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Physical Assessment > Immune System > Flashcards

Immune System Flashcards

1
Q

facial features of someone with down syndrome

A

ears are higher than the inner canthus of the eye

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2
Q

prearicular lymph node

A

drains temporal area, lateral surface of the ear, lateral parts of eyelids

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3
Q

submandibular/submaxillary node

A

drains mouth, lower incisor, gum and lip

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4
Q

buccal node

A

drains submandibular group

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5
Q

retropharyngeal

A

drains pharynx

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6
Q

submental

A

floor of mouth

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7
Q

occipital

A

occipital region/ back of head and higher neck

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8
Q

superficial cervical

A

hard pallate

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9
Q

deep cervical/ posterior cervical

A

drains back of neck

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10
Q

supraclavicular

A

mediumstinum, lungs, esophogus

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11
Q

lymphatics are developed by age

A

adult size by 6

full size by 10-11

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12
Q

lymphatics and pregnancy

A

thyroid enlarges dt hyperplasia and increased vascularity

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13
Q

edentia

A

no teeth

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14
Q

Kiesselbiegels plexus

A

area of blood vessels for nose bleeds

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15
Q

turbinates

A

clean/warm/moisten air

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16
Q

frenulum

A

attaches tounge to floor, check for cancerous sores

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17
Q

epistaxis

A

nose bleeds

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18
Q

hyperemic

A

gums may bleed

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19
Q

bifid uvula

A

(split uvula) native americans, asians

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20
Q

cleft palate. cleft lips

A

Native americans, asians

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21
Q

torus palatinis

A

bony ridge middle of the hard palate (native americans/ asians/ inuits)

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22
Q

rhinorrhea

A

runny nose

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23
Q

sprays can cause a

A

rebound effect, now patient cant stop using them

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24
Q

delayed teeth eruption is a sign of

A

down syndrome

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25
Q

preventing ear infections while bottle/breast feeding

A

prop baby up at a 30 degree angle so there is no drainage into the eustachian tubes

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26
Q

xerostomia

A

dry mouth caused by atrophy of salivary glands

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27
Q

rhinitis

A

mucosa swollen and bright red, also discharge

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28
Q

polyps

A

beniegn growths in sinus

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29
Q

cherry red mouth

A

posioning

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30
Q

circumoral pallor

A

anemia or shock

31
Q

tetracycline and iron can cause change in

A

teeth and gums coloration

32
Q

a common spot for mouth cancer

A

under the tounge

33
Q

saying “ahhhhh” does what?

A

palate and uvula will raise, which checks cranial nerves

34
Q

white patches that do not scratch of the tounge

A

leukoplakia

suspect carcinoma

35
Q

eliciting gage reflex does what?

A

checks cranial nerves

36
Q

halitosis

A

bad breath

37
Q

fruity breath

A

normally caused by diabetes

38
Q

ammonia breath

A

liver issues/failure

39
Q

cochlea intervated by

A

cranial nerve VII

40
Q

air conduction is

A

the best medium and most common medium for sound

41
Q

bone conduction

A

vibrations travel through bone to the inner ear

42
Q

obstruction

A

cerumen, foreign body, ruptured by tympanic membrane, serum, ups

43
Q

mass loading

A

fluid in middle ear

44
Q

stiffness effect

A

otosclerosis (ossicles harden)

45
Q

discontinuity

A

ossicular disruption, normally caused by trauma

46
Q

ototoxicity

A

caused by Gentamyacin, ASA, lasik

47
Q

neural hearing loss

A

lesion of CN VIII caused by:
acoustic neuroma (benign tumor of the middle ear)
MS (young person)
CVA

48
Q

increasing amplitude may not

A

may not always increase the ability to understand words

49
Q

color of tympanic membrane

A

pearly grey

50
Q

impacted cerum

A

common loss of hearing, build up due to swimming and showering, it expands then impacts

51
Q

external otitus media

A

discharge is purulent, sanguineous or watery

52
Q

perferation

A

pain then popping sensation then drainage

53
Q

tinnitus

A

ringing noise, Mineres disease or hearing loss

54
Q

if mother had ____, _____, or _____ can cause hearing issues

A

Rubella
Syphilis
otoxic meds (major diuretics, ASA, gentamyocin)

55
Q

PMH

A

include medication Hx

56
Q

FH

A

otosclerosis common loss of hearing (ages 20-40)

57
Q

Macrotia

A

large ears

58
Q

microtia

A

small ears

59
Q

tophi

A

small yellow whitish ears hard non tender nodules, sign of gout

60
Q

sebaceous cysts

A

blocked sebaceous glands

61
Q

keloid

A

overgrowth of scare tissue

62
Q

carcinoma

A

ulcerated crusted nodule with induration (caused by sun exposure)

63
Q

atresia

A

absence of closure of ear canal

64
Q

adult assessment

A

pull pinna up back and out

65
Q

child assessment

A

pull pinna back and down

66
Q

look of tympanic membrane

A

shiny translucent positive pearly grey with light reflex

67
Q

tympanostomy tubes

A

should fall out on own, stops ear infections

68
Q

newborns

A

moro reflex (startle reflex)

69
Q

3-4 months old

A

acuostic blink reflex

70
Q

6-8 months old

A

turns head towards sound

71
Q

AC and BC with tuning fork

A

AC louder than BC is normal

72
Q

Webers test

A

hear better in one ear indicates loss in one ear

73
Q

Rinnes test

A

AC>BC 2x longer than hearing at mastoid

74
Q

Romberg

A

assesses inner ear, close your eyes and hold hands out and stand with out swaying

Physical Assessment (10 decks)

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