sx Flashcards
tenderness in neck front of and below ears, pain on swallowing, rash, headache, muscle aches, low-grade fever loss of appetite, and earache aggravated by chewing is
mumps
common cold symptoms, violent cough ending in high-pitched inspiratory whoop, vomiting of thick mucus, and a cough that gradually diminishes is
pertussis
cough, coryza, conjunctivitis, photophobia, blotchy rash, fever, and Koplik spots is
measles
Rose colored slightly elevated rash on face then downward on body, low grade fever, tender and enlarged lymph nodes are
rubella
extremely febrile, irritable, sweating profusely, stiff neck, tight jaw, spasms of facial muscles, difficulty swallowing, muscles of back and abdomen rigid, convulsive spasms, and asphyxiation is
tetanus
URI, hoarseness, fever, harsh high pitched cough, stridor during inspiration, dyspnea, grunting noise/wheezing, pale skin w/circumoral cyanosis, and anxiety/frightened is
croup
sore throat, croupy cough, fever, respiratory distress from obstruction, red and swollen epiglottis, rapidly increasing dyspnea, and drooling is
epiglottitis
mild to severe sore throat, fever, chills, headache, malaise, anorexia, muscle and joint pain, inflamed and swollen tonsils w/yellowing exudate from crypts, lymph glands are tender and enlarged
acute tonsillitis
mouth breather, snores during sleep, sleep apnea, speech has nasal quality
adenoid hyperplasia
incessant productive/nonproductive cough, expiratory wheeze, rapid shallow respirations, rapid pulse, pallor, profuse perspiration, inability to speak, nasal flaring, intercostal/sternal retractions, anxious, exhaustion, tight chest feeling, diminished breath sounds/wheeze/rhonchi
asthma
cough, nasal congestion, wheezing, tachypnea, respiratory distress, fever, posttussive emesis, breathing too fast to feed, dehydration, apnea
bronchiolitis
intermittently draws up legs, clenches fists, cries as if in pain, farting/burping, episodes in late afternoon & evening, thrive, gain weight, tolerate formula/breast milk
infantile colic
mild to intense itching and irritation in area of eggs
helminth infestation
intestinal cramping, weakness, nausea, irritability, fever, painful passage of stool
diarrhea
pallor, weakness, fatigue, listlessness, palpitations, tachycardia, cardiac enlargement, jaundice, mental sluggishness
anemia
fever, easy bruising, pallor, weakness, weight loss, bone and joint pain, enlarged lymph nodes and spleen, anemia, susceptible to infection, prolonged bleeding time
leukemia
anemia, jaundice, kernicterus, enlargement of liver and spleen, extreme hemolysis
erythroblastosis fetalis
extreme hemolysis, seizures, lethargy, intellectual developmental disorder, edema, pulmonary congestion
hydrops fetalis
loss of appetite, vomiting, irritability, ataxic gait, anemia, weakness, colic, peripheral neuritis, intellectual developmental disorder, symptoms of encephalopathy (vomiting, headache, stupor, convulsions, coma)
lead poisoning
lethargy, listlessness, irritability, combativeness, vomiting, hepatic dysfunction, hyperventilation, hyperactive reflexes, disorientation, convulsions, delirium, organ changes, coma, loss of cerebral function, seizures, loss of deep tendon reflexes, respiratory arrest
Reye syndrome
delayed growth, smaller eye openings, eyes widely apart, thin upper lip, CNS problems, heart defects, intellectual developmental disorder, learning difficulties (decreased attention span and memory, visual and auditory problems, communication difficulty), poor developed
fetal alcohol syndrome
mild excoriation/maculopapular rash to blisters and ulceration around infant’s genitals
diaper rash
abdominal mass, abdominal pain/fullness, anemia, bone pain, fever, hypertension, periorbital ecchymosis (raccoon eyes)
neuroblastoma
flulike sx (sore throat, fever, body aches), lymphadenopathy, weight loss, fatigue, diarrhea, night sweats, lower T cells, frequent infections, encephalopathy, malignancy, dementia, death
AIDS
history of chronic/recurrent infections, GI disease (diarrhea, abdominal pain, weight loss), lymphadenopathy, splenomegaly, hepatomegaly, chronic lung disease, granulomatous, increased autoimmune disorders
common variable immunodeficiency
asymptomatic, recurrent sinopulmonary infections, GI infection, autoimmune disease, food allergies, anaphylactic reactions, recurrent otitis media/sinusitis/pneumonia
selective immunoglobulin A deficiency
absent/near-absent tonsils and adenoids, lymphadenopathy, splenomegaly, recurrent severe gram-positive infections, enterovirus infection
x-linked agammaglobulinemia
severe recurrent infections, chronic diarrhea, failure to thrive, discernible lymphoid tissue absent, hypogammaglobulinemia, very low/absent T cells
severe combined immunodeficiency
abnormally wide set downward slanting eyes, low set ears w/notched pinna, small mouth, abnormalities of palate, cardiovascular defects, underdeveloped/absent thymus and parathyroid gland, signs of tetany, cognitive impairment
DiGeorge Anomaly
large circular lesions on skin/mucous membranes/nails/vagina, sores in mouth, recurrent thrust, diaper rash, recurrent respiratory tract infection, endocrine disorders, autoimmune conditions
chronic mucocutaneous candidiasis
eczema, thrombocytopenia w/severe bleeding, increased susceptibility to bacteria and viral infections, petechiae, purpura, hematemesis, epistaxis, hematuria, GI and intracranial bleeding
Wiskott-Aldrich Syndrome
fatigue, weakness, chills, fever, dyspnea, itching, pale, jaundice, bruise easily, hypotensive
autoimmune hemolytic anemia
sore tongue, weakness, tingling & numbness in extremities, slight jaundice, anorexia, nausea/vomiting, diarrhea, constipation, flatulence, weight loss, vulnerable to infection, neuritis, peripheral weakness, paresthesia, ataxia, light headedness, tinnitus, altered vision, optic muscle atrophy, headaches, weakness, dyspnea, tachycardia, premature ventricular contractions, congestive heart failure
pernicious anemia
inability for blood to clot, spontaneous hemorrhages, petechiae, ecchymoses, GI bleeding, epistaxis, menorrhagia, hematuria, easy bruising
idiopathic thrombocytopenia purpura
acute glomerulonephritis, relatively acute renal failure, proteinuria, anemia, hemoptysis, hematuria, weight loss, fever, fatigue
goodpasture syndrome
inflammation of skin/joints/nerves/kidneys/lungs/organs, butterfly rash, photosensitivity, fever, fatigue, joint pain, malaise, joint deformities, weight loss, Raynaud’s phenomenon, hair loss
systematic lupus erythematosus
sclerosis, shrinking of skin and organs, tau/firm/edematous skin, skin firmly attached to subcutaneous tissue, skin tough and leathery, itchy, pigmented patches, Raynaud’s phenomenon, joint swelling stiffness and pain
scleroderma
xerostomia, keratoconjunctivitis sicca, difficulty talking/chewing/swallowing, sores on or in mouth/nose, dental decay
sjogren syndrome
inflammation and edema of synovial membranes, destroyed cartilage, deformed joints, destroyed bone, paralysis, death, inflammation around/in lungs/heart/blood vessels, unexplained weight loss, fatigue, persistent low grade fever, general malaise, edema/pain/tenderness/erythema/warmth in joints, joint stiffness, bursitis, anemia
rheumatoid arthritis
fluctuating temperature, poor appetite, weight loss, blotchy salmon-colored rash, anemia, swollen/stiff/painful joints, red painful eyes, swollen cervical/axillary lymph glands, irritability, acute pericarditis, impaired skeletal development
systemic juvenile idiopathic rheumatoid arthritis
recurring morning low back pain & stiffness, fatigue, weight loss, fever, diarrhea, eye pain, photophobia, pain, tenderness, heel pain, inflammatory bowel disease, family incidence of arthritic conditions, cervical/thoracic axial pain, stiffness w/paraspinal muscular spasm, limited ROM, forward flexion of spine
ankylosing spondylitis
gradual/rapid muscle weakness, loss of muscle power & atrophy, trouble swallowing & weakness in lifting, muscle ache, tender muscles, skin inflammation, rash over face/shoulders/arms/bony prominences, and fatigue is
polymyositis
weakness/numbness in limbs, optic neuritis, loss of vision in 1 eye, diplopia, unsteady gait, vertigo, difficulty peeing, facial numbness/pain, speech problems, dysphagia, hearing loss, impotence (men), fatigue, emotional disturbances
multiple sclerosis
extreme muscle weakness w/o atrophy, progressive fatigue, drooping eyelids, diplopia, difficulty talking/chewing/swallowing, and myasthenic crisis is
myasthenia gravis
purpura, petechiae, erythema, ulcerations, edema, pain & burning sensation, ocular lesions, genital/oral ulcerations, abdominal pain, arthralgia, weakness
small vessel vasculitis
headaches, fever, weakness, fatigue, malaise, anorexia, ,weight loss, dyspnea, hypertension, visual disturbances, muscle & joint pain, angina, ischemic pain, ulceration of skin, weakness, numbness
systemic necrotizing vasculitis
proportional overgrowth of all body tissue, abnormal & accelerated growth, lengthy long bones, delayed sexual development, delayed mental development
gigantism
overgrowth of bones in hands/face/feet, excessive overgrowth of soft tissue, joint pain, large spaces between teeth
acromegaly
metabolic dysfunction, sexual immaturity, delayed growth, other sx depending on specific hormone deficiency is
hypopituitarism
extremely short stature but proportional and no secondary sex characteristics are
dwarfism
polyuria, polydipsia, fatigue, sx of dehydration, dry mucous membranes, hypotension, dizziness, and poor skin turgor is
diabetes insipidus
asymptomatic, goiter, difficulty swallowing, dyspnea, weight loss despite good appetite, heat intolerance, tachycardia, anxiety, and increased sweating is
simple goiter
gradual and painless lumpy enlargement of thyroid, pressure in neck, difficulty swallowing, sensitivity to cold, weight gain, fatigue, depression, mental apathy
hashimoto thyroiditis
rapid bpm & palpitations, nervousness, excitability, increased metabolism, losing weight despite excessive appetite, insomnia, profuse perspiration, warm moist skin, intolerant of hot weather, muscular weakness, onycholysis, general hyperactive behavior, loss of hair, tremor, exopthalmos, dermopathy
graves disease
fatigue, cold intolerance, constipation, dry flaky skin is
hypothyroidism
intellectual development disorder, delayed growth, dwarf, stocky, protruding abdomen, short forehead, broad nose, small wide-set eyes, puffy eyelids, wide open mouth, thick protruding tongue, expressionless face, dry skin, failed to develop sex organs, can’t stand or walk
crtinism
excessive fatigue, muscular weakness, loss of hair, weight gain, constipation, intolerance to cold, dry and scaly skin, puffiness of hands, enlarged tongue
myxedema
asymptomatic, hard painless lump on thyroid, vocal cord paralysis, obstructive symptoms, cervical lymphadenopathy, dysphagia
thyroid cancer
hypercalcemia, irritability of nerve and muscle, muscle weakness and atrophy, GI pain, nausea, conduction defects in heart, back pain, renal calculi, bone tenderness, arthritic pain, easy fracturing of bones
hyperparathyroidism
hypocalcemia, excessive deposits of calcium in tissue, hyperexcitable nervous system, overstimulation of skeletal muscles, numbness & tingling of fingertips/toes/ears/nose, muscle spasms/twitching of hands and feet, tetany, emotion changes, confusion, irritability, laryngospasm, arrhythmia, respiratory paralysis, death
hypoaprathyroidism
fatigue, muscular weakness, weight gain, fat deposits on scapulas and trunk, protruding abdomen, salt and water retention, moon face, hyperlipidemia, hyperglycemia, osteoporosis, atherosclerosis, change in mood and cognition, decreased short term memory, thin skin, easily bruise, red or purple striae, excessive hair growth, amenorrhea, impotence
cushing syndrome
fatigue, weakness, anorexia, agitation, confusion, weight loss, GI disturbances, bronze skin color, irregular pulse, reduced cardiac output, orthostatic hypotension, depression, anxiety, emotional distress, can’t retain salt and water
addison disease
ketonuria, hyperglycemia, polyuria, polydipsia, weight loss, fatigue, pruritus, fruity odor to breath, retinopathy, neuropathy, renal failure, atherosclerosis, MI, cerebrovascular accidents, delayed healing, susceptible to infection
diabetes mellitus
asymptomatic, polyuria, polydipsia, polyphagia
gestational diabetes
sweating, nervousness, weakness, hunger, dizziness, trembling, headache, palpitations, confusion, visual disturbances, drunken behavior, stupor, coma, seizures is
hypoglycemia
early development of secondary sex, gonadal development, spermatogenesis, altered growth pattern, emotional disturbances, pubic and facial hair, gonads and penis increase, sebaceous gland activity increase is
precocious puberty in boys
increased growth rate, breast enlargement, pubic and underarm hair before 8 year, menarche before 10 yrs, ovarian function, pregnancy, emotional problems
precocious puberty in girls
slow onset, thirst, increased urination, nausea, vomiting, abdominal pain, drowsiness, lethargy, flushed appearance, dry skin, fruity breath odor, dehydration, heavy respiration, dilated and fixed pupil, hyperglycemia, ketoacidosis, loss of consciousness, coma
diabetic coma
rapid onset, hunger, trembling, paleness, feeling faint, cold sweat, headache, anxiety, rapid heartbeat, irritability, impaired vision, hypoglycemia, confusion, seizures, loss of consciousness
insulin reaction
blurred vision, eye fatigue, rubbing of eyes, squinting, headaches
refractive errors
repetitive or involuntary movement of either/both eyes (horizontal/vertical/circular/combo), blurred or decreased vision
nystagmus
esotropia, exotropia, diplopia
strabismus
swelling, redness, pus, feeling something in the eye
horedolum
varied size, redness, swelling, pain, nodule
chalazion
decreased visual acuity, irritation, tearing, photophobia, mild redness of conjunctiva
keratitis
persistent redness, crusting on and around eyelids, itching, burning, foreign body sensation, bilateral and symmetric, eyelashes fall out, irritation of eyes
blepharitis
foreign body sensation, tearing, itching, redness, conjunctivitis, vision problems, damage to cornea, epithelial defects
entropion
tears down cheeks, eye dryness, tearing
ectropion
drooping of upper eyelid
blepharoptosis
redness, swelling, foreign body sensation, itching, tear excessively, photophobia, discharge
conjunctivitis
foreign body sensation, scratchy, burning, stinging, photophobia, blurred vision, redness of eyes, difficulty night time driving and wearing contacts is
keratoconjunctivitis
pain, redness, tearing, foreign body sensation, and vision impairment is
corneal abrasion/ulcer
redness and irritation to an isolated part to single eye
episcleritis
intense redness, pain, blurred vision, inflammation in posterior part of eye, vision loss, perforation of globe, sx in either both or one eye
scleritis
deterioration of vision, poor night vision, yellowing/fading of colors, loss of brightness and colors, need bright light for reading, visible cataract
cataract
chronic open angle glaucoma is generally
asymptomatic
blurred vision, severe eye pain, headaches, redness of eye, photophobia, sees halos around light, severe pain, nausea/vomiting, hazy cornea, significantly high IOP
acute angle closure glaucoma
mild distortion of central vision, straight lines appear wavy, semiopaque spots, activities requiring sharp vision is impossible
macular degeneration
microaneurysm, hemorrhages, dilation of retinal vines, macular edema, formation of abnormal new vessels, vision sharpness and clarity change, sx in both eyes
diabetic retinopathy
retinal tear or hole, new floaters, light flashes, dark shadow from periphery inward
retinal detachment