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CUM 200-Western Review
CUM 200-Western Review
177
Medical
Graduate
10/18/2009

Additional Medical Flashcards

 


 

Cards

Term
Abduction
Definition
Movement away from the median plane
Term
Adduction
Definition
Movement toward the median plane
Term
Medial
Definition
midline
Term
lateral
Definition
side
Term
superior
Definition
toward the head
Term
Inferior
Definition
Away from the head
Term
Proximal
Definition
nearer to the trunk of the body
Term
distal
Definition
further from the trunk of the body
Term
Anterior
Definition
Front of the body
Term
Posterior
Definition
back of the body
Term
Parietal
Definition
Outer wall of a body cavity
Term
Visceral
Definition
Visera or internal organs
Term
Prone
Definition
lying horizontal with face palms downwards
Term
Supine
Definition
Lying horizontal with face palms upward
Term
Inversion
Definition
Turning inward
Term
Eversion
Definition
turning outward
Term
Palmar
Definition
Palm of the hand
Term
Plantar
Definition
sole of the feet
Term
The skin consists of two layers
Definition

the epidermis--the outer layer

 

the dermis--the second layer of skin

Term
Epidermis
Definition

thick on palms of the hands and soles of feet

 

Thin over other areas

Term
Dermis is composed of:
Definition

living tissue

capillaries

lymphatic vessels

nerve endings

hair follicles

sebaceous glands (oil)

sweat glands (sudorieferous)

Term
Hypodermis-subcutaneous tissue composed of
Definition

loose connective tissue

 

adipose tissue with blood vessels

Term
Glands in the Dermis two important glands:
Definition

1. Sudoriferous glands -produce sweat

 

2. Sebaceous glands-produce oil

Term
Visible part of the hair is called the what?
Definition
hair shaft
Term
What is the part that embedded in the dermis?
Definition
hair root
Term
what is the half shaped moon located at the base of the nail?
Definition
lunula
Term

Degrees of burns

 

first degree is caused by what?

 

 

Definition

epidermis is damaged

 

skin redness:erythema

 

acute sensory stimili: hyperesthesia

Term
second degree burn is caued by what?
Definition

epidermis is damaged as well as the dermis

 

formation of fluid filled blisters

 

recovery is usually slow, but complete with no scar formation

Term
what degree burn has blisters?
Definition
second degree
Term
what type of degree burn destroys both the epidermis and dermis?
Definition

third degree

 

some underlying connective tissue is damaged

 

skin-waxy and charged

 

insensivity to tough

 

ulcerating wounds develop, scar tissue

Term
Tis is what stage?
Definition

stage one

 

no invasion of other tissues

Term
What stage is No?
Definition

stage two

 

regional lymph nodes-no abnormalities

Term
What stage is no evidence of mestastasis?
Definition
Mo
Term
What stage is stage four?
Definition
M1
Term
What stage are T1 T2 T3 and T4 in?
Definition
stage two
Term
what stage is large with extensive local invasion into surrounding tissues?
Definition
T4
Term
What stages are stage three?
Definition
N1 N2 N3 N4
Term
Which stage indicates metastasis?
Definition
M1
Term
What is the most common type of skin cancer?
Definition

Basal cell carcinoma

-malignancy of the stratum germinativum (basal cell layer of the epidermis)

 

-hair follicles over exposed to sunlight resulting in malignancy

Term
which type of skin cancer is invasive, potenial for mestatasis?
Definition
spquamous cell carcinoma
Term
what are some causes of squamous cell carcinoma?
Definition

repeated overexposure to teh suns ultraviolet rays

 

radiation therapy

 

chronic skin irritation and inflammation

 

exposure to local carcinogens (tar and oil)

 

hereditary diseases

 

presence of premaligant lesions

Term
what is the most lethal skin cancer, metastasize extensivley to the liver, lungs and brain?
Definition
Malignant Melanoma
Term
what does malignant maloma commonly begin with?
Definition
begin with a dark pigmented mole
Term
causes for malignant melanoma:
Definition

1. fair complexion, blue eyes, red or blonde hair and freckles

 

2. excesive exposure to sunlight

 

3. severe burns during childhood

Term
What is a carbuncle?
Definition
deep seated pyogenic infection of the skin involving subcutaneous tissues
Term
what are furnuncles?
Definition
single boil in adjoining bacterial infection of a hair follicle or sebaceous gland that produces a pus filled lesion called a boil.
Term
what is an acute infection of the skin and subcutaneous tissue?
Definition
cellulitis
Term

signs and symptoms:

 

localized heat

redness, pain and swelling and occasionally:

fever

malaise

chills

headache

Definition
cellulitis
Term

what is a skin discoloration: bruise

large area

colors changing from blue black to greenish brown or yellow

Definition
ecchymosis
Term
what is acute chronic skin inflammation?
Definition
eczema.
Term

what is skin redness caused by the swelling of the capillaries

 

mild sunburn'

 

blushing

Definition
erythema
Term

thickened area of epidermis

 

callus

 

wart

Definition
keratosis
Term

what is pinpoint hemorrhage under the skin

 

and is a smaller verison of ecchymosis

Definition
petechia
Term

what is a chronic skin disease

circumscribed red patches

covered by:

thick

dry

slivery

adherent scales

 

excessie development of the basal layer of the epidermis

Definition
psoriasis
Term
intense itching
Definition
pruritus
Term

any sever bleeding disorder

 

hemorrage into the tissues, beeath the skin or mucous membranes

 

-any blood disorder beneath the skin

Definition
purpura
Term

any fungal disease and body part affected

aka:ringworm

Definition
tinea
Term

Allergic reaction of the skin

-eruption of pale red elevated patches: wheals/hives

Definition
urticaria
Term
loss of skin pigmentation characterized by milky white patches
Definition
vitiligo
Term

Warts: plantar (bottom of foot)

juvenile

venereal

Definition
verruca
Term
what is the pharynx?
Definition
throat
Term
what is the tube that leads to the stomach?
Definition
esoophagus
Term
what is a saclike structure located in the left upper quadrant of the abdominal cavity?
Definition
stomach
Term
coiled twenty foot long tube that begins at the pyloric sphincter
Definition
small intestine
Term

small intestine-three parts:

1. uppermost

2. middle

3.last

Definition

1. duodenum

2. jejunum

3. ileum

Term
what begins at the ileum adn extends to the anus?
Definition
large intestine
Term
does digestion take place in the large intestine?
Definition
no!
Term
what is the large intestines only secretion?
Definition
mucous
Term
what is the largest glandular organ in the body?
Definition
liver
Term
what produces bile, removes glucose and stores it as glycogen (starch)?
Definition
liver
Term

What organ stores

B12

A

D

E (too much make you bleeed)

K (good for klotting)

Definition
liver
Term
what organ destroys old erythrocytes and releases bilibrubin?
Definition
liver
Term

what organ produces blood proteins?

what are they?

Definition

liver

prothrombin

fibrinogen

Term

what do prothrombin and fibrinogen do?

 

if prothrombin high what does this mean?

Definition

aid in blood clotting

 

it takes you a long time to clot

Term
what organ maintains normal glucose levels in the blood?
Definition
liver
Term
what organ is an enlarged somewhat flattened organ that performs both endocrine and exocrine functions?
Definition
pancreas
Term
what organ secretes insulin insulin directly into the blood stream to maintain normal blood glucose levels?
Definition
pancreas
Term
what organ produces two typs of hormones? glucagon and insulin?
Definition

pancreas

 

alpha-glucagon

 

beta-insulin

Term
what is the saclike structure on the inferior surface of the liver?
Definition
gallbadder
Term

what is the storage for bile?

 

when bile is needed where is it secreted into?

Definition

gallbladder

 

duodenum-via the common bile duct

Term
what is a circumscribed lesion (open sore) of the skin or mucous membrane?
Definition
ulcer
Term

ulcer that develops in the stomach

 

ulcer that develops in the colon

 

ulcer that develops in the duodenum

Definition

gastric uler

 

colitis

 

duodenal ulcer

Term
what disease develops in the parts of the GI track that exposes hydrocloric acid and pepsin?
Definition
peptic ulcer disease (PUD)
Term
what can lead to the cause of PUD?
Definition
H. Pylori
Term
What does H. Pylori do?
Definition
releases a toxin that promotes mucosal inflammation and ulceration
Term
what do patients with PUD need to avoid?
Definition
NSAIDS, caffeine, smoking, and alcohol.
Term
what is a chronic inflammatory disease of the large intestine and rectum that commonly begins in the rectum or sigmoid colon and extends upward into the entire colon?
Definition
ulcerative colitis
Term

what disease is characterized by:

profuse watery diarrhea containing varying amounts of

blood

mucus

pus

characteristic inflammatory pattern

Definition
ulceritive colitis
Term
what disease is associated with a higher risk of colon cancer?
Definition
ulcerative colitis
Term
what is the protrusion of any organ, tissue, or structure through the wall of the cavity in which it is naturally contained?
Definition
a hernia
Term
where does an inguinal hernia develop?
Definition
in the groin
Term
what is it called when the blood supply to the hernia is cut off because of pressure and necrosis develops?
Definition
strangulated hernia
Term
what is the protrusion of the intestine at the navel?
Definition
umbilical hernia
Term
what types of hernias are there in the diaphragm?
Definition

diaphragmtic hernia

 

and

 

hiatial hernia

Term
what type of hernia happens when the lower part of the esophagus and the top of the stomach slides through the opening (hiatus) in the diaphragm into the thorax?
Definition
hiatial hernia
Term

s/sx

heart burn

chest pain

swallowing difficulty

Definition
hiatal hernia
Term

what is a life threatening obstruction in which the bowel twists on itself with occlusion of the blood supply?

 

this can lead to tissue death

perforation

inflammation of the peritoneum

Definition
bowel obstruction
Term
Enlarged veins in the mucous membranes of the anal canal specifically when they itch, hurt, or bleed.
Definition
hemorrhoids

high fiber diet and drinking plenty of water will play a pivotal role in hemorrhoid prevention
Term
Infectious hepatitis (fecal to oral)
Definition
Hepatitis A
Term
Serum hepatitis (blood and boodie)
Definition
Hepatitis B
Term
Yellowing of the skin and mucous membrane

Major symptoms of many liver disorders
Definition
Jaundice
Term
What is it that the Liver can no longer remove??? It is a yellow product formed when erythrocytes are destroyed and the bile duct is blocked so it enters the blood stream instead.
Definition
Bilirubin
Term
What is the condition where small blisterlike pockets form in the large intestine inner lining that can possibley balloon through the intestinal wall?

What is it when it is inflammed?
Definition
Diverticulosis


Diverticulitis
Term
S/Sx:
Pain in the lower left quadrant
extreme constipation or diarrhea
fever
abdominal swelling
occasional blood in the bowel movements
Definition
Diverticulitis

Treatment:
Bed rest
antibiotics
soft diet

in severe cases: excision of the diverticulum
Term
what type of cancer is associated with persistent indigestion has a high mortality rate and is more common in men?
Definition
stomach cancer
Term
Epithelial lining of the Large Intestine

S/Sx:
changes in bowel habits
passage of blood and mucus in the stools
rectal or abdominal pain
anemia
weight loss
obstruction and perforation
Definition
Colorectal Cancer
Term
Partial obstruction with constipation alternating with diarrhea
lower abdominal cramping pain
lower abdominal distention
Definition
sigmoid and rectum cancer
Term
What is an accumulation of fluid in the abdomen?

can be due to cirrhois of the liver
high blood pressure
cancer
heart failure
Definition
Ascites
Term
Rumbling or gurgling noises
passage of gas through liquid contents of the intestine
Definition
Borborygmus
Term
General lack of nutrition and wasting occuring in the course of a chronic disease or emotional disturbance
Definition
cachexia
Term
S/Sx:
Fever
Cramping
Diarrhea
Weight Loss

Chronic inflammation usually of the ileum but can be anywhere from the mouth to the anus.
Definition
Chron Disease
Term
What is a degenerative disease of the Liver?
-Hepatic cells are replace by fibrous tissues that impairs the flow of blood and lymph within the liver
Definition
Cirrhosis
Term
Spasm in any hollow or tubular soft organ accompanied by pain, especially of the colon.
Definition
Colic
Term
Inflammation of the intestine, especially the colon.

Causes: Ingesting water or food that contains chemical irritants, bacteria, protozoa, parasites that results in BLOODY DIARRHEA (associated with traveling)
Definition
Dystentey
Term
Epigastric discomfort felt after eating
Definition
dyspepsia
Term
Inability or difficulty swallowing
Definition
Dysphagia
Term
Belching
Definition
Eructation
Term
S/Sx:
Heartburn
Esophagitis
Chest Pain

Backflow of Gastric contents into the esophagus due to malfunction of the spincter muscle at the inferior portion of the esophagus.
Definition
GERD

Gastroesophageal Reflux Disease
Term
Vomiting of Blood

Bright Red Blood
Upper GI Bleeding commonly associated with: Peptic Ulcer
Definition
Hematemesis
Term
Abdominal pain
Altered bowel function:
Constipation
Diarrhea
or both alternating

Agfravating factors: Stress and Anxiety
Definition
Irritable Bowel Syndrome
Term
Passage of Dark Colored Tarry Stools, due to presence of blood altered by intestinal juices. Upper GI bleed.
Definition
Melena
Term
Wave like motion that occurs involuntary in hollow tubes of the body, esp. the GI tract.
Definition
Peristalsis
Term
Stricture or narrowing of the pyloric orfice
Definition
Pyloric stenosis
Term
Passage of Fat in large amounts in the feces due to failure to digest and absorb it.

Due to insufficent pancreatic enzymes
or malabsorption syndrome
Definition
Steatorrhea
Term
Where air is filtered, heated and moistened
Definition
Nasal Cavity
Term
Voice Box
Definition
larynx
Term
Stricture on top of the larynx, seals off the air passage to the lungs during swallowing. Ensures that food or liquids do not obstruct the flow of air to the lungs.
Definition
Epiglottis
Term
Wind Pipe
Definition
Trachea
Term
Passageway for food and air
Definition
Pharynx
Term
Trachea divides into two braches called bronchi

Each bronchus divides into smaller branches called bronchioles.
Definition
Lower Repiratory tract
Term
Bronchioles terminate to form
Definition
aveoli

resemble a small balloon because it expands and contracts with inflow and outflow of air.
Term
Lungs are divide into how may lobes?

How many lobes in the right lung?

How many lobes in the left lung?
Definition
5

3-right

2-left lung (heart is there)
Term
Space between the right and left lungs

contains the heart, aorta, esophagus, and bronchi
Definition
Mediastinum
Term
Serous membrane that envelops the lobes of the lungs and folds over to line the walls of the thoracic cavity.
Definition
Pleura
Term
Innermost membrane lying next to the lung
Definition
visceral Pleura
Term
Outermost membrane which lines the thoracic cavity
Definition
Parietal Pleura
Term
Cavity located between the visceral and parietal pleura contains a small amount of lubricating fluid which allows for the visceral pleura to glide over the parietal pleura during breathing.
Definition
Pleural Cavity
Term
Asthma
Chronic bronchitis
Empysema
Definition
COPD
Chronic Obstructive Pulmonary Disease

Respiratory Diorder characterized by a chronic partial obstruction of the air passages.
Term
When a patient experiences difficulty breathing (dyspnea) on exertion, and a chronic cough this is called
Definition
COPD
Term
what condition produces spasms in the bronchial passages typically sudden and violent (paroxysmal)?
Definition
Asthma

caused by:
Allergies
Irritants
Stress
Cold
Exercise

Coughing episodes produce large amounts of mucus.
Term
Inflammation of the bronchi primarily caused by:
smoking
air pollution
viruses
bacteria

S/Sx:
Heavy productive cough accompanied by chest pain

more severe: exercise intolerance and wheezing and shortness of breath
Definition
Chronic Bronchitis
Term
Decreased elasticity of the aveoli

they can not contract to their original size

*barrel chest appearance*

easier for them to breathe standing up and usually combined with other disorders such as: asthma, TB, chronic bronchitis
Definition
Emphysema
Term
Acute Infectious respiratory disease caused by viruses.
Definition
Influenza

type A-very strong, causes worldwide epidemics. Occurs every 2-3 years.

Type B-limited geographically. Less severe than type A.

Type C: Mild Flu
Term
S/Sx:
fever
Chills
headache
generalized muscle pain
loss of appetite

recovery in about 7-10 days
Definition
Type C --Mild Flu
Term
Highly communicable and spreads by droplets of respiratory secretions OR particles of dry sputum containing TB.
Definition
Tuberculosisi

TB can survive and remain infections for 6-8 months outside of the body.
Term
What bacterial disease can infect the lungs, bones, genital tract, meninges and peritoneum?
Definition
TB
Term
Any inflammatory disease of the lungs:

S/Sx:
chest pain
mucopurulent sputum
spitting of blood

can be caused by: bacteria, viruses, fungi, chemicals.
Definition
Pneumonia
Term
Hereditary disorder of the exocrine glands that causes the body to secrete viscous mucus that clogs ducts or tubes of the pancreas, digestive tract, and sweat glands.
Definition
Cystic Fibrosis

Due to the excess of mucus the body's immune system will turn to attack the lungs.
Term
Bronchogenic carcinoma the most common cancer associated with tobacco use.
Definition
Lung Cancer
Term
Excessive acidity of the body fluids associated with pulmonary insufficiency and retention of carbon dioxide.
Definition
acidosis
Term
Absence of or decrease in the sense of smell
Definition
Anosmia
Term
Temporary loss of breathing
Definition
apnea
Term
Condition caused by insufficient intake of oxygen
Definition
Asphyxia
Term
Repeating breathing patterns

fluctuations in the depth of respiration
first deeply
then shallow
then not at all
Definition
Cheyne-Stokes Respiration
Term
Common childhood condition inflammation of the larynx, trachea, or bonchial passages.

Resonant barking cough suffocative and difficult breathing.
Definition
Croup
Term
S/Sx:
Resonant Barking Cough
Suffocative and difficult breathing
Definition
Croup
Term
Nosebleed
Definition
Epistaxis
Term
Enlargement of the fingers and toes associated with pulmonary disease.
Definition
Finger clubbing
Term
Deficiency of oxygen in the blood
Definition
Hypoxemia
Term
Absence or deficiency of oxygen in the tissues
Definition
Hypoxia
Term
Whooping cough
Definition
Perussis
Term
Inflammation of the pleural membrane

S/Sx:
Stabbing Pain increased when coughing or breathing.
Definition
Pleurisy
Term
Crackle: Abnormal respiratory sound heard on ausculation
Definition
Rale
Term
Disease caused by
inhaling dust particles
coal dust
stone dust
iron
asbestos
Definition
Pneumonoconiosis
Term
Commonly caused by: Heart failure extravascular fluid accumulates in the lung tissue and alveoili
Definition
Pulmonary Edema
Term
Breath sounds like snoring/rattling
Indicates that there is an obstruction due to:
Secretions
Mucosal Secretions
Tumor Tissue
Definition
Rhonchus
Term
High pitched sound due to turbulent air flow in the upper airway.

if this is heard-something needs to be done immediatley
Definition
Stridor
Term
Whisteling or sighing sound
Definition
Wheezing
Term
Characteristic of:
Asthma
Croup
Hay Fever

Obstructive Emphysema
Definition
Wheezing
Term
A blood filled localized dialation of a blood vessel caused by a weakening of a vessel wall-usually an artery.
Definition
Aneurysm
Term
A lack of a steady rhythm
could be too fast
too slow
regular or irregular
Definition
Arrhythmia
Term
Also called a murmur (vascular not cardiac) the sound that blood makes as it rushes past an obstruction in an artery
Definition
Bruit
Term
Mass of undissolved matter that circulates until it becomes lodged in a vessel.
Definition
Embolus
Term
mass of undissolved matter (usually a clot of blood) that circulates until it becomes lodged in a vessel.
Definition
Thrombus
Term
Usually referring to the heart, these are spontaneous muscle contractions or quiverings that prevent effective contractions.
Definition
Fibrillation
Term
Blood Stasis
Definition
Hemostasis
Term
Too much fat lipids in the blood. Cholesterol, phospholipids, triglycerides.
Definition
Hyperlipidemia.
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