Midterm Review Flashcards
What are the 4 phases of of acute inflammation in order
Hemostasis (blood clotting)
Inflammation
Proliferation
maturation
In which of the 4 phases of inflammation is collagen produced?
Proliferative phase
Maturation phase
In theory if someone cannot produce collagen what would happen during wound healing?
Wound healing would be slower and not as effective
Skills lab
I f someone has an accute abdomen (infection or inflammation of the periniam ) how would they present this pain?
When you push up on the area their muscles will tense up in effort to guard the pain as well as abdominal pain and a cough
Will also have rebound tenderness casuing them pain when you remove pressure from the areas
What happens to HR if someoeone is dehydrated?
HR increases
What happens to hemeglobbin and WBC when someone is dehydrated?
They BOTH increase due to chemoconcentration
Both increaing is a signal that its bc of dehydration
Name a mechanism of cancer
UV light produces free radicals causing cancer
What bacteria is super imposed on to influeza?
Staphylococcous areus
Psychiatric disorder that involves restricted interests and repetitive motions
Autisim spectrum disorder
Cancer that commonly metastisizes via the portal vein to the liver
Colon cancer
Colon cancel travels upstream using the potal vein to get to the liver
A chemotherapy patient presents with elevated K+ and phophate levels and elevated uric acid what is happening?
The patient has Tumor License Sydrome
This liver disease is a type 2 hypersensitivity polyarthritis nodosa and a result of liver disease
Hepatitus B
What is the mimic for asthma? Who doesit normally affect? What is it caused by?
Normally affects kids under 2 years old
Bronchiolitis
Caused by respiratory synctial virus (RSV)
What charachteristics does hand foot and mouth disease consist of?
High fever
Lessions on distal extremeties and mouth and maybe butt too
What diagnosis do honey cristed lessions around the mouth point to
Impetigo
What does HPV casue?
Increased risk for cancer
Skin worts
Cervical cancer
heroine abuser has weakness all ove the body and constipation due to a lack of acetocholine being released from the neuron into the neruomuscular junction, what is this?
Wound botulism
Volvo fungal vaginal infection caused by antibiotics
Candidiasis
Caused by candidia fungus
Chronic disease with high sugar associated with autoimmune disease
Type 1 Diabetes mellitus
Not enough or does not respnd to insulin
What disease shows signs of darken pigmentation of the skin and adrenal insufficiency
Adisons disease
Whats the most common cause of HYPOthhyroidsim
Hashimotos disease
Hot off the press SARS-COVI 2
Symptoms of covvid 19?
Pg (4) Fever/chills Congestion Cough Fatigue Loss of taste/smell Nausea/vomiting Headache SOB
Hot off the press SARS-COVI 2
A patient asks should they be tested for covid (pg5 figure 2)
Reguardless of vax status
If they have symptoms
Asymptomatic in close distance with someone who has had covid
Hot off the press SARS-COVI 2
When should a patient be tested for COVID?
Reguardless of vax status:
If they have recently been on a plane
If they show any symptoms
People who were in close contact with someone who had covid
Hot off the press SARS-COVI 2
Viral RNA curve
Figure 1
Viral antigen has a short spike
Viral RNA has long curve
Hot off the press SARS-COVI 2
How is the viral RNA curve different from the vral antigen curve
Viral RNA curve: a little wider
Viral antigen curve: a little skinnier, starts at a later time
Hot off the press SARS-COVI 2
How is specificity and sensitivity of a PCR test different from an antigen test when taken 28 days after getting covid
The pCR test is more specific and more senitive
What is specificity in regards to viral infections
The specificity of a virus tells us which which hosts the virus can have as well as which cells within the host can be infected
What is sensitivity in regards to viral infections?
How often a test gives a positive result when ssomeone has the disease
How is omicron different than delta
Increased transmission
Less efficacy of vaccines and antibody therapies
What is the impact of discharged patients not being able to go back to their nursinng homes
The hospitals are more full as well as ERs
Patients must be seen in the lobby
Whats the difference in symptoms of a ruptured ectopic pregnancy vs ruptured apendicitis
Rupture etopic pregnancy result si n internal bleeding and therfore pale skin
While ruptured apendicitis sign is High WBC
If the patient has a positive fast exam what might be going on?
Ruptired ectopic pregnancy because we are looking for blood in the belly
What is a fast exam
Focused assesment with sonography in trauma
An bedside ultrasound
What happens to a patients sodium level when they have been vommiting
Sodium levles will decrease
What is the Bipolar disoder
A mental disorder in which a person mood fluctuates between manic and depressed
What is the dfference btw type 1 bipolar, type 2
Type 1: full mania
Type 2: partial mania
What is one feature of mania in bipolar disorder
Sense of grandiosity
What are the 3 indications that someo should be put on a psychiatric hold
Suicidal ideation
Homicidal ideation
Grave disability