A

increased warmth of skin

122
Q

induration

A

Cellulitis

123
Q

Aphasia

A

cannot speak

124
Q

Dysarthria

A

cannot speak due to motor malfunctions

125
Q

Motor Strength

A

Neuro, out of 5

126
Q

Pronator Drift

A

One arm drifts upwards

127
Q

Reflexes

A

2+ is normal