Terminology Flashcards

Question

edema

Answer 1

seizure disorder

Answer 2

nose bleed

Answer 3

redness/red

Answer 4

pus-pockets on the tonsils

Answer 5

the state of having a fever ( Temperature of more than 100.4)

Answer 6

obviously; a lot; wholly

Answer 7

gross amounts of blood in the vomit

Answer 8

blood in the urine

Answer 9

coughing up gross amounts of blood

Answer 10

excessive or profuse bleeding

Answer 11

enlarged liver

Answer 12

protrusion of an organ through the wall of the cavity that normally contains it

Answer 13

high cholesterol

Answer 14

high blood pressure

Answer 15

low blood pressure

Answer 16

low oxygen saturation of the body, not enough oxygen in the blood

Answer 17

a system to classify and code diagnoses, symptoms, and procedures

Answer 18

area of dead tissue after a lack of blood supply

Answer 19

lower on the body, farther from the head

Answer 20

lack of blood supply

Answer 21

inflammation (e.g. appendicitis)

Answer 22

splitting of the skin due to trauma ( a cut due to something sharp)

Answer 23

farther from the midline ( a line that can be traced from nose to belly-button)

Answer 24

septic, very sick, about to die

Answer 25

nearer to the midline

Answer 26

dangerous infection of the outer lining of the brain

Answer 27

infection of the outer ear ( ear canal)

Answer 28

infection of inner ear ( behind the eardrum)

Answer 29

black tarry school

Answer 30

muscular pain, "muscle aches"

Answer 31

examine by touch

Answer 32

to beat rapidly, irregularly, or forcibly ( usually relating to the heart)

Answer 33

guarding/rebound/rigidity: PE findings indicating a rupture in the abdomen

Answer 34

throat infection

Answer 35

bacterial infection of the lungs

Answer 36

rear of the backside of the body

Answer 37

body position lying flat, face down

Answer 38

nearer to the trunk of the body

Answer 39

relating to the lungs

Answer 40

pus/pus-like

Answer 41

crackles; wet crackling noise in lungs

Answer 42

clear nasal discharge, "runny nose"

Answer 43

viewing with a scope (e.g. colonoscopy)

Answer 44

dangerous infection of the blood

Answer 45

infection/inflammation of the nasal sinuses

Answer 46

physical blockage of the small intestines

Answer 47

strep throat

Answer 48

higher on the body, nearer to the head

Answer 49

body position lying face up

Answer 50

"passing out", loss of consciousness, or fainting

Answer 51

fast heart rate ( HR> 100bpm)

Answer 52

inability to open the jaw due to pain)

Answer 53

increased breathing rate

Answer 54

blisters or open-sores

Answer 55

room-spinning dizziness ( not light-headed)

Answer 56

high pitched sound heard in the lungs with asthmatics or lung disease

Answer 57

Abdomen, Abdominal

Answer 58

antibiotics

Answer 59

Atrial fibrillation

Answer 60

Acute Otitis Media ( new ear infection)

Answer 61

Assessment and Plan

Answer 62

Acetylsalicylic Acid (Aspirin)

Answer 63

Twice daily

Answer 64

Bilateral Lower Extremities

Answer 65

Bowel Movement

Answer 66

Blood Pressure

Answer 67

Cancer, Carcinoma

Answer 68

Coronary Artery Bypass Graft

Answer 69

Coronary Artery Disease

Answer 70

Complete Blood Count ( bloodworm to look for infection or anemia)

Answer 71

congestive heart failure

Answer 72

chest pain

Answer 73

complains of

Answer 74

chronic obstructive pulmonary disease

Answer 75

chronic renal failure

Answer 76

Caesarean Section

Answer 77

Cervical spine

Answer 78

computerized assisted tomography

Answer 79

clear to auscultation

Answer 80

cardiovascular

Answer 81

cerebrovascular accident

Answer 82

Chest X-ray

Answer 83

Diabetes Mellitus

Answer 84

Dyspnea on Exertion

Answer 85

Dorsalis Pedis/ Posterior Tibialis

Answer 86

Deep Vein Thrombosis

Answer 87

Electrocardiogram

Answer 88

Extraocular Movements Intact

Answer 89

Family History

Answer 90

Gastroesophageal Reflux Disease

Answer 91

Gastrointestinal

Answer 92

Gravida/Para/Abortion

Answer 93

Genitourinary

Answer 94

Head, Ears, Eyes, Nose, Throat

Answer 95

Health Insurance Portability and Accountability Act

Answer 96

Hyperlipidemia

Answer 97

History of Present Illness

Answer 98

Hypertension ( high blood pressure)

Answer 99

Hemoglobin and Hematocrit

Answer 100

Incision and Drainage

Answer 101

Insulin Dependent Diabetes Mellitus

Answer 102

Intrauterine Pregnancy

Answer 103

Left Lower Extremity

Answer 104

Left Lower Quadrant

Answer 105

Last Normal Menstrual Period

Answer 106

Loss of Consciousness

Answer 107

Lumbar spine

Answer 108

Left Upper Extremity

Answer 109

Left Upper Quadrant

Answer 110

Myocardial Infarction

Answer 111

Not Applicable

Answer 112

No Acute Distress, No Acute Disease

Answer 113

Non-Insulin Dependent Diabetes Mellitus

Answer 114

No Known Drug Allergies

Answer 115

Non Steroidal Anti-Inflammatory Drug

Answer 116

Normal Sinus Rhythm

Answer 117

Nausea/Vomiting/Diarrhea

Answer 118

Oxygen saturation (a.k.a SaO2 or SpO2 or Pulse Ox or Sat)

Answer 119

Obstetrics and gynecology

Answer 120

Otitis Media (inner ear infection)

Answer 121

Oropharynx (mouth and throat)

Answer 122

Open Reduction and Internal Fixation ( orthopedic surgery)

Answer 123

Primary Care Physician/ Primary Medical Doctor

Answer 124

Physical exam/ Pulmonary Embolism

Answer 125

Pupils are Equal, Round, and Reactive, to Light

Answer 126

Per Os ( by mouth)

Answer 127

Prior to Arrival/ Peritonsillar Abscess

Answer 128

Peripheral Vascular Disease

Answer 129

At every bedtime

Answer 130

four times a day

Answer 131

right lower extremity

Answer 132

right lower quadrant

Answer 133

range of motion

Answer 134

Review of system

Answer 135

Regular rate and rhythm (normal heart sounds)

Answer 136

right upper extremity

Answer 137

right upper quadrant

Answer 138

Prescription

Answer 139

shortness of breath

Answer 140

Subjective, Objective, Assessment, and Plan

Answer 141

status post ( after)

Answer 142

Tonsillectomy & Adenoidectomy (tonsils and adenoids removal surgery)

Answer 143

Transient Ischemic Attack

Answer 144

Three times a day

Answer 145

Tympanic membrane (Ear drum)

Answer 146

Thoracic spine

Answer 147

Urinalysis

Answer 148

Upper respiratory infection

Answer 149

ultrasound

Answer 150

up to date

Answer 151

urinary tract infection

Answer 152

Within Normal Limits ( normal, not of concern)

Answer 153

Year(s) old

Answer 154

a short list of diseases the doctor considers when diagnosing a patient

Answer 155

Specific symptoms that raise the physician's concern for that particular disease

Answer 156

specific symptoms not present which cause the physician to doubt certain diagnoses

Answer 157

"Red flags" that would put a patient at risk for that particular disease

Answer 158

Important information you need to know as a scribe

Answer 159

The study of the causes of diseases

Answer 160

Membrane lining the thoracic cavity ( parietal pleura) and covering the lungs ( visceral pleura)

Answer 161

A blood vessel that carries oxygenated blood from the heart throughout the body

Answer 162

What puts the patient at risk?

Answer 163

Pertinent positives; sx that raise the physician's suspicion for the disease

Answer 164

Pertinent negatives; important sx that are not present

Answer 165

Medications related to the disease

Answer 166

common physical exam findings associated with the disease

Answer 167

how the disease is ruled out or diagnosed

Answer 168

Smoking, Hx of HTN, DM, high cholesterol, not physically active

Answer 169

Chest pain or chest pressure, chest pain with physical exertion -- worse with exertion ; improved by rest or NTG

Answer 170

Aspirin (ASA) 324 mg PO | Nitroglycerin (NTG) 0.4 mg SL

Answer 171

Cardiac catheterization (Not diagnosed in the ED)

Answer 172

CAD is the single greatest risk factor for an MI Stress test or the Cardiac Catheterization assess the severity of CAD A patient has CAD if they have a PMHx of Angina, MI, CABG, Cardiac stents, or Angioplasty

Answer 173

CAD, HTN, HLD, DM, Smoker, FHx of CAD <55 yo

Answer 174

Chest pain or Chest pressure with diaphoresis, N/V and SOB

Answer 175

(+) diaphoresis

Answer 176

ASA, NTG, B-blocker, Thrombolytic (Heparin)

Answer 177

EKG (STEMI) or elevated Troponin (non-STEMI)

Answer 178

HTN, CAD, MI,DM, Sleep apnea, smoking, drinking

Answer 179

Shortness of Breath of pedal edema and orthopnea - worse with lying flat (orthopnea) - paroxysmal nocturnal dyspnea (PND) - dyspnea on exertion (DOE)

Answer 180

Rales (crackles) in lungs, jugular vein distension (JVD) in neck, pitting pedal edema

Answer 181

Diuretics (Lasix, Furosemide) --> Urinate extra fluid

Answer 182

CXR or elevated BNP ( B-type Natriuretic Peptide)

Answer 183

think of CHF as a fluid traffic jam in the heart; fluid gets backed uptake neck (JVD) and down the legs (pedal edema)

Answer 184

Palpitations ( Fast, Pounding, Irregular)

Answer 185

Irregularly irregular rhythm, Tachycardia

Answer 186

Coumadin (Warfarin): Blood thinner, prevents blood clots in atria. Digoxin: slows down heart rate

Answer 187

ED concern is Rapid Ventricular Response (RVR). These patients will often be "cardioverted" which means they are put back into a regular rhythm, known as normal sinus rhythm (NSR)

Answer 188

Heart Attack (STEMI) or Elevated Troponin (Non-STEMI)

Answer 189

Electrical Problem | EKG

Answer 190

Fluid traffic jam | CXR or Elevated BNP

Answer 191

Major risk factor for MI | Positive cardiac catheterization (not in ED)

Answer 192

Symptom of CAD | Exertional CP with Hx of CAD

Answer 193

narrowing of the coronary arteries limits blood supply to the heart muscle causing angina ( chest pain specifically due to heart muscle ischemia)

Answer 194

Acute blockage of the coronary arteries results in ischemia and infarct of the heart muscle

Answer 195

the heart becomes enlarged , inefficient, and congested with excess fluid

Answer 196

electrical abnormalities in the wiring of the heart causes the top of the heart ( atria) to quiver abnormally

Answer 197

a blood clot becomes lodged in the pulmonary artery and blocks blood flow to the lungs

Answer 198

Known DVT, PMHx of DVT or PE, FHx, Recent surgery, Cancer, A-Fib, Immobility, Pregnancy, BCP, Smoking

Answer 199

SOB or Pleuritic chest pain (CP worse with deep breaths) with tachycardia and hypoxia

Answer 200

``` CTA chest ( CT chest w/ IV contrast) or VQ scan [D-dimer aids in detecting clots, but cannot diagnose a PE] ```

Answer 201

collapsed lung dueto trauma or spontaneous small rupture of the lung

Answer 202

being male, smoking age 20-40, COPD, previous hx of PTX

Answer 203

SOB and one-sided chest pain sudden onset often trauma patients

Answer 204

absent breath sounds unilaterally

Answer 205

blockage of the arteries supplying blood to the brain resulting in permanent brain damage

Answer 206

HTN, HLD, DM, hx TIA/CVA, Smoking, FHx CVA, A Fib

Answer 207

unilateral focal neurological deficits: one-sided weakness/numbness or changes in speech/vision

Answer 208

neurological deficits: hemiparesis, unilateral paresthesias, aphasia, visual field deficits

Answer 209

clinically, potentially normal CT head

Answer 210

for any stroke patient ALWAYS document the date and time they were "last known well" ( at baseline) as well as the source of this information. this is used to assess eligibility for tPA, a powerful blood thinner that can reverse a CVA

Answer 211

traumatic or spontaneous rupture of blood vessels in the head leads to bleeding in the brain

Answer 212

HTN, High cholesterol, CAD, DM, Sicle Cell, elderly, family Hx

Answer 213

Headache ( sudden onset or worst of life), Changes in speech, vision, sensation ( numbness), or Motor strength ( weakness), AMS, Seizure

Answer 214

unilateral neurological deficits

Answer 215

CT Head or LP (Lumbar Puncture), done in the ED

Answer 216

vascular changes temporarily deprive a part of the brain of oxygen (symptoms usually last less than 1 hour)

Answer 217

HTN, High Cholesterol, CAD, DM, Sickle cell, elderly, family Hx

Answer 218

Transient focal neurological deficit | changes in speech, vision, strength, or sensation

Answer 219

clinically

Answer 220

TIA's are also known as "Mini Strokes" because symptoms usually last <1 hour and there is no permanent brain damage

Answer 221

inflammation and infection of the meninges, the sac surrounding the brain and spinal cord

Answer 222

skipping vaccines, <5 years of age, pregnancy, compromised immune system

Answer 223

meningismus, nuchal rigidity

Answer 224

Lumbar Puncture (LP), performed in the ED

Answer 225

injury to the spinal cord may create weakness or numbness in the extremities past the site of the injury

Answer 226

Neck pain or Back pain, Bilateral extremity weakness

Answer 227

midline bony tenderness, deformities, or step-offs, bilateral extremity weakness, numbness, decreased rectal tone

Answer 228

CT Cervical Spine (Neck) CT Thoracic Spine (upper back) CT Lumbar spine ( lower back)

Answer 229

Abnormal electrical activity in the brain leading to abnormal physical manifestations. Often caused by epilepsy, ETOH withdrawals or febrile seizure in pediatric pts

Answer 230

seizure activity, syncope, injuries ( tongue bite), confusion, headache, incontinence (urinary or fecal)

Answer 231

Somnolent, confused (post-Ictal)

Answer 232

Dilantin, Tegretol, Keppra, Depakote, Neurontin

Answer 233

``` the physician will ask... 1- has the pt had a similar sz in the past? 2- does the pt have a hx of seizures 3- what was the date of their last sz? 4- what sz medication do they take? 5- have they missed in medication doses? ```

Answer 234

inflammation or viral infection of the facial nerve causes one sided weakness of the entire face

Answer 235

Facial Droop; Sudden Onset

Answer 236

Jaw or ear pain, increased tear flow of one eye

Answer 237

No extremity weakness, No changes in speech or vision

Answer 238

Unilateral weakness of the upper and lower face

Answer 239

clinically

Answer 240

Bell's Palsy is the most common cause of facial droop in young patients who do not have CVA risk factors. Remember to document the absence of other FND

Answer 241

multiple causes most common are hypoglycemia, infection, intoxication, and neurological

Answer 242

Diabetic, Elderly, Demente EtOH use, Drug Use

Answer 243

confusion, decreased responsiveness, unresponsive

Answer 244

case dependent

Answer 245

AMS is very different than a focal neurological deficits; they are generalized and typically caused by things that affect the whole brain (drugs, low blood sugar) the most common cause of AMS for patients without a hx of dementia is from infection, most often caused by a UTI

Answer 246

tPA ineligibility

Answer 247

tPA Eligibility, Last known normal

Answer 248

HA, Fever, Neck Pain

Answer 249

bilateral extremity weakness

Answer 250

when did sx resolve?

Answer 251

post-Ictal state, missed Sz meds?

Answer 252

absence of other FND

Answer 253

infection? DM? Drugs? Baseline?

Answer 254

Epigastric

Answer 255

Epigastric

Answer 256

periumbillical

Answer 257

Suprapubic

Answer 258

Suprapubic

Answer 259

Suprapubic

Answer 260

infection of the appendix causes inflammation and blockage, possibly leading to rupture

Answer 261

``` Decreased appetite ( anorexia), fever, N/V RLQ pain gradual onset constant worsened with movement ```

Answer 262

McBurney's point tenderness, RLQ tenderness

Answer 263

CT A/P with PO contrast

Answer 264

physical blockage of the small intestine

Answer 265

Elderly, infants, abdominal surgery, narcotic pain medication

Answer 266

Abdominal pain, vomiting, constipation, Abd Distension, bloating, no BMs

Answer 267

abdominal tenderness, guarding, rebound, abnormal bowel sounds, abdominal dissension, tympany

Answer 268

CT A/P with PO contrast | Acute Abdominal Series (AAS)

Answer 269

A kidney stone dislodges from the kidney and begins traveling down the ureter, the stone scales and irritates the ureter, causing severe flank pain and bloody urine

Answer 270

Family Hx, dehydration, obesity

Answer 271

Flank pain sudden onset and radiating to groin, Hematuria, N/V, unable to void

Answer 272

CVA tenderness

Answer 273

CT Abd/pelvis | RBC in UA may be a clue

Answer 274

fertilized eggs develop outside the uterus, usually in the fallopian tube, higher risk for rupture and death

Answer 275

pregnant female (HCG positive), STD ( PID)

Answer 276

lower abdominal pain or vaginal bleeding while pregnant

Answer 277

Any female with a positive pregnancy test who is complaining of lower abdominal pain or vaginal bleeding will always receive an US pelvis to rule out a possible ectopic pregnancy

Answer 278

twisting of an ovarian artery reducing blood flow to an ovary possibly resulting in infarct of the ovary

Answer 279

lower abdominal pain (RLQ or LLQ)

Answer 280

adnexal tenderness ( right or left). tenderness in the RLQ or LLQ

Answer 281

US pelvis --> Assesses blood flow to ovaries

Answer 282

ovarian and testicular torsion are very time sensitive due to the risk of losing an ovary or testicle. Be sure to document accurate times for the pt arrival, US results, and any physician ( surgical) consultations

Answer 283

twisting of the spermatic cord resulting in loss of blood flow and nerve function to the testicle

Answer 284

testicular pain

Answer 285

testicular tenderness and swelling (right or left)

Answer 286

US scrotum

Answer 287

widened and weaker arterial wall at risk of rupture

Answer 288

Midline Abdominal pain

Answer 289

midline pulsatile abdominal mass, abdominal bruit, unequal femoral pulses, hypotension

Answer 290

CT A/P with IV contrast dye

Answer 291

separation of the muscular wall from the membrane of the artery, putting the pt at risk of aortic rupture and death

Answer 292

chest pain radiating to the back - ripping or tearing

Answer 293

unequal brachial or radial pulses, hypotension

Answer 294

CT chest with IV contrast dye

Answer 295

blood slows down while flowing through long straights veins in the extremities, slow flowing blood is more likely to clot; once formed, the clot can continue to grow and eventually occlude (block) the vein

Answer 296

PMHx of DVT or PE, FHx, Recent surgery, cancer, immobility, pregnancy, BCP, smoking, LE trauma, LE casts

Answer 297

Extremity Pain and swelling (Atraumatic) ;usually located in a lower extremity

Answer 298

US/Doppler of the extremity

Answer 299

shortage of insulin resulting in hyperglycemia and production of ketones

Answer 300

Diabetes Mellitus (DM)

Answer 301

Persistent vomiting with Hx of DM, SOB, polydipsia (increased thirst), polyuria (increased urination)

Answer 302

ketotic odor "fruity", Dry mucous membranes (dehydration), tachypnea

Answer 303

Arterial Blood Gas (ABG or VBG) showing low pH (acidosis) or positive serum ketones

Answer 304

a shortage of fluids in the body most commonly caused by vomiting or diarrhea. May also be caused by long periods of poor PO intake

Answer 305

lethargic/listless; sunken eyes; poor urine output (UOP)

Answer 306

dry mucous membranes; cries without tears; sunken fontanel or eyes; Tachycardia ( 180-190 ppm); poor skin turgor

Answer 307

clinically, or by sodium (Na+) from basic metabolic panel

Answer 308

urine output (UOP) is one of the best indicators of hydration; if the physician asks always be sure to document how frequently the pt has been making wet diapers; whenever applicable, always remember to document "cries with tears on exam" to indicate the patient is well hydrated

Answer 309

infection by a virus causes a variety of symptoms that often develop simultaneously

Answer 310

runny nose; sore throat; dry cough; nasal congestion; headache; abdominal pain; N/V/D; muscle aches

Answer 311

rhinorrhea; pharyngeal erythema; transmitted upper airway noises

Answer 312

clinically

Answer 313

during the HPI, pay special attention to words like "lethargic", "listless", or "just not themselves"; mothers will often describe their child with these words when they have a viral syndrome, however these words NEVER BELONG IN YOUR WRITTEN HPI

Answer 314

immune response causing an inflammatory reaction consisting of swelling, itching (pruritus) , and rash

Answer 315

known drug or food allergy

Answer 316

Rash, swelling, itching, or SOB

Answer 317

edema, facial angioedema, urticaria (hives, wheals)

Answer 318

clinically

Answer 319

concern is anaphylaxis or respiratory failure

Answer 320

Rash, Itching, Sweating, SOB due to airway swelling

Answer 321

Nausea/Vomiting, Abdominal Pain, Diarrhea, Dizziness

Answer 322

changes in the skin's appearance due to systemic or focalized reaction ; may be caused from medication, virus, bacteria, fungus, insect etc.

Answer 323

Rash; red, itchy (pruritic) or painful

Answer 324

urticaria (hives or wheals); macules( flat); papules (raised bumps); vesicles ( small blisters); blanching (not dangerous); Petechaie (dangerous rash); Purpura (dangerous rash)

Answer 325

clinically

Answer 326

organisms from an infection somewhere in the body ("the source") across into the bloodstream causing a life-threatening blood infection

Answer 327

known infection (UTI, PNA, etc.); immunecompromise; pyelonephritis; abdominal infections; meningitis

Answer 328

fever, lethargic, listless

Answer 329

febrile ( rectal temp greater than 38 C or 100.4 F); Tachycardia ( 180-190 bpm); hypotensive; toxic-appearing

Answer 330

blood cultures

Answer 331

the majority of fever patients are NOT septic; to indicate this in the exam; remember to accurately document the pt's constitutional: alert and vigorous; well hydrated, well perfused; mildly ill appearing but non-toxic

Answer 332

unknown- suspected that some type of infection causes a body-wide immune response, leading to extensive damage of blood vessels

Answer 333

CONSTANT fever ( for many days)

Answer 334

febrile ( rectal temp greater than 38 C or 100.4 F); tachycardia ( 180-190 bpm); red rash on palms of hands and soles of feet; "strawberry tongue"

Answer 335

clinically

Answer 336

this dangerous disease is the reason it's very important to always document fevers as INTERMITTENT mothers will often carelessly say their child has had a fever "constantly for 4 days" however, pos further question they will often have actually improved after Motrin, thus intermittently resolved. YOU SHOULD NOT document a CONSTANT fever for more than 24 hours unless told to do so by your physician

Answer 337

bacterial infection of the tonsils and pharynx causing a sore throat and frequently stolen lymph nodes

Answer 338

sore throat

Answer 339

``` pharyngeal erythema tonsillar hypertrophy (enlargement) tonsillar exudates (pus) ```

Answer 340

rapid strep

Answer 341

more sore throats are viral, however strep throat is bacterial so Abx will help the biggest concern about a sore throat is the possibility of a Peri-Tonsillar Abscess (PTA) Signs of PA include uvular shift of tonsillar asymmetry

Answer 342

foreign objects can become lodged in the body, most commonly the ear canal, nose, ear, eye, or throat

Answer 343

choking or "something stuck in nose/ear"

Answer 344

describe the foreign body; size; shape; location

Answer 345

direct visualization of the foreign body on exam, or by x-ray

Answer 346

be sure to document respiratory status ( no SOB, airway patent, breathing easily, etc.) as well as a Foreign Body removal procedure- note for any FB that is removed by the physician

Answer 347

infection of the myocardium (heart-muscle) most often from a virus; will often cause chest pain in older children

Answer 348

chest pain, lethargic, irritable, low grade fever

Answer 349

tachycardia, decreased capillary refill, gallop

Answer 350

clinically

Answer 351

lethargic and irritable are used for serious illnesses only

Answer 352

fast heart-rate caused by a large variety of conditions, most commonly fever

Answer 353

IV fluid; antipyretic (Tylenol or Motrin)

Answer 354

bedside telemetry or physical exam

Answer 355

definition of it varies between age groups ; remember to document re-evaluations for patients who are tachycardic physician won't discharge a tachycardic pt until heart rate is improved so remember to document their re-check of the pulse

Answer 356

Constricting of the airway due to inflammation and muscular contraction of the bronchioles, known as "bronchospasm"

Answer 357

SOB/Wheezing; improved by nebulizer "breathing treatments" (bronchodilators)

Answer 358

wheezes ( inspiratory or expiratory)

Answer 359

clinically

Answer 360

``` the physician will ask the asthma pt... 1- do they have home nebulizers 2-have they been on steroids recently? 3- Hx of hospitalization for asthma? 4- Hx of intubation ( breathing tube)? ```

Answer 361

infection of the lower braces of the lungs leads to difficulty breathing

Answer 362

Fever, Cough, Wheezing, poor feeding, irritability, SOB, grunting

Answer 363

inspiratory rales or diffuse expiratory wheezing

Answer 364

CXR or RSV

Answer 365

oxygen saturations are very important to document for any pediatric respiratory pt, especially bronchiolitis patients

Answer 366

infection of the skin cells

Answer 367

Red, swollen, painful, and sometimes warm area of skin

Answer 368

Erythema, edema, increased warmth ( color), induration

Answer 369

Abx ( Antibiotics)

Answer 370

clinically

Answer 371

skin infection with an underlying collection of pus

Answer 372

Red, swollen, and painful lump

Answer 373

fluctuance (pus-pocket), induration, purulent drainage ( pus-like)

Answer 374

clinically

Answer 375

abscesses must have the pus-pocket drained. Remember to always document Incision and Drainage (I&D) procedure notes for abscesses

Answer 376

infection of the respiratory tract leads to constriction and a characteristic "barking-seal" sounding cough that is episodic

Answer 377

barking cough, stridor, nasal congestion, post-tussive, emesis

Answer 378

Antibiotics

Answer 379

often unremarkable

Answer 380

Clinically, or by Suptum culture

Answer 381

post-tussive emesis is a harmless type of vomiting that occurs after long coughing spells ; it's not GI related, be sure to differentiate it from normal vomiting

Answer 382

enlargement of the tissue surrounding the pyloric valve causes obstruction of the stomach

Answer 383

less than 3 months old

Answer 384

vomiting ( project like); poor appetite; poor feeding; poor weight gain; poor satisfaction after meals

Answer 385

firm, non-tender, mobile mass in RUQ, "olive-like"

Answer 386

clinically or by US of RUQ

Answer 387

a section of bowel telescopes into an adjacent section, putting the pt at risk for blockage and gut-ischemia

Answer 388

sudden onset, episodic abdominal pain, or vomiting without diarrhea, mucous or currant-jelly-like stools, pt appears completely well between episodes

Answer 389

abdominal tenderness, abdominal distention, guaiac positive stools

Answer 390

contrast enema ( not in ED) or AAS

Answer 391

infection irritates the stomach and intestines causing vomiting and diarrhea

Answer 392

bad food exposure; day-care; sick contacts; recent Abx

Answer 393

fever; decreased urination; irritability; vomiting and diarrhea

Answer 394

dry mucous membranes; epigastric tenderness; mildly ill-appearing but non-toxic

Answer 395

Zofran 4mg ODT, IVF

Answer 396

clinically

Answer 397

tripping/twisting of leg creates pain

Answer 398

non-weight bearing on affected extremity; will not put foot down; significant point TTP; may still crawl

Answer 399

no focal weakness, no sensory deficits, no other injuries

Answer 400

will not bear weight, NVI intact distally; point TTP over distal tibia

Answer 401

remember the majority of extremity injuries will receive some type of splint; always remember to document a Splint Application Procedure Note!

Answer 402

pulling motion on child's wrist

Answer 403

child not using affected arm, child holding arm at side, crying

Answer 404

no motor weakness; no bruising/swelling

Answer 405

child holding arm at side; no focal point tenderness; NVI distally

Answer 406

physicians will often reduce this joint during the exam. they typically use hyperpronation and/or supination w/ flexion; there is a procedure note for this, so don't forget to enter the procedure into the chart