Paramedic State Test 2023 pt 3 Flashcards
What are the symptoms of pericardial tamponade?
Chest tenderness, dyspnea, JVD, clear lung sounds, tachycardia, and hypotension
What is Grey-Turners sign?
Brusing of the flanks
What can Grey-Turners sign indicate?
Retroperitoneal hemorrhage, ruptured ectopic pregnancy, and acute pancreatitis
Retroperitoneal hemorrhage most likely- based on patients’ gender, hx, and lack of blood in the urine.
What is common when a patient has CHF?
Pink, frothy sputum
65 y/o pt with COPD presents with sudden onset of right-sided chest pain and SOB after coughing vigorously.
Neck veins are flat, trachea is midline, lung sounds are absent on the right side, normal on the left.
Assessment reveals no fever or hemoptysis
Vitals signs are as follows—
BP: 132/78
Pulse: 110
RR: 30 and shallow
SPO2: 92%
What should your initial theory be?
Spontaneous pneumothorax
What is cullen’s sign?
Ecchymosis (bruising) around umbilicus
What can cullen’s sign indicate?
Bleeding in abdominal cavity
What is murphy’s sign?
Right upper quadrant pain
what can murphy’s sign indicate?
Cholecystitis
What is kehr’s sign?
Referred pain to shoulder
What can kehr’s sign indicate?
Ectopic pregnancy, spleen injury, blood under diaphragm
What is homan’s sign?
Pain in calf on dorsiflexing foot while leg is straight
What an homan’s sign indicate?
DVT
What is clubbed fingers caused by?
Chronic hypoxia
What is clubbed fingers suggestive of?
Pulmonary diseases such as COPD
What is visceral pain?
Damage or injury of internal organs that can be hard to localize
What is referred pain?
Pain that is felt in a location other where the pain originates
What is somatic pain?
Pain that originates from skeletal muscles, ligaments, joints, or peritoneal lining
Sharp localized throbbing pain and may increase upon inspiration
What is cellular respiration?
Cellular processes that convert energy from nutrients into adenosine triphosphate (ATP) and the release waste products
What is exhalation?
The passive part of breathing
What is external respiratory?
Oxygen exchange between the lungs and the circulatory system