HPI and PE Flashcards

1
Q

without sensation, a temporary state consisting of unconsciousness, loss of memory, lack of pain, and muscle relaxation

A

anesthesia

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2
Q

sensation of tingling, tickling, pricking, or burning of a person’s skin with no apparent long-term physical effect. May be transient or chronic

A

Paresthesia

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3
Q

sensation that exactly resembles that of smallinsectscrawling on (or under) the skin

A

Formication

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4
Q

Absence of neurologic reflexes such as the knee jerk reaction

A

Areflexia

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5
Q

Muscular spasms involving repeated, often rhythmic contractions

A

Clonus

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6
Q

Liver flaps

A

hold up hands like you’re stopping traffic and then push back on palms
if pt’s hands start flapping, it signals liver encephalopathy

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7
Q

Loss of smell

A

Anosmia

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8
Q

an overwhelming fear that you have a serious disease, even though health care providers can find no evidence of illness

A

Hypochondriasis

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9
Q

sudden death of brain tissue due to lack of oxygen and blood flow to the brain

A

Cerebrovascular accident (CVA)

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10
Q

MC CVA type

A

ischemic (~10x more common than hemorrhagic)

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11
Q

A “mini-stroke”, producing similar symptoms, but usually lasting only a few minutes to < 24 hours, causing no permanent damage

A

Transient Ischemic Attack (TIA)

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12
Q

CVA and TIA link

A

1 in 3 people who have a TIA will eventually have a stroke, with about half occurring within a year after the transient ischemic attack

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13
Q

Difficulty with gait or balance

A

Ataxia

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14
Q

Double vision

A

Diplopia

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15
Q

Difficulty forming words

A

Dysarthria

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16
Q

Recovery period following seizure activity

A

Postictal

17
Q

A perception of movement – usually spinning or whirling

A

Vertigo

18
Q

Lightheadedness, feeling faint or nearly passing out. Not a sensation of environment or surroundings swirling or moving

A

Dizziness

19
Q

Difference of >0.4 mm in the diameter of one pupil compared to the other

Seen in up to 38% of healthy individuals

A

Anisocoria

20
Q

Type of tremor that occurs when muscles are relaxed

Mostly hands and fingers

Parkinson’s Disease “pill-rolling”

A

resting (essential) tremors

21
Q

Intentional tremor:

purposeful movement toward a target

A

Common Action Tremor

22
Q

If suspecting CNS involvement, consider…

A
  • Cerebral cortex
  • Basal ganglia
  • Brainstem
  • Cerebellum
  • Spinal cord
23
Q

If suspecting PNS involvement, consider…

A
  • motor nerves
  • sensory nerves
  • neuromuscular junction
24
Q

Timing of appearance…

Rapid onset usually indicates:

A

vascular event

seizure

migraine

25
Q

Timing of appearance…

Slower onset usually indicates:

A

ischemic process rather than hemorrhagic

26
Q

Timing of appearance…

Slower progressive symptoms usually indicates:

A

toxic

metabolic

infectious

inflammatory process