unit 3 vocab Flashcards
valvular stenosis
- tissues forming the valve leaflets become stiffer, narrowing the valve opening and reducing the amount of blood that can flow through it
- heart murmur
valvular insufficiency
- leaflets do not close completely, letting blood leak backward across the valve
- heart murmur
ventricular septal defect (VSD)
- abnormal opening (hole) b/t ventricles
* heart murmur
coronary artery disease (CAD)
- atherosclerosis
- affected by lifestyle
- leading cause of death
arteriosclerosis
•blood vessels that carry oxygen and nutrients from your heart to the rest of your body (arteries) become thick and stiff
•restricts blood flow to your organs and tissues
•20-40 mmHg change in systolic
•increased pulse pressure
*hardening of arteries
atherosclerosis
- type of arteriosclerosis
* buildup of fats, cholesterol and other substances in and on your artery walls (plaques), which can restrict blood flow
pulse pressure
•difference b/t systolic and diastolic
arrhythmia
- conduction disorders
- irregular heart beat
- ectopic beats
angina
- severe chest pain
- heart muscle ischemia
- r/t lack of O2 to heart muscle
myocardial infarction
- heart attack
* r/t NO O2 getting to heart muscle
orthopnea
- difficulty breathing when laying down
* must be upright to breathe
paroxysmal nocturnal dyspnea (PND)
•wake up short of breath
hypoalbuminemia
- low albumin levels
* causes edema
bruit
- turbulent blood flow
* swooshing sound
thrill
•palpable vibration
sinus arrhythmia
- HR varies w/ breathing
* common in children
midsystolic click
- extra heart sound r/t murmur
* most common MVP
friction rub
- extra heart soud r/t murmur
* a scratching or squeaking sound
rheumatic heart dz
•reduced fxnl capacity of heart
mitral valve prolapse
- mitral valve doesn’t close
- leaky valve
- more common in women
- causes mid systolic click sound
- doesn’t usually cause problem for pt
intraluminal valves
- in veins
* help blood flow back to heart against gravity
pit
- depression left for 5-30 sec
- 1+: 2 mm
- 2+: 4 mm
- 3+: 6 mm
- 4+: 8 mm
thrombosis
- blood clot
* local
embolism
- blood clot
* traveling thrombosis
gangrene
•localized death and decomposition of body tissue, resulting from either obstructed circulation or bacterial infection
nocturia
•retained fld from lower extremity excreted
hematopoiesis
- RBC production
* occurs in bone marrow
ligament
- fibrous bands from BONE to BONE
- strengthen joint
- prevent undesirable movement
bursa
•fluid filled sacs located a friction points
cartilage
- covers surface of opposing bones
- tough, firm, flexible
- allows bones to slide, reduces friction, absorbs shock
fascia
•bundles of muscle fibers
tendon
•connects MUSCLE to BONE
protraction
•moving body part forward and parallel to ground
retraction
•moving body part backward and parallel to ground
fasiculation
- small, local, and involuntary muscle ctx and rlx
* mini tremor
muscle bulk
•hypertrophy or atrophy
crepitus
•crackling or popping of joints
atony
•lacking muscle tone
hypotonicity
•having less than normal muscle tone
flaccidity
- softening
- weak
- lacking firmness
spasticity
•tight or stiff muscles that can’t be controlled
spasm
•sudden, involuntary muscle ctx/movement
tremor
•involuntary quiver/shaking
goniometer
- measures angle of joint movement
- fully extended = 0°
- flexed = 150°
- hyper-extended = neg. °
Phalen’s test
- carpel tunnel test
- dorsum of hands together for min
- indicates carpel tunnel if numb/burn
Tinel’s sign
- carpel tunnel test
- direct percussion of median nerve
- indicates carpel tunnel if burn/tingle
Varus stress test
- looking for laxity (give/wobble)
- testing for torn meniscus/cartilage in knee
- INTERNALLY rotate leg and pull away
valgus stress test
- looking for laxity (give/wobble)
- testing for torn meniscus/cartilage in knee
- EXTERNALLY rotate leg and pull away
rheumatoid
- Systemic inflammatory dz of joints and connective tissue
- thickening of synovial membrane
- fibrosis and bony ankylosis
ankylosis
•abnormal stiffening and immobility of a joint
bone spur
- outgrowth of bone that occurs along the edges
- most often found at joints
- seen in osteoarthritis
atrophy
•loss of muscle mass
polydactyly
•extra digits
syndactyly
- fingers or toes wholly or partly united
* webbed
gout
- any kind of arthritis that occurs when uric acid builds up in joints
- acute- affects 1 joint
- chronic- repeated episodes of multiple joint pain
osteopenia
•bone density 1.0-2.5 standard deviations below mean
osteoporosis
•bone density ≥ 2.5 standard deviations below mean
stereognosis
•ability to identify an object by touch
dermatome
- band of skin innervated by sensory root of single spinal nerve
- helps localize lesion to specific spinal cord segment
senile tremors
- benign hand, head nodding
* tongue protrusion
dyskimesias
- abnormal movement
* repetitive movements of jaw, lips, or tongue
dysarthria
- difficulty w/ motor aspect of speech
- difficulty w/ tongue and mouth movements
- physical dysfunction
- different than dysphasia b/c not difficulty finding/forming words
syncope
- temporary LOC
- fainting
- BP dropping
static (resting) tremor
- occurs when at rest
* can usually stop by moving affected body part
postural (action) tremor
•occur when trying to hold body part still or when moving deliberately
vertigo
- rotational spinning
- literally feel like room is spinning
- light headedness
aura
- auditory, visual, or motor sensation
- usually precedes seizure
- SUBJECTIVE
paresis
- partial loss
* partial paralysis
paralysis
•total loss of motor fxn
paresthesia
- abnormal sensation
* burning, tingling, etc
cerebellar ataxia
•pt cannot stand w/ feet together and maintain balance whether eyes open or closed
rapid alternating movements (RAM)
•flipping hands on knees
bradykinesia
•slow movements
kinesthesia
•awareness of position and movement of body parts
graphesthesia
•ability to recognize “tracing” on skin
clonus
- muscular spasm involving repeated, often rhythmic, contractions
- reflexes hypersensitive (4+)
- common in MS
isometric ctx
•muscle remains same length and tenses
ABC
- airway
- breathing
- circulation
dystonia
- constant state of resistance
* hand or foot bent inward
delirium
- an ACUTEly disturbed state of mind that occurs in fever, intoxication, and other disorders
- restlessness, illusions, and incoherence of thought and speech
- changes r/t hospitalization, meds, surgery, ICU
dementia
- a CHRONIC or persistent disorder of the mental processes caused by brain disease or injury
- memory disorders, personality changes, and impaired reasoning
- slow onset
calf muscles
•responsible fro moving blood supply from feet to IVC
intermittent claudication
- pain with exertion
* problem with arterial blood flow to extremities
pubic symphysis
- cartilage that hold pelvic bone together
* separates during delivery
internal rotation
- rotation towards center of body
* Ex: hand to scapula
p
after
P-A; P/A; PA
posterior-anterior
P&A
percussion and auscultation
pap test
papaniocolaou smear
PCA
patient controlled analgesia
PERRLA
pupils equal, round, react to light and accommodation
PMH
past medical history
PMI
point of maximum impulse
PO; p.o
orally
PPD
purified protein derivative (TB test)
PRN, p.r.n
as required
PSA
prostate-specific antigen
PT
prothrombin time
physical therapy
PTT
partial thromboplastin time
PVC
premature ventricular contraction
q.i.d
four times daily
R
take
RBC
red blood cell
red blod count
RDA
recommended daily/dietary allowance
RDS
respiratory distress syndrome
RLE
right lower extremity
RLL
right lower lobe
RLQ
right lower quadrant
RML
right middle lobe of lung
R/O
rule out
ROM
range of motion
ROS
review of symptoms
RR
recover room
respiratory rate
RT
radiation therapy
reading test
respiration therapy
R/T
related to
RUE
right upper extremity
RUL
right upper lobe
RUQ
right upper quadrant
s
without
SLE
systemic lupus erythematosus
SOB
shortness of breath
sol
solution
dissolved
Sp.gr., SG, s.g
specific gravity
staph
staphylococcus
stat
immediately
STD
sexually transmitted dz
Sub q
subcutaneous injection
strep
streptococcus
s/s
signs and symptoms
sx
symptoms
sym
symmetrical
T
temperature
tab
tablet
TAH
total abdominal hysterectomy
T & A
tonsillectomy and adenoidectomy
TB
tuberculin
tuberculosis
tubercle bacillus
t.i.d.
three times a day
TPN
total parenteral nutrition
TPR
temperature, pulse, & respiration
TSE
testicular self-examination
TSH
thyroid stimulating hormone
Tx
treatment
UA
urinalysis
UE
upper extremity
Umb; umb
umbilicus
URI
upper respiratory infection
US
ultrasound
UTI
urinary tract infection
UV
ultraviolet
vol
volume
VS; v.s.
vital signs
WBC; wbs
white blood cell count
WN
well nourished
WNL
within normal limits
wt
weight
y; yr
year
y/o
years old