TEST 2 WTFS Flashcards
closure of mitral and tricuspid
S1
closure of aortic and pulmonic valves
S2
resistance to filling of ventricles
S3
atrial gallop
S4
Ten-nes-see
S4
Ken-TUCK-y
S3
extra heart sounds
- pericardial friction rub
- prosthetic valve click
signs of arterial occlusion or insufficiency
- pain
- pallor
- paralysis
- pulselessness
- parasthesias
signs of venous obstruction
- homan sign
- edema
- thrombosis
- varicose veins
tests extra ocular eye movements
-6 cardinal fields of gaze
nystagmus
-cover-uncover
near sighted
myopia
far sighted
hyperopia
both eyes don’t focus simultaneously
strabismus
double vision
diplopia
response of the other eye
consensual
inflammation of eyelash follicle
recurrent hordeola (stye)
lazy eye
amblyopia
loss of accommodation with age and lenses become rigid
presbyopia
exposure to wind
ptergium
involuntary movements
nystagmus
thoracic landmarks
- clavicle
- supersternal notch
- manibrosternal junction
- intercostal spaces
- sternal borders
look for when palpating arteries
- rhythm
- amplitude
- symmetry
look for when checking murmurs
- timing/duration
- intensity
- location
which arteries to palpate
- temporal
- carotid
- brachial
- radial
- femoral
- popliteal
- dorsalis pedis
- posterior tibial
which scale are arteries measure on
0-4
0
absent
1
diminished
2
expected
3
full, increased
4
bounding
which scale are the intensity of murmurs measured by
I-VI
turbulent blood flow through a valve
murmor
opening between the 2 atria in the fetus
foramen ovale
channel between main pulmonary artery and aorta in fetus
ductus arteriosis
where are superficial nodes located
sub Q tissue
where are deep nodes
beneath fascia of muscles and in body cavity
lymph is composed of
- WBCs
- RBCs
- clear fluid
- proteins
types of hernias
- hiatal
- umbilical
- inguinal
- ventral
increased bowel sounds may occur if
- gastroenteritis
- hunger
- early intestinal obstruction
high pitched tinkling abdomen sounds
- intestinal fluid
- air under pressure
decreased bowel sounds
- peritonitis
- paralytic ileum
where do you listen for bruits in abdomen
- femoral arteries
- renal arteries
- iliac arteries
- epigastric region
- aortic region
s/s of AAA
- n/v
- abdominal mass
- bruits
what does lymph system do?
- filters
- produces lymphocytes
- produces antibodies
- phagocytosis
when checking tympanic membrane
- light reflex
- malleus
what is heard over organs and solid masses
dullness
vision difficulties
halos
- floaters
- diploid
- color vison
what to check for on external ear
- deformities
- drainage
lymph nodes warm to touch
bacterial infection
edema without pitting
arterial insufficiency or lymphedema
tympanic sounds indicate
air
fine, palpable, rushing vibration
thrill
tonsils are graded on a scale of
1-4
tonsils - 1
visible
tonsils - 2
halfway between tonsillar pillars and uvula
tonsils - 3
nearly touching the uvula
tonsils - 4
touching each other
cardiac - HPI
chest pain fatigue cough dyspnea LOC
cardiac - PMH
surgery
increased BP
diabetes
cardiac - FH
early onset heart disease
sudden death
cardiac - PSH
tobacco use
diet
drugs
head and neck - HPI
head injury
headache
stiff neck
thyroid probs
head and neck - PMH
head trauma lumbar puncture radiation treatment headaches seizures thyroid dysfunction
head and neck - FH
headaches - type and character
thyroid dysfunction
head and neck - PSH
employment risk stress injury risks recent weight gain/loss food intolerances use of alcohol/drugs
breasts and axillae - HPI
breast discomfort
breast mass/lumps
nipple discharge
breasts and axillae - PMH
previous breast disease BRCA1 or BRCA2 mutation changes in breast characteristics mammogram history menstrual history preg and location meds
male genitalla - HPI
difficulty achieving and maintaining an erection difficulty with ejaculation discharge lesions infertility hernia testicular mass
male genitalla - PMH
surgery
sex history
chronic illness
male genitalla - FH
hernia
cancer
infertility
male genitalla - PSH
high risk sex behavior
abdomen - HPI
pain
character
location
abdomen - PMH
GI disorders
abdomen - PSH
nutrition
exposures
alcohol and drug use
abdomen - FH
liver cancer colon cancer gallbladder disease kidney disease polys
lymph - HPI
enlarged nodes
swelling of extremity
lymph - PMH
allergies chronic illness tuberculosis blood transfusions surgery autoimmune
lymph - FH
malignancy
tuberculosis
immune disorders
hemophilia
lymph - PSH
recent travel
illicit drugs
sex history
blood vessels - HPI
leg pain/ cramps dizziness fatigue headaches swollen ankles
blood vessels - PMH
heart disease
bleeding disorders
stroke
blood vessels - FH
diabetes
hypertension
heart disease
AAA surgery
blood vessels - PSH
tobacco use
cocaine
what to inspect during otoscopic exam
external canal tympanic membrane contour color perforations
what to inspect/palpate head and face
scalp lesions size expressions symmetry involuntary movements head position shape
inspection and palpation of neck
muscle symmetry ROM trachea alignment thyroid carotid artery
questions about stool
color
pain/discomfort
how to palpate breasts and axillae while seated
chest wall sweep
bimanual digital palpation
lymph node palpation
listen for bruits where
temporal carotid aorta renal illiac femoral
