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
Q

Scar (atrophic/hypertrophic)

A

Fibrotic change from wound healing

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26
Q

Keratosis

A

Elevated thick skin

27
Q

Lichenification

A

Thickened skin, tightly packed papules

28
Q

EMR

A

Electronic medical record - electronic replacement of a paper chart, a record of a patient’s history and care generated by one particular provider

29
Q

EHR

A

Electronic health record - a complete, long-term computerized electronic record of a patient’s care culled from any and all provider settings

30
Q

Caruncle

A

The small, red portion of the inner corner of the eye that contains modified sebaceous and sweat glands

31
Q

Pinguecula

A

A slightly elevated elastic tissue deposit in the eye that may extend to the cornea but not cover it

32
Q

Palpebral fissure

A

Elliptical shape between the medial and lateral canthi of the two open eyelides; opening of the eye

33
Q

Limbus

A

Edge of the cornea where it joins the sclera

34
Q

Pinna

A

External/fleshy part of the ear

35
Q

Columella

A

Fleshy external part of the nasal septum

36
Q

Glabella

A

Space between the eyebrows and above the nose

37
Q

Vermilion border

A

Sharp demarcation between the lip (red) and the adjacent skin

38
Q

Philtrum

A

Vertical groove in the middle area of the upper lip (Cupid’s bow)

39
Q

Nystagmus

A

Condition of involuntary eye movement

40
Q

Miosis/mydriasis

A

Constriction/dilation of the pupil

41
Q

Enophthalamos/exophthalamos

A

Posterior or anterior displacement of the eyeball

42
Q

Anisocoria

A

Unequal size of the eye’s pupils

43
Q

Arcus senilis

A

A white, blue, or gray opaque ring in the corneal margin, or a white ring in front of the periphery of the iris

44
Q

PERRLA

A

Pupils equal, round, reactive to light and accomodation

45
Q

Strabismus

A

A condition in which the eyes are not properly aligned with each other

46
Q

Epicanthal fold

A

Skin fold of the upper eyelid, covering the medial canthus of the eye

47
Q

Pterygium

A

A benign growth of the conjunctiva

48
Q

Chalazion

A

A cyst in the eyelid caused by inflammation of a blocked meibomian gland

49
Q

Otorrhea

A

Discharge from the external ear

50
Q

Presbycusis

A

Age-related hearing loss

51
Q

Rhinitis

A

Inflammation of the mucous membrane of the nose, caused by a viral infection or an allergic reaction

52
Q

Cheilitis

A

Inflammation and cracking of the skin of the lips

53
Q

Xerostomia

A

Abnormal dryness of the mouth resulting from decreased secretion of saliva

54
Q

Leukoplakia

A

A mucous membrane disorder characterized by white patches, especially on the cheek, tongue, vulva, or penis

55
Q

Normo-/Micro-/Macrocephaly

A

Normal, small, or large head

56
Q

Ecchymosis

A

Subcutaneous extravasation of blood larger than 1cm in diameter, not caused by trauma (unlike a bruise)

57
Q

Hematoma

A

A localized collection of blood outside the blood vessels

58
Q

Gangrene

A

Localized death and decomposition of body tissue, resulting from either obstructed circulation or bacterial infection

59
Q

Striae

A

Irregular areas of skin that look like bands, stripes, or lines

60
Q

Crepitus

A

A grating sound or sensation created by friction between bone and cartilage or the fractured parts of a bone

61
Q

Jaundice/icterus

A

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
Q

Erythema

A

Superficial reddening of the skin, usually in patches

63
Q

Hypo-/Hyper-/Depigmentation

A

Lack/Excess/Absence of skin and/or hair pigmentation

64
Q

Alopecia

A

Baldness