Final exam Flashcards
Productive cough for 2 months; phlegm is clear and cough is worse at night; no fever, SOB, generalized wheezing
Bronchitis
Acute cough
<3 weeks
Chronic cough with medication
ACEI induced
Acute chest pain aggravated by movement and deep inspiration; recently had URI of viral origin; tenderness in ribs; lung sounds clear with guarding on deep inspiration
Costochondritis
Hacking white productive cough for 3 months; smoking 1 PPD for 20 years; expiratory wheezes
Chronic bronchitis
LLQ abdominal pain, 5 days of hard stool, no N/V, no fever or night sweats
Constipation
Inexpensive diagnostic test confirming enlarged heart and pulmonary artery dilation
X ray
X ray findings consistent with CHF
Cardiomegaly, poor definition of lung fields, darkened opacity in vasculature near sternal border
5 minutes of absent bowel sounds
Initiate emergency management
Inflammation of skin
Cellulitis
Scaly and patchy lesions
Psoriasis
Nevi burning or bleeding
Cancer
Pain reproducible with palpation is NOT
Acute MI
Children with congenital heart disease will NOT have
chronic chest pain
Children with congenital heart disease will complain of
SOB, fatigue, discoloration around mouth
Acute pain in scrotum, enlarged edematous and painful scrotum, testes higher in sac
Testicular torsion
Mass not moving with cough
Possible tumor
Pain in lower abdominal region; abdominal bloating, painful intercourse, irregular abdominal bleeding, left side unilateral sharp pelvic pain
Ovarian cyst rupture
Acute knee pain after football game and positive McMurray’s sign
Meniscal injury
Malaise, fever, tiredness, cervical and epitrochlear lymphadenopathy, gray-white exudates on tonsils, mild splenomegaly
Mono
Supraclavicular lymph palpable
Suspicious for abdominal or thoracic malignancy
Strongest pulse in lower extremities
Dorsalis Pedalis
Chronic lower extremity atherosclerotic disease
Red/purple discoloration, decreased pulses, poor circulation
50 year old with irregular HR 188
A Fib
Pain with movement of ear
Otitis Externa
Accommodation
Pupillary changes to light
Erythemic tympanic membrane
Acute otitis media
Stasis dermatitis on right leg and ankle is rusty and edematous
Peripheral vascular disease
Tinnel test
Strike nerve in wrist
Carpal tunnel syndrom
Phalen test
Carpel tunnel syndrome
Put dorsal surfaces of hands together
Neer test
Tests for shoulder impingement
Pain during lat raises crossovers
Hawkins Test
Flex 90 degrees at elbow
Tests for shoulder impingement
Empty can test
Assesses for rotator cuff injury
Lochman’s sign
Drop arm test for rotator cuff injury
Thomas test
Assess for hips
Laying down knee to chest
McMurray test
Tests for torn meniscus
Lachman test
Tests for ACL injury
Romberg test
Tests for balance–close eyes, stand and balance
Bradzinski reflex
Head lifts off ground when laying flat
Assesses for meningitis
Kernig sign
Resist straightening knee/leg when flat on ground
Assesses for meningitis
Murphy’s sign
RUQ pain
Sign of cholecystitis
Cullen sign
Umbilical bruising–sign of peritonitis
Grey turner sign
Blue flanks
Sign of peritonitis
McBurney’s point
Sign of appendicitis if reflex pain
Strep throat
Fever, exudates on tonsils, swollen tender anterior cervical adenopathy, no cough
Rovsing sign
Palpate LLQ and feel pain in RLQ–Positive for appendicitis
