phy final Flashcards
fremitus
vibration
light palp, moderate palp, deep pal,
1cm
1-2cm
2-4cm
most common type of percussion
indirect
tympany
air filled organ, stomach or intestine
resonance
air in lungs
hyper resonance
air trapped
dullness
organ
flatness
bone
integumentary system
skin hair and nails
skin function
protection temperature vitamine D storage fat and blood excretion sensation
eccrine gland
sweat gland,
h20 and nacl
apocrine gland
located in aeras of hair
thick milky secretions
bacteria mixwd sweat
sabeacous/ oil glands
sebum
lube skin and hair
everywhere but dorsal appendages
increaed in scalp head and chin
hair is composed of
keratinized cells 2 trpes
vellus
short fine hair
therminal
thick dark
woods lamp
identifies fungus
jaundice inspection on darm patiens
lips , oral mucosa, sclera, conjuctuva adn palms
macule and patch
flat non papl change in color
over 1 cm may have uneven boarder “ mongolian patch “
port wine stain
vitiligo
papule
solid papl mass less than .05cm ( moles and warts )
plaques
groups of papule
nodule
elevated solid hard mass
less than 2cm
circle border
visicle bulla
blister , elevated fluid filled\
bullae is greter than .5cm
tumor
solid masss greater than 2cm with uneven boarder
pustule
elevated puss filleed
wheal
elevated uneve
incect bite
cyst
elevated and encapsulated greater than 1cm
inspection of red skin
dorsal part of hand
clubbing
copd lack of 02
vernix caseosa
white cheese like mix of sebum
millia
sebum collection in hair folicle
lanugo
fine downy like hair on newbourn
melasma chloasma
mask of pregnacy hyper pigmentation
skin pigment durring pregnacy
increases
linea nigera
linear darekned line
increased darken moles nipples and scars
geriatric decreased
skin elasticity
sebum production
perspriation
melanin production
atrophy
old people paper skin
crust
Dry blood, serum, or pus on the skin surface from burst vesicles or pustules.
fissuer
cracke skin
kelloid
An elevated, irregular, darkened area of excess scar tissue caused by excessive collagen formation during healing that extends beyond the site of the original injury.
moles a b c d e
asymmetry boarder color diameter evolving
ulcer
venous HTN
Hemangioma
A bright red, raised lesion about 2–10 cm in diameter that does not blanch with pressure and is usually present at birth or within a few months of birth. Typically, it disappears by age 10.
Petechiae
red freckles
Purpura
flat reddish blue patches
annular
leason with circular shape
confluent
leason that runs together
discrete
seperated and sicrete
grouped
clustered leasions
target
concentric circle leasions
polycystic
circular but united
zosterform
linear leasons on nerve rout
tinea
fungal or secondar bacteral
rubeola
nonblanching red freckles that begin on the face
basal carcinoma
ulcer begin as shiny papule
squamous cell carcinoma
clearly defined elevated boarder
malignant melanoma
grater than 6cm irregular boarder with discoloration
kaposi sarcoma
milignt tiumor of hiv patients
seborrheic dermatitis
cradle cap
tinea capitis
scalp ringworm
fungus
alopecia areata
hair loss
hirsitum
excess body hair
ascultation of the temporal artery
bruit - bell of stethscope
examine lymph nodes w/
gentle circular
acromegly
enlargement of joints and bones
craniosytosis
early closure of sutures
classic migraine
depressed restless n/v flashing light localizes and light sensitive
cluter ha
numerous over days or weeks
acute onset with aura
tenson HA
muscle contracetion HA
hyperthyroidism
amenorreaha insomnea heat intolerance increased weight loss diaphroesis
hypothryadism
constipation
skkin changes
weight gain
cool skin
graves disease
hyperthryodism
sullen chart
20ft
rosenbaum
12-14in
near sited
myopia cant see distance only up close
farsited
hyperopia cant see close things
nastagumas
flutter of eye crainial nerve III
corneal light reflex
light in both eyes should seee twinkle
ptosisi
eye drooping
red reflex exam
examiners right eye pateints left eye
no reflex = cataracts
presbyopia
age related farsitedniss
lateral deviation
normal till 4mo
iris blue/grey
color by 3 mo
astigmatism
light refraction over large aera instead of small aera
optic chiasm
bilateral prephrial viison los
esotopia vs exotropia
eye goes in vs out
mydriasis
fixed dialted
horners syndrome
one pinpoint pupil non reactive to light
belpharitis
staph inflimation of eyelid
basal cell carcinoma
papular apperance
chalazion
firm non tender nodule
entropion
inversion of eyelid muscle spasm
ectropion
exvirsion of lower eyelid due to weakened muscle
pteryguim
non cancerous growth from contjuva
glycoma vs cataracts
glycoma is increased in interocular pressure and cataracts is opacity in lens
pinguecula
yellowish nodules in conjunctiva
macular degeneration
2 stages
dry - vestles ebcome weak and brittel
wet -
vestles break done and leak into eye
degeneation of the macula
impared central vision
auditory canal inspection of adult
pinna up and back
auditory cal inspection of a child
pina downw and back
tempanic membrane
peral grey in color
ear infection
otis externia
whisper test
high frequency sounds
rhinne test
air and bone conduction
bone should fade first
webber bone to bone
if the hearing is beeter in impared ear because direct conduction and not picking up enviromental sound
nasal polyups
chronic allergies
presbycusis
gradual hearing loss in elderly patients
pregnacy norms
epitaxiis rhinitis increase sense of smell
otitis externia
media
ear canal vs red buldging eardrum
rhinitis
nasal inflimation
blakc hairy tongue
black hairy tongue tempoary inhibition of normal bacteria
ankyloglossia
tongue studk to botom of mouth
mediastinum
countans hear trachea esophagus
right lung vs leftlung
right lung 3 loabs
left 2 loabs taller
eupnea
regular breathing
dyspnia
change of difficulty i breathing
unilateral delayed expansion of lungs
fibrotic structures or pneumpthorax
fremitus increases
with fluid or fibrotic structures
rhales
crackles that do not clear with cough
fine -crackle
course - bubble
durring expriation
ronchi
clear with cough
wheex = obstruction
snorouse - fluid
stridor
obstructed upper airway
bronchophony
egophany
99 become lauder and clear with consilidation
E sounds like ayyyyyy
bad
tachypenia
rapid shallow
bradypenia
slow regular
hyperventliation
rapid deep
hypoventliatiion
irregular shallow
cheyne strokes
deeep breathing and apnea
obstructed breathing
slower expriation (copd)
excavastium vs pectus carnatum
in vs out
kyphosis
posteriou curvature of the thoracic spine
lateral is scholosisi
pregnant female abg
resp alk
asthma
chronic hyperactive condition of bronchiospasm
atelectasis
collaps of avoli resulting in impared inflation of lung
mucus plug or lack of surfactant
bhronchitis
inflimation of trachialbronchial treee
emphysema
chronoic over inflation and distruction aveoli
pneumonia
infection of alveoli
pleural effusion
fluid in plueral space
chf
edema around aveoli
mammory ridge
line of different points a nipple can be ( supernumammory nipple)
colostrum
nipple leakage before child birth
breast inspection
first three finger pads with dime sized circular motion
glacorahhea
lactation w/out pregnancy
witches milk
neonatal milk
binign breastdisease
(FIBROCYSTIC BREAST DISEASE
thinckning of normal breast tissue
fibroadenoma
benign tumor of glandular tissue of the breast
intraductual papilloma
growth of epicelial cells that product into the lumen
mamary duct electaus
inflimation of the ducts
orang peal skin on breast
sig of breast cancer
s1/s2
lub dub
av - semilunar
murmurs
harsh blowing sounds disruption of blood flow
p pr qrs t qt
AD sa-Av travel time ventricular depolarization ventricular repolarization VD - VR
stroke volume vs CO
sv= 1 beat co = 1min
preload vs afterload
stretch in
contract out
scholosis and the heart
prolapsed mitral valve
ductus arteriosis
hole pulmonary artery descending aorta
foramen ova
hole between r and l atria
coarctation of the aorta
aorta narrowed at birth
tetralogy of fallot
fucked by four
normal pulse normal
0-absent 1-weak 2-normal 3-increased 4-bounding
alans test
respiratory for colateral circulation
aarterial insuffency
diminished pplses
cool shiny skin
deeep muscle pain ffrom elevation
venous insufency
uneven edges
pain prolonged sitting gor standing
normal temp
varicosites
dilated veins diminished rate of blood flow
raynauds disease
spasms in the fingers causeing purple fingers
alimentary canal
the tube !
scaphoid
stomach sucked in
RLQ
bowl sounds
merphys signn
cholecystitst
esophageal atresia
esophagus end in pouch instead of stomach
atresia and fistulas determine name
pyloric stneosis
thicking of the pyloric muscle
hep a b c d e
a- fecal oral b- parenteal sex c - blood d- b e- travel
abdominal assessment
xprocess umbillicus costal margins iliac crest pubic bones
abdominal assessment
xi - cup
xprocess umbillicus costal margins iliac crest pubic bones
urinary assessment
contravertebral angle
rectus abdominas
symphesis pubis
female ureter length
10-12 inhes
stereogenesis
object in hand
graphesthesia
draw in hand
anosmia
loss of smell
asthesia
hyper anf hyposthesia
since of touch
rapid alturnating action
indication of upper motor weakness
tonic neck
infiant head turned and arms and legs will extend tword that direction ends at 2-6 mo
palmar grasp
3/4 mo
plantar grasp
6-8mo
moro
extend arms and flex legs w/ laud sounds = 4-6 mo
p p s b b
34 68 45 46 1824
ataxic gate
ms/alc intox/
wide base and swaying
scosor gate
knee slap spastic lower foot
ms