Extra Flashcards
1
Q
Subjective
A
Pt’s feeling, pain
2
Q
Objective
A
Dr.’s findings, tenderness
3
Q
5 Vitals
A
HR, RR, T, O2 sat, BP
4
Q
of Elements for Level 5
A
HPI: 4
ROS: 10/2
PMHx: 2
PE: 8
5
Q
3 Types of Disposition
A
Discharged
Admitted
Transferred
6
Q
GERD
A
gastroesophageal reflux disease
7
Q
Throat redness
A
Pharyngeal erythema
8
Q
7 parts of abdomen
A
RUQ, RLQ, LUQ, LLQ, Epigastric, Periumbilical, Suprapubic
9
Q
Kidney infection
A
Pyelonephritis
10
Q
G, P, A
A
G = # of total pregnant, P = # of pregnancies carried to term, A = # of miscarriages/abortions
11
Q
Smells like fruit/alcohol, vomiting
A
Diabetic Ketoacidosis
12
Q
Can cause death rapidly (2 head, 2 abdomen)
A
Head: meningitis,
Abdomen: GI bleed, AAA, ectopic pregnancy
13
Q
Peritoneal signs
A
guarding (voluntary or involuntary) and rebounding
14
Q
Status after seizure
A
Post-ictal
15
Q
Angioplasty
A
Balloon in heart
16
Q
Open Heart Surgery
A
CABG
17
Q
Cleaning of carotid artery
A
Carotid Endarterectomy
18
Q
Stomach stapled
A
Bariatric surgery
19
Q
Kidney removed
A
Nephrectomy
20
Q
Ovaries and Fallopian tubes removed
A
Salpingo-oophorectomy
21
Q
PICC line
A
Peripherally inserted central catheter
22
Q
Meds that prevent clots
A
Anticoagulants
23
Q
PHI
A
Protected health info
24
Q
Differential Diagnoses
A
Disease being considered
25
CAD
Phrase: CP
Meds: ASA and NTG
PE: cardiac catheterization
26
MI
Phrase: chest pressure
Risk Factors: CAD, HTN, HLD, DM, Smoking, FHx < 55 y/o
PE: EKG or Troponin
Meds: ASA
27
CHF
Phrase: SOB w/ pressure
Meds: Diuretics
PE: Rales, JVD
28
AFib
Irregularly Irregular Rhythm
Palpitations
PE: EKG
Meds: Warfarin and Digoxin
29
RVR
Rapid Ventricular Response
30
PE
Phrase: chest pain
Risk Factors: DVT, PMHx of DVT/PE, FHx, surgery, pregnancy, CA, AFib
PE: D-Dimer, CTA, VQ Scan
31
PNA
Phrase: productive cough and fever
32
PTX
PE: absent breath sounds and CXR
33
COPD
Risk Factors: Smoking, SOB
| PE: wheezing, rales, CXR
34
Ischemic CVA
CC- one-sided neurological deficits
| Risk Factors: HTN, HLD, DM, Hx TIA/CVA, Smoking, Afib
35
4 Focal Neurological deficits
speech, vision, one-sided weakness, one-sided numbness
36
Meningitis
Neck stiffness, Lumbar puncture
| Bacteria is the worst kind
37
HA
Headache, Cephalgia
38
Syncope
Fainting
| Document before, during, after and current feeling
39
Vertigo
Horizontal nystagmus and Romberg's Test
| Inner ear
40
Appendicitis
RLQ
McBurney's Point, Psoas, Opeterator and
CT A/P w/ PO contrast
41
3 key tests
Creatinine, Troponin, D-Dimer
42
SBO
Periumbilical
43
Cholelithiasis
Gallstones
RUQ, Murphy's sign
PE: US
44
Diverticulitis
LLQ
| CT A/P w/ PO contrast
45
Pancreatitis
LUQ
| amylase and lipase
46
Kidney stone
hematuria, flanks
47
AAA
Deadly, CT A/P w/ IV contrast
48
Aortic Dissection
separating of muscular wall of artery from membrane
| CT w/ IV contrats
49
Sepsis
Lactate
50
Cellulitis
infection, treat w/ antibiotics
51
4 Components of true allergic reaction
Swelling, Itching, Rash, SOB
52
Ecchymosis
Bruise
53
Diaphoresis
Sweating
54
Elements of HPI
Onset, Severity, Quality, Timing, Location, Modifying Factors, Associated symptoms, Pertinent Negatives, Context
55
PTA
Prior to arrival
56
Coagulation
Blood clotting
57
CBC
H&H, WBC, Platelets
58
Differential
CBC and infection
59
BMP/Chem 7
electrolytes, sugar and kidneys
60
CMP/Chem 12
BMP, liver tests
61
Arterial/Venous Blood Gas
DKA
62
INR
Coumadin
63
Thyroid
TSH, T3, T4
64
OBGYN Tests
HCG, Serum, Blood type w/ T+S/ABORh
65
Urine Dip
Done bedside, UTI
66
Urinalysis
Done in las, UTI
67
Splint Application
Joint injury
68
Joint reduction
Dislocation
69
Arthrocentisis
Joint Effusion
70
Abscess
I&D, purulence = amount of pus
71
Fluctulant
Filled w/ pus
72
NSR
Normal sinus rhythm
73
SB
Sinus bradycardia
74
ST
Sinus tachycardia
75
Afib
Atrial fibrillation
76
Paced
Pacemaker
77
SVT
supraventricular tachycardia
78
PVC
Premature ventricular contraction
79
PAC
Premature aortic contraction
80
LAD
Left acid deviation
81
RAD
Right axis deviation
82
LAFB
Left Anterior Fascicular block
83
LBBB
Left bundle branch block
84
RBBB
Right bundle branch block
85
AVB
AV Block
86
LVH
Left ventricular hypertrophy
87
PRWP
Poor R wave progression
88
ST up
Acute ST elevation
89
ST down
Acute ST depression
90
NSST's
Nonspecific ST/T changes
91
Reciprocal changes
ST elevation w/ reciprocal depression
92
Inferior Leads
II, III, aVF
93
Lateral Leads
I, aVR, aVL, V5, V6
94
Anterior Leads
V3, V4
95
Septal Leads
V1, V2
96
Possible Sepsis
tachycardia, febrile, tachypnea, hypotension
97
Reasons for consult
Admit, Specialist, PCP
98
Reasons for Re-Eval
Discharged, Admit, Check vitals again, See if anything has changed after meds
99
AMA
Against medical adivce
100
Eloping
Leaving before doctor gets to talk to Pt
101
Oxygen routes
Room air, Nasal Cannula, Facial Mask, Non-rebreather Mask
102
C.C. Oxygen Routes
CPAP, BiPAP, BVM, ETT
103
Icterus
yellowing, jaundice
104
ENT
Moist mucous
105
AT/NC
Atraumatic and Normocephalic, used for head
106
Auscultating
Listening with stethoscope
107
Pulse Types
```
Radial: Wrist
Carotid: Neck
Femoral: Hip
Posterior Tibial: Ankle
Dorsalis Pedis: Foot
```
108
General
Cachectic, Somnolent
109
EOMI
Extraocular Movements Intact
110
Otitis Media
TM messed up
111
Peritonsillar Abscess
Uvular shift and Tonsillar Asymmetry
112
JVD
Jugular Vein Distension
113
DOE
Dyspnea on exertion
114
Clear to auscultation bilaterally
Normal breathing sounds
115
Homan's sign
calf is tender, DVT
116
Bony is tender
Fracture
117
CVA tenderness
Pyelonephritis
118
Vertebral Point
Spinal Cord injury
119
Paraspinal
Muscle Pain
120
Dry Skin
Diaphoretic, sweating
121
Calor
increased warmth of skin
122
induration
Cellulitis
123
Aphasia
cannot speak
124
Dysarthria
cannot speak due to motor malfunctions
125
Motor Strength
Neuro, out of 5
126
Pronator Drift
One arm drifts upwards
127
Reflexes
2+ is normal
