Intro to Classical Vignettes

Question 1

Describe the sign and symptom pattern for appendicitis.

Answer 1

Signs: fever, guarding of abdomen, vomiting
Symptoms: nausea, pain in RUQ, loss of appetite

Question 2

periumbilical region

Answer 2

around the navel

Question 3

anorectic

Answer 3

lack of appetite

Question 4

visceral pain

Answer 4

diffuse, dull, poorly localized- wall of hollow organs - appendix, intestine, gall bladder, heart

Question 5

somatic pain

Answer 5

sharp localized - parietal peritoneum, parietal pleura, skin

Question 6

hypovolemia

Answer 6

volume depletion, decrease in volume of blood plasma

Question 7

sinus tachycardia

Answer 7

refers to a faster-than-usual heart rhythm. Your heart has a natural pacemaker called the sinus node, which generates electrical impulses that move through your heart muscle and cause it to contract, or beat.

When these electrical impulses are transmitted normally, it’s referred to as normal sinus rhythm. Normal sinus rhythm typically results in a heart rate of 60 to 100 beats per minute.

Sometimes, these electrical impulses are sent out faster than normal, causing sinus tachycardia, which often results in a heart rate of over 100 beats per minute.

Usually a physiologic response to hypovolemis, inflammation, pain

Question 8

prednisone

Answer 8

Prednisone is a corticosteroid. It prevents the release of substances in the body that cause inflammation. It also suppresses the immune system.

Prednisone is used as an anti-inflammatory or an immunosuppressant medication. Prednisone treats many different conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders.

Question 9

dermatome

Answer 9

A dermatome is the area of the skin of the human anatomy that is mainly supplied by branches of a single spinal sensory nerve root. These spinal sensory nerves enter the nerve root at the spinal cord, and their branches reach to the periphery of the body.