Physical Exam and Diagnosis Flashcards

1
Q

Disease

A

Condition in which a common etiology and pathophysiology is confirmed

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2
Q

Syndrome

A

Cluster of attributes known by a combination of features not clearly related to a single cause

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3
Q

SOAP

A

Subjective data
Objective data
Assessment
Plan

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4
Q

Inspection

A

Close careful scrutiny of the body as a whole and each body system

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5
Q

Palpation

A

Applying touch to assess texture, temperature, moisture, organ location and size, swelling, vibration or pulsation, rigidity or spasticity, crepitation, lumps or masses, tenderness or pain

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6
Q

Percussion

A

Tapping a patient’s skin with short sharp strokes to assess underlying structures

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7
Q

Auscultation

A

Listening to sound produced by the body with a stethoscope

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8
Q

FUO

A

Fever of unknown origin

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9
Q

Normal temperature ranges

A

Oral - 98.6 +/-1 (F) or 37 +/- 0.6 (C)

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10
Q

Normal pulse ranges

A

55-100 bpm

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11
Q

Orthostatic hypertension

A

Increase in blood pressure of greater than 15bpm upon sitting up or standing from supine

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12
Q

Normal respiration ranges

A

Adult - 14 to 18 cycles per minute

Infant - 44 cycles per minute

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13
Q

Normal blood pressure ranges

A

<80

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14
Q

Hypertension

A

> 140/99

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15
Q

PQRST

A
*Evaluation of pain*
Provocation and Palliative
Quality
Region and Referral
Severity (0-10)
Time
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16
Q

ABCT

A

Evaluation of mental status
Appearance - posture, body movement, dress, grooming, hygiene
Behavior - consciousness, facial expression, speech, mood/affect
Cognition - orientation, attention span, recent and remote memory, judgment
Thought processes - thought content, perceptions, anxiety, depression, suicidal thoughts

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17
Q

Levels of consciousness

A
Alert
Lethargic/somnolent
Obtunded
Stupor or semi-coma
Coma
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18
Q

ABCDE

A
*Examination of skin lesions*
Asymmetry
Border irregularity
Color variation
Diameter (greater than 6mm)
Elevation or enlargement
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19
Q

Crust

A

Thickened dried exudate

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20
Q

Scale

A

Dessicated flakes of keratin

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21
Q

Fissure

A

Linear crack

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22
Q

Erosion

A

Shallow scooped-out depression

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23
Q

Ulcer

A

Deep depression

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24
Q

Excoriation

A

Self-inflicted abrasion

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25
Scar (atrophic/hypertrophic)
Fibrotic change from wound healing
26
Keratosis
Elevated thick skin
27
Lichenification
Thickened skin, tightly packed papules
28
EMR
Electronic medical record - electronic replacement of a paper chart, a record of a patient's history and care generated by one particular provider
29
EHR
Electronic health record - a complete, long-term computerized electronic record of a patient's care culled from any and all provider settings
30
Caruncle
The small, red portion of the inner corner of the eye that contains modified sebaceous and sweat glands
31
Pinguecula
A slightly elevated elastic tissue deposit in the eye that may extend to the cornea but not cover it
32
Palpebral fissure
Elliptical shape between the medial and lateral canthi of the two open eyelides; opening of the eye
33
Limbus
Edge of the cornea where it joins the sclera
34
Pinna
External/fleshy part of the ear
35
Columella
Fleshy external part of the nasal septum
36
Glabella
Space between the eyebrows and above the nose
37
Vermilion border
Sharp demarcation between the lip (red) and the adjacent skin
38
Philtrum
Vertical groove in the middle area of the upper lip (Cupid's bow)
39
Nystagmus
Condition of involuntary eye movement
40
Miosis/mydriasis
Constriction/dilation of the pupil
41
Enophthalamos/exophthalamos
Posterior or anterior displacement of the eyeball
42
Anisocoria
Unequal size of the eye's pupils
43
Arcus senilis
A white, blue, or gray opaque ring in the corneal margin, or a white ring in front of the periphery of the iris
44
PERRLA
Pupils equal, round, reactive to light and accomodation
45
Strabismus
A condition in which the eyes are not properly aligned with each other
46
Epicanthal fold
Skin fold of the upper eyelid, covering the medial canthus of the eye
47
Pterygium
A benign growth of the conjunctiva
48
Chalazion
A cyst in the eyelid caused by inflammation of a blocked meibomian gland
49
Otorrhea
Discharge from the external ear
50
Presbycusis
Age-related hearing loss
51
Rhinitis
Inflammation of the mucous membrane of the nose, caused by a viral infection or an allergic reaction
52
Cheilitis
Inflammation and cracking of the skin of the lips
53
Xerostomia
Abnormal dryness of the mouth resulting from decreased secretion of saliva
54
Leukoplakia
A mucous membrane disorder characterized by white patches, especially on the cheek, tongue, vulva, or penis
55
Normo-/Micro-/Macrocephaly
Normal, small, or large head
56
Ecchymosis
Subcutaneous extravasation of blood larger than 1cm in diameter, not caused by trauma (unlike a bruise)
57
Hematoma
A localized collection of blood outside the blood vessels
58
Gangrene
Localized death and decomposition of body tissue, resulting from either obstructed circulation or bacterial infection
59
Striae
Irregular areas of skin that look like bands, stripes, or lines
60
Crepitus
A grating sound or sensation created by friction between bone and cartilage or the fractured parts of a bone
61
Jaundice/icterus
Yellowing of the skin or whites of the eyes, arising from an excess of the pigment bilirubin; typically caused by obstruction of the bile duct, liver disease, or excessive breakdown of red blood cells
62
Erythema
Superficial reddening of the skin, usually in patches
63
Hypo-/Hyper-/Depigmentation
Lack/Excess/Absence of skin and/or hair pigmentation
64
Alopecia
Baldness