History and PE Flashcards

1
Q

Part of history with basic info

A

General Data

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2
Q

Part of history with informant’s name, relationship and reliability

A

General data

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3
Q

Part of history with initial impression and DDx

A

HPI

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4
Q

Part of history where must not use medical term

A

Chief Complaint

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5
Q

Part of history that helps uncover related symptoms in other organ system

A

ROS

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6
Q

Part of history that further elicit relevant data

A

ROS

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7
Q

included in Past Personal History if <2yo

A

gestational, birth and neonatal history

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8
Q

where to write APGAR in history?

A

Neonatal History, under Past Personal History

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9
Q

Hx Parts in Sequence

A
General Data
Chief Complaint
HPI
ROS
Past Personal Hx
Immunization Hx
Family Medical Hx
Socioeconomic Hx
Environmental Hx
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10
Q

Contents of Immunization Hx

A

vaccines and tuberculin test

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11
Q

growth chart that measures whether underweight or not

A

wt for age

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12
Q

growth chart that measures whether stunted or not

A

ht for age

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13
Q

growth chart that measures whether wasted or not

A

wt for ht

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14
Q

wt for age measures…

A

whether underweight or not

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15
Q

ht for age measures…

A

whether stunted or not

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16
Q

wt for ht measures…

A

whether wasted or not

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17
Q

growth chart used for CHRONIC malnutrition

A

ht for age

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18
Q

growth chart used for ACUTE malnutrition

A

wt for ht

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19
Q

growth chart used for ACUTE or CHRONIC malnutrition

A

wt for age

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20
Q

normal RR of newborn

A

30-60/min

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21
Q

normal RR of 2-12 months old

A

50/min

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22
Q

normal RR of 1-5 y.o.

A

40/min

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23
Q

most reliable parameter for growth

A

Growth Chart

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24
Q

when to compute for BMI

A

if wt for ht is +1 or +2

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25
Q

-2 wt for age

A

underweight

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26
Q

-3 for ht for age

A

severely stunted

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27
Q

-3 for wt for ht

A

severely wasted

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28
Q

BMI formula

A

kg/m2

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29
Q

APGAR components

A
heart rate
resp effort
muscle tone
reflex irritability
color
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30
Q

APGAR heart rate scoring

A
0 = absent
1 = <100
2 = >100
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31
Q

APGAR resp effort scoring

A
0 = absent
1 = slow and irreg
2= good and strong
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32
Q

APGAR muscle tone scoring

A
0 = flaccid
1 = some flexion of arms and legs
2= active movement
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33
Q

APGAR reflex irritability scoring

A
0 = no response
1 = grimace
2 = crying vigorously, sneeze, or cough
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34
Q

APGAR color scoring

A
0 = blue, pale
1 = pink body, blue extremities, 
2 = pink all over
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35
Q

how to measure reflex irritability

A

reaction to suction of nares with bulb syringe

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36
Q

1 min APGAR scoring

A

8-10 normal
5-7 some nervous depression
0-4 severe depression, requiring immediate resuscitation

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37
Q

5 min APGAR scoring

A

8-10 normal

0-7 high risk for subsequent CNS and other organ system dysfunction

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38
Q

Skin color. yung kamay at paa bluish. hypothermia.

A

acrocyanosis

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39
Q

skin color. yung half of the body with diff color secondary to hypothalamic immaturity

A

Harlequin sign

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40
Q

skin color. lattice-like appearance

A

mottling

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41
Q

skin color. bluish mottled appearance

A

cutis marmorata

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42
Q

skin color. icteric

A

jaundice

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43
Q

loss of elasticity, hydration, skin pinch

A

turgor

44
Q

which fontanel closes first? when do they close.

A

posterior fontanel closes by 2 mos.

anterior fontanel 4-26 mos, (90%) closes by 7-19 mos.

45
Q

20/20 visual acuity by when?

A

5-6 y.o.

46
Q

wheezes

A

musical. during expiration.

47
Q

stridor

A

musical. inspiratory wheeze.

upper airway obstruction

48
Q

rhonchi

A

sonorous wheeze; snoring,gurgling quietly; low-pitched moan; dull.
obstruction of larger main airways.

49
Q

crackles (rales)

A

fine (hair rubbing) or coarse (velcro/pouring water from bottle)

50
Q

Hoover sign

A

abdomen out and chest in; inward movement of the rib; COPD

51
Q

“purring” vibratory sensations felt by the palm of the hand over the precordium

A

thrills

52
Q

sign of LVH (feels like an abnormally large beating heart)

A

heaves

53
Q

location of valves

A

A 2R
P 2L
T 4L
M 5L (apex beat)

54
Q

thrills are associated with

A

murmurs

55
Q

murmur grading that is associated with murmurs

A

Grade 4 above

56
Q

valves that open on systolic and

close on diastolic

A

aortic and pulmonic

57
Q

valves that close on systolic and

open on diastolic

A

mitral, tricuspid

58
Q

mitral stenosis., systolic or diastolic?

A

diastolic (dun sya bukas e)

59
Q

mitral regurgitation. systolic or diastolic?

A

systolic (dun sya close e)

60
Q

stenosis

A

narrowing. naririnig kung bukas valve

61
Q

regurgitation

A

turbulence. naririnig kung sarado valve

62
Q

uneven shoulders, uneven hips, S-curved spine

A

Scoliosis

63
Q

nakaLiyad

A

Lordosis

64
Q

Kuba

A

Kyphosis

65
Q

to test dislocation of hip. paabduct

A

Ortolani test

66
Q

to test dislocation of hip. paadduct

A

Barlow test

67
Q

nasa ilalim butas ng bird

A

hypospadia

68
Q

di maretract balat ng bird

A

phimosis

69
Q

undescended testes

A

cryptochidism

70
Q

may tubig sa balls. (water in tunica vaginalis)

A

hydrocoele

71
Q

bulge in inguinal area; failure of obliteration of the processus vaginalis (7 mos) M>F

A

hernia

72
Q

CN I

A

Olfactory

difficult to test

73
Q

CN II

A

Visual acuity

have baby regard your face. and look for facial response and tracking

74
Q

CN II, III

A

Response to light
darken room, raise baby to sitting position to open eyes.
use light and test for optic blink reflex (blinking inresponse to light.
use otoscope (no speculum) to assess papillary responses

75
Q

CN III, IV, VI

A

extraocular movements

observe how well baby tracks your smiling face.

76
Q

CN V

A

Motor.
Test rooting reflex.
Test sucking reflex (watch baby suck breast, bottle, or pacifier)

77
Q

CN VII

A

Facial.

Observe baby crying and smiling: note symmetry of face and forehead.

78
Q

CN VIII

A

Acoustic

Test acoustic blink reflex (blinking of both eyes in response to loud noise)

79
Q

CN IX, X

A

Swallow
observe coordination during swallow.

Gag
Test for gag reflex

80
Q

CN XI

A

SPinal accessory.

Observe symmetry of shoulders

81
Q

CN XII

A

Hypoglossal

observe coordination of sucking, swallowing, and tongue thrusting.

82
Q

Tanner Stage 1

A

preadolescent. elevation of nipples

83
Q

tanner stage 2

A

breast bud forms below areola

84
Q

tanner stage 3

A

further enlargement and elevation of both breast and areola

85
Q

tanner stage 4

A

areola forms a secondary mound above the contour of the breast

86
Q

tanner stage 5

A

breast is fully mature, with recession of the secondary mound and a smooth breast contour

87
Q

male genitalia stage 1

A

prepubertal genitalia. with vellus hair.

88
Q

male genitalia stage 2

A

enlargement of testes and scrotum, with reddening and thinning of scrotum, no enlargement of penis

89
Q

male genitalia stage 3

A

penis began to enlarge, first in length, then in diameter, testes and scrotum continue to enlarge

90
Q

male genitalia stage 4

A

testes and scrotum continue to enlarge with continued lengthening of penis and enlargement of the glans

91
Q

male genitalia stage 5

A

genitalia of adult size and proportion

92
Q

pubic hair stage 1

A

fine vellus hair

93
Q

pubic hair stage 2

A

growth of sparse straight hair. base of penis. along the labia.

94
Q

pubic hair stage 3

A

hair increases in quantity and is darker and curlier

95
Q

pubic hair stage 4

A

resembles adult pubic hair although the escutcheon covers a smaller area than seen in adults

96
Q

pubic hair stage 5

A

increased volume. spread onto medial thighs and taken on the characteristic male or female configuration.

97
Q

attempt to dislocate femoral head from acetabulum

A

Barlow’s test

98
Q

nutrition, hydration, which part of hx

A

general survey

99
Q

oral temp vs axillary temp

A

oral temp is 0.5C higher than axillary temp

100
Q

interval hx which part of hx

A

HPI

101
Q

manner of delivery, which part of hx?

A

birth hx, under personal past hx

102
Q

useful when child’s age is unknown

A

wt for ht

103
Q

flat, short head with Down syndrome

A

brachycephaly

104
Q

checking tympanic membrane in Neonates- 3 yrs:

A

tympanic downward - pull auricle down and back

105
Q

checking tympanic membrane in > 3 yrs. old

A

pull auricle up and back