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Year 1: 2019 PCM I Midterm > Lecture 3: General Appearance and Skin > Flashcards

Lecture 3: General Appearance and Skin Flashcards

1
Q

What do you look for in general appearance?

A

Alterness

Orientation: person/place/time/situation

Apparent state of health

  • healthy, sick/ill, toxic
  • pain, anxiety, depression

Apparent age

Race/ethnic background

Signs of Disease

Odor

Affect/Mood

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2
Q

What is an unsteady gait?

A 
Lack of coordination
Abnormal posture during ambulation
Gait influenced by pain
Muscle abnormalities
Nervous System
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3
Q

What can cause unsteady gait?

A 
Inflammatory Joint Disease
Joint and Bone Infection
Muscle Disease
Tendon Disease
Due to Trauma
Congenital Diseases
Footwear
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4
Q

Describe a Parkinsonian gait

A

Body faces forward
Wide base
Shuffling steps
Tend to fall forward and increase speed (festination)

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5
Q

What do you assess when looking at skin?

A 
Tattoo
Scars
Rashes
Lesions 
Color
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6
Q

What are the ABCDE to Skin Lesion

A 
A: Asymmetry
B: Border
C: Color
D: Diameter
E: Evolution
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7
Q

What is hirsutism?

A

Excessive Hairiness especially in women

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8
Q

What is virilization?

A

Secondary male sexual characteristics in females

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9
Q

What is alopecia?

A

Balding, loss of hair

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10
Q

What is the common area of skin cell carcinomas?

A

Face

-check neck too

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11
Q

What should you inspect in the eyes?

A

Sclera for jaundice

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12
Q

What should you inspect in the nose?

A

Examine nostrils for tumors or erosions

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13
Q

What should you inspect in the oral cavity?

A

Examine all surfaces of the mucosa

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14
Q

What should you inspect in the ears?

A

Lightly palpate ears for keratotic areas

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15
Q

What should you inspect in the arms?

A

Examine for psoriases and atopic dermatitis

-look at elbows and anticubital fossae

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16
Q

What should you inspect in fingernails?

A

Look for onycholysis, horizontal/vertical defects, and evidence of clubbing

17
Q

What should you look in trunk?

A

Nodes

Area underneath breasts to check for infections

18
Q

What are intertriginous areas?

A

When two different skin areas are touching

*Breast tissue touching stomach

19
Q

What should you inspect in abdomen area?

A
  • Examine body fold areas for candida infection or intertrigo
  • Check inguinal area for lymphadenopathy and signs of fungal infection
20
Q

What should you inspect in legs?

A

Check feet for pallor and decreased temp
Check pulses
Examine feet for diabetic symptoms (sensation/ulcers)

Year 1: 2019 PCM I Midterm (16 decks)

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