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Hist taking and phy exam
Exam 0ne
87
Nursing
Undergraduate 2
09/21/2010

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Cards

Term
Hyperpyrexia
Definition
Extreme fever
Term
Auscultatory Gap
Definition
Period when korotkoff's sounds disappear
Term
Diastole
Definition
Resting pressure
Term
Systole
Definition
Left ventrical contraction
Term
Orthostatic Blood Pressure
Definition
Repeating bp vital sign seated and standing
Term
Complete Health History
Definition
interview, present/past health history, family hx., review of systems and physical assessment
Term
IPPA
Definition
Inspection palpation percussion auscultation
Term
Diaphragm of stethoscope is for hearing
Definition
High Pitched sounds, breath bowel and normal heart sounds
Term
Bell of the stethoscope is used to hear
Definition
Soft low pitched sounds like extra heart sounds and murmurs.
Term
Normal Heart rate
Definition
60-100 bpm
Term
Average Bp of young adults
Definition
120/80
Term
Normal range of BP in adults
Definition
95/60- 120/80
Term
4 areas of consideration for the general survey
Definition
Physical Appearance body structure, mobility, behavior
Term
P in PQRST.
Definition
Pprecipitant( makes it worse),pain, pt’s perception ( what do you think is the problem).
Term
Q in PQRST
Definition
quality of pain, quantity of pain
Term
R in PQRST
Definition
radiation of pain, remedies tried, relief( what makes it better).
Term
S in PQRST
Definition
setting, where or what was the patient doing when symptoms started
Term
T in PQRST
Definition
Timing, onset, duration & frequency of symptoms (constant intermittent)
Term
A often used with PQRST(A)
Definition
Associated symptoms, your primary symptom go along with any other others( fever, nausea, vomiting etc…)
Term
purpose of percussion is to assess what
Definition
Tissue denisty
Term
HPI
Definition
Hist of presenting problem
Term
PMH or PMHx
Definition
Past med history
Term
SHx
Definition
Surgical history
Term
FHx
Definition
Family History
Term
ROS
Definition
Review of Systems
Term
CC
Definition
Current complaint
Term
98.6 in Celcius
Definition
37
Term
Hyperpryxia aka
Definition
Hypothermia
Term
Range of Hypothermia
Definition
25°C and 35°C (77°F-95°F).
Term
Hyperthermia when temp exceeds
Definition
39°C (102.2°F).
Term
Peripheral Pulse Sites
Definition
Carotid
Brachial
Radial
Femoral
Popliteal
Posterior tibialis
Dorsalis pedis
Term
Optimal Nutritional Status
Definition
adq. Amount of nutrients taken in to support the bodies needs including when body has increased demands r/t growth , pregnancy, or illness
Term
Undernutrition
Definition
nutritional reserves are used up or nutrient intake is inadquate to meeet daily needs, or aditonal metabolic demands
Term
Overnutrition
Definition
consuming more nutrients then daily needs require. Esp in forms of calories, sodium & fat
Term
Primary malnutrition
Definition
is caused by the lack of essential foodstuffs—usually vitamins, minerals, or proteins—in the diet.
Term
Secondary malnutrition
Definition
is caused by
Failure of absorption or utilization of nutrients (as in disease of the gastrointestinal tract, thyroid, kidney, liver, or pancreas),
Increased nutritional requirements (growth, injuries, burns, surgical procedures, pregnancy, lactation, fever),
Excessive excretion (diarrhea).
Term
Comprehensive Nutritional Assessment
Definition
Dietary History
Clinical information
Physical examination
Measurements
Laboratory Test
Term
Waist-to-Hip Ratio, significant findings
Definition
Women: > 0.8 is significant
Men: > 1.0 is significant
Term
Bmi most genearlized
Definition
Over 30 severely overweight to obese
under 20 underweight.
Term
Purpose of nutritional assesment
Definition
Development of nutritional plan of care to prevent or decrease malnourishment.
Establish baseline for evaluation of effectiveness of nutritional care.
Term
Macule
Definition
Color change, flat, ie freckles, petechiae, measels
Term
Papule
Definition
Something you can feel, solid, elevated, ie, moles, wort.
Term
Patch
Definition
Macule larger than 1cm
Term
Plaque
Definition
Papules w/ surface elevation larger than 1 cm.
Term
Nodule
Definition
Solid, elevated, hard or soft, may extend deeper into dermis than papule.
Term
Wheal
Definition
Superficial raised, like mosquito bite.
Term
Uticaria
Definition
Hives, wheals that are coalesced.
Term
Vesicle
Definition
blister.
Term
Bulla
Definition
Larger blister
Term
Pustule
Definition
Puss filled cavity, like acne
Term
CN1
Definition
Olfactory Nerve
Term
Loss of smell
Definition
decrease or loss of smell
Term
Causes for Obstructive anosmia
Definition
deviated septum
nasal polyps
Term
Causes for anosmia
Definition
head injury
tumor of olfactory groove
B12 deficiency
Term
CN2
Definition
Optic Nerve
Term
Tests for CN2
Definition
Visual acuity:
Snellen eye chart
Visual fields:
confrontation test
Term
CN3
Definition
Oculomotor Nerve
Term
Test for CN3
Definition
Corneal Light reflex
Term
Name for difference in pupil size up to 20%
Definition
anisocoria
Term
Horners Syndrome
Definition
pupils different with lid drooping.
Term
CN IV
Definition
Trochlear Nerve
Term
CN VI
Definition
Abducens Nerve
Term
Test CNIII, CNIV and CNVI with these tests:
Definition
Use EOM test: Six cardinal Positions of Gaze
Term
CNIV intact if pt can
Definition
Look Down
Term
what is nystagmus
Definition
back & forth oscillation of eyes
Term
Pitosis
Definition
drooping
Term
Mysasthenis Gravis
Definition
Autoimmune disorder, causes pitosis, weakening of the eye, hallmark is fatiguability.
Term
CN V
Definition
Trigeminal Nerve
Term
Sensory tests for CNV
Definition
forehead, cheeks, chin
use cotton tipped swab
corneal reflex in unconscious patient
Term
Motor test for CNV
Definition
Motor: clench teeth while palpating angle of jaw to assess strength of masseter muscle
Term
CN VII
Definition
Facial Nerve
Term
CNVII Motor functions, and tests
Definition
innervates muscles of scalp and face
smile, frown, open eyes wide, furrow forehead, raise eyebrows, show teeth, puff cheeks, purse lips
Term
CNVII Sensory functions and tests
Definition
taste -- not routinely tested
salt/sugar on lateral tongue
Term
CN VIII
Definition
Acoustic Nerve
Term
CNVIII funtions and tests
Definition
cochlear branch
hearing
rub fingertips
Weber
Rinne
Term
CN IX
Definition
Glossopharyngeal
Term
CN X
Definition
Vagus
Term
Test for CNIX and CNX
Definition
Say Ahh, look for uvula rise, swallow (vagus).
Term
CN XI
Definition
Accessory Nerve
Term
Function and tests for Accessory Nerve
Definition
Controls movement of sternocleidomastoid and trapezius muscles of neck/shoulder
raise shoulders against resistance
turn head against resistance
Term
CN XII
Definition
Hypoglossal Nerve
Term
CNXII test and function
Definition
Motor nerve of tongue
patient sticks tongue out: should be midline
Term
dysarthria, definition and CN involved.
Definition
(difficulty forming words) if CN XII damaged
Term
Amplitude in percussion
Definition
intensity. Lowed or soft sound, lowder the sound greater the amplitude. Depends on force of the blow and ability of structure to to vibrate.
Term
Pitch in percussion
Definition
frequency, number of vibrations per sec written as cps (cycles per second) High pitched, more cycles, low pitched less cycles
Term
Quality
Definition
Timbre, subjective difference due to a sounds distinct overtones.
Term
Duration in percussion
Definition
Length of time note lingers.
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