General Dx Part 1 Flashcards
Health History includes
Personal and social hx
CAGE Questionnaire
C- Cutting down (felt the need?)
A-Annoyed by others criticisms
G- Guilty Feelings?
E- Eye Openers (Need a morning drink)
Loss of lateral 1/3 of eyebrows
Myxedema
Adie’s Pupil
Sluggish pupillary reaction to light that is caused by a lesion of CN III
Argyll Robertson
Bilateral Small and irregular pupils
Seen with Syphilis (Prostitues Pupil)
Chalazion
Infection of meibomian gland
Conjunctiva colors: Pink, Pale, Bright Red
Normal, Anemia, Infection
Ectropion/Entropion
Lid is turned inward/outward
Glaucoma causes…
cupping of optic disc
blurring of vision, esp in periphery
Sign of Glaucoma
Crescent sign
Hordoleum
An infection of the sebaceous glands.
Signs of Hypertensive Retinopathy
Copper wire deformity, silver wire deformity, A-V nicking, flame hemorrhages
Internal Ophthalmoplegia is seen with…
MS
Iritis/ Uveitis is seen with…
AS
Papilledema AKA Choked Disc
Swelling of optic disc
Periorbital edema is seen with
Myxedema
Pinquecula
Yellowish triangular nodule
Pterygium
Triangular thickening of the bulbar conjunctiva
Retinal Detachment
Painless* onset, like curtains closing over vision
lightning flashes and floaters
Sclera Colors: White, Yellow, Blue
Normal, Jaundice, Osteogenesis Imperfecta
Xanthelasma
Fatty Plaques on the nasal surface of eyelids
Eustachian Tube block
Retraction of tympanic membrane
Purulent Otitis Media causes
Bulging of tympanic membrane
Serous Otitis Media results from… Looks like?
Incomplete resolution of Acute Otitis Media
Fluid is amber bubbles
Mucosa is pale or blue and boggy
Allergic Rhinitis
Thinning of nasal mucosa with sclerosis, crust formation, and foul odor
Atrophic Rhinitis
Red and swollen mucosa with a clear runny nose
Viral rhinitis
Cause of Angular Stomatitis aka Cheilosis
Vit B12 deficiency
Cause of Atrophic Glossitis
B vitamins deficiency or Iron
MC cause of Hyperthyroidism
Grave’s DZ
MC cause of Hypothyroidism aka Myxedema
Hashimoto’s
Cluster HA is provoked by…
alcohol
HA with proximal muscle pain/stiffness
Temporal Arteritis
Biot’s Breathing
Groups of quick, shallow inspiration –> NO pattern
Cheyne Stokes Respiration
Breathing with alternating periods of apnea and hyperpnea —> HAS pattern
Kussmaul’s breathing
Breathing is first rapid and shallow but as metabolic acidosis worsens
**AIR hunger breathing”
Tactile Fremitus is increased with…
Fluid –> Pneumonia
Tactile Fremitus is decreased with…
Air (Emphysema, Pneumothorax)
Diagphragmatic excursion <3-5 cm
Pneumonia or Pneumothorax
Tracheal breathing
Inspiration = Expiration
*Over trachea
Bronchial Breathing
Expiration > Inspiration
*Over manubrium
Bronchovesicular Breathing
Inspiration = expiration
Between 1st and 2nd ribs anteriorly
between scapulae posteriorly
Vesicular Breathing
Inspiration > Expiration
*remaining lung field
Rales
Small clicking, bubbling, or rattling sound sin lung
*Bronchitis
Rhonchi
Sounds that resemble snoring
*bronchiectasis
Wheezes
High pitched heard upon exhalation
*Asthma, Emphysema (older)
Stridor
Wheeze-like sound heard on inspiration
Percussion/ Fremitus/ Breath Sound with Asthma
Resonant
Decreased
Absent
Percussion/ Fremitus/ Breath Sound with Atelectasis
Dull/Flat
Decreased
Absent
Percussion/ Fremitus/ Breath Sound with Bronchiectasis
Resonant
Normal
Rhonchi
Percussion/ Fremitus/ Breath Sound with Bronchitis
Resonant
Normal
Rales
Percussion/ Fremitus/ Breath Sound with Emphysema
Hyperresonant
Decreased
Wheezing
Percussion/ Fremitus/ Breath Sound with Pleurisy
Dull
Decreased
Crackles (friction Rub)
Percussion/ Fremitus/ Breath Sound with Pneumothorax
Hyperresonant
Decreased
Decreased
Percussion/ Fremitus/ Breath Sound with Pneumonia
Dull
Increased
Egophany, Bronchophony, Whispered pectoriloquy, crackles
You hear aaaaaaa as the patient says eeeeeee with…
Consolidation
1,2,3 are heard clear and distinctly with..
Consolidation