Winter Exam 1 Flashcards
What are the 6 ocmponents of a Promleb oriented medical record?
Health history, Physical exam, Problem list, Assessment and Plan, Baseline Lab and IMaging, Progress Notes
What should you avoid in the histroy and PE?
abbreviations, ‘normal, good, poor negative’
What is a problem list
A running log of current and resolved problems i.e. diagnosis, new symptoms, lab findings, social problems, risk factors, allergies
What is the difference between Asessment and Plan?
Assessment: what you think, interpretations and rationale
Plan: What you intend to do, plan for each problem, diagnostics, therapeutics, education
What is the Format of a progress note?
SOAP: Subjective, objective, assessment, plan
What are some age and condition variations to the H&P?
Infants: dev. milestones, pregnancy and delivery, birth status
Pregnant women and adolescents and children
What should you write instead of abbreviations?
unit, international unit, daily, every other day, Never write a 0 by itself after a decimal and always use a 0 before a decimal pt., morphine sulfate, Magnesium sulfate, mcg, half strength, bedtime, subQ, ml,
amsler
grid used for central vision
anisocordia
inequal pupil size
confrontation test
peripherpal vision eval
diabetic retinopathy - background
optic disk is effected , dot hemmhorages, exudates
diabetic retinopathy - proliferative
formation of new vessels to compensate for anoxia
ectropion/entropion?
bottom lid folded out/in, respectively
episcleritis
inflammation on superfic layer anterior to rectus muscles
hemianopia
defective vision in half o ffield
horduleum
sty
Horners syndrome
interruptino of sympathietic system. triad of miosis, hemiandrosis, ptosis
papilledema
loss of definitino of optic disc
xanthelasma
fat deposit - defective fat metabolism
Which cranial nerves are involved in eye?
for muscles: 3,4,6
eyeball: optic n CN2
describe vasularity of sclera
functionally vascular and structurally avascular
chars of AIDS
cell mediated dysfunction,
optic n travels w what throught hthe optic foramien?
ophthalmic a/v
infants and the eye?
1st 8 weeks of gestation, 20/200, 3mo tears, 6 mo color, 9 mo binocular, less spherical
pregnancy and the eye?
corneal edema, lysozyme tears, krukenber spindles/pigments
what part of brain is mainly rsponsibe for mental tatus>
cerebrum
what does the outer corex layer of brain do w mental status?
higher functions, perceptions, behavior
what does frontal lobe do?
speech in motor cortex, Broca area, goals, short term memory
what does temporal lobe of brain do?
perception and interpretation of sounds, Wernicker area for spoken and written language, long term memoryu
how far do you stand for a snellen chart?
20 ft
what does limbic system do?
survival behavior
symptoms of parkinsons
slumped posture, lack of facial expression
What is cognitive impairment test?
max socre 28.
better for dimentia. yera, month, phrase,
Decorticate/Decerebrate?
decorticate: flexed on pain stiulus
decerebrate: extended on pain stimulus
Delirium
attention span, perception, sleep, circumstance
Dementia
DEMENTIA, memory, behavior, personality,
Depression
Lack of certain neurotransmitters
Broca Aphasia
just impaired speech flow, and writing are impaired
Wernicke aphasia
Cant relate words to previous experiences, reading and writing impaired
Global aphasia
Expressive and Receptive
Parts of body not supplied by lymph system?
brain and placenta
What forms the Right lymphatic duct?
right bronchomediastinal trunk, right subclavian trunk, right jugular trunk
What is the only peripheral lymph center?
epitrochlear
What are the choke pints? how are they treated?
thoracic inlet, resp diaphragm, pelvic diaphragm
Treated w MFR and respiration. Contraindicated with metastatic cancers, infection ie Tb, coagulable stuff
Where is spelen asociated?
bw stoach and diaphgram
What are adenoids?
aka pharyngeal tonsils
When does immune system begin developing in fetus?
20 weeks gestation
What do you suspect if supraclavilaur nodes are large?
malignancy
What happens to imuune system in pregnant woen?
leukocyte coute increases from 7500 to 10,350. Shifts from cell mediated to humoral immunity
What are predisposing factors for lympatic conditions?
cardiac and renal disease
What is the border for the anterior triangle?
anterior border of sternocledioastiod m
What is mumps?
epidemic paroditis
Non hodgkin lymphoma
malignant neoplasms of lymph tissue
Hodgins disease
usually assymettric and enlargement of cervial nodes
Toxoplasmosis
single node, raw meat, cat, post cervical chain
EBV
splenomegality, hepatomegaly, rash, pharyngitis,
AIDS
when CD4+ is less that 14%. dysfunction of cell mediated imunity.
What type of fibers fro acute pain?
A-d fibers, thick, myelinated, fast travelling,
What is nociception?
transmission of pain from injury site to dorsal horn of cord and brain.
Where does the pain repsonse travel?
Through lateral spinothalmic tract and reticulospinal, and spinoecephalic nn
Exapmels of non pain impulses
Ice and massage. they can mediae pain impulses.
Pain in infants
mstly C fibers.
neurphylsilogic and cognitive immaturity
Distance to brain is short
What is 5th vital sign and why?
pain. tissue damage, path, and emotional response
painometer
multi-D for inentisy quality, localization.
1st joint commission tool
types of pain for bone, tumor, nerve?
tender deep
heavy, throbbing
shocking, burning
PIPP
Premature Infant Pain Profile.
gest age, behavior, HR, O2, brow, eye squeeze
Neotnatal infant pain scale
expression, cry, breath, arms, legs, arousal
FLACC
face, legs, activity, cries, consolability
what is neuropathic pain?
form of chronic pain after CNS injury that persists after healing
what is complex regional pain syndrome?
regional pain beyond injury site with motor, sensory, and autonoimc effects.
