Shared Flashcard Set

Details

PD III Test #3 - Constitutional Symptoms
Winter Semester 2011
49
Medical
Graduate
04/30/2011

Additional Medical Flashcards

 


 

Cards

Term
What term means a tired feeling and a sense of weariness that may or may not be related to or worsened by task performance?
Definition
Fatigue
Term
What condition is described as a feeling that consists of listlessness and languor, a desire to sit and dream, perhaps even laziness or mental inertia?
Definition
Lassitude
Term
What term means a feeling of not being well, of being sick and out of sorts?
Definition
Malaise
Term
What term means consists of a lack of motor strength and a decreased ability to perform certain physical tasks?
Definition
Weakness
Term
What are the signs of depression?
Definition
feelings of guilt,
hopelessness,
dissatisfaction,
crying spells,
palpitations, anorexia,
early morning awakening,
headache,
feeling sad, blue or lonely,
decrease in libido,
loss of interest in work & social activities,
“life not worth living,”
even a wish for self-destruction by suicide
Term
What is the definition of acute fatigue?
Definition
<1 month
Term
Is fatigue a complaint MC in women or men?
Definition
women
Term
What is the difference between organic cause of fatigue and psychiatric illness causing fatigue?
Definition
Organic fatigue is less severe on awakening
Worsens during the day
Is continuous and progressive
Term
Which drugs can cause fatigue?
Definition
Anti-histamines
Sedatives
Hypnotics
Psychotropics
Some Anti-hypertensives (Beta-Blockers)
Methyldopa
Term
What condition has criteria described as debilitating fatigue with no previous history of similar symptoms that does not resolve with bedrest, and causes a decrease in daily activity by 50% for over 6 mon?
Definition
CFS
Term
Which condition has signs and symptoms including mild fever, sore throat, painful surgical or axillary nodes, generally muscle weakness, muscle discomfort, greater then 24hrs of generalized fatigue, hypersomnia or insomnia, and general HA?
Definition
CFS
Term
What condition is described as widespread pain >3mo above and below the waist with 11 defined tender points?
Definition
Fibromyalgia
Term
What meds can be given to treat the insomnia and depression symptoms of CFS?
Definition
NSAIDs and TCA
Term
What med can be given to treat hypersomnia associated with CFS?
Definition
SSRI
Term
What condition is described as clinically apparent increase in the interstitial fluid volume, which may expand by several liters before the abnormality is evident?
Definition
Edema
Term
What term means accumulation of excess fluid in the peritoneal cavity?
Definition
Ascites
Term
What term means an accumulation of excess fluid in the pleural cavity?
Definition
Hydrothorax
Term
What term means gross, generalized edema?
Definition
Anasarca
Term
What term describes forces that regulate the disposition of fluid btw the plasma volume and interstitial fluid components of extracellular body fluid?
Definition
Starling forces
Term
Where does hydrostatic pressure exert its effect?
Definition
w/in vascular system
Term
Where does colloid oncotic pressure exert its effect?
Definition
w/in interstitial fluid
Term
Does capillary edema caused by trauma lead to pitting or non-pitting edema?
Definition
non-pitting
Term
What effect does reduced cardiac output have on effective arterial blood volume?
Definition
lowers effective arterial blood volume
Term
What does severe heart failure do to the GFR?
Definition
decreases GFR
Term
How does nephrotic syndrome effect the effective arterial blood volume?
Definition
lowers effective arterial blood volume
Term
How does cirrhosis effect EABV (Effective arterial blood volume)?
Definition
lowers Effective arterial blood volume
Term
What effect does a lowered Effective Arterial Blood Volume's effect on the kidneys? How does this effect hydrostatic and colloid osmotic pressure?
Definition
Causes constriction of renal artery; DECREASES hydrostatic pressure and INCREASES colloid osmotic pressure; causes increased Na and water reabsorption
Term
What are the components of Nephrotic syndrome?
Definition
Proteinuria>3.5g/dl
Hypoalbuminemia <2g/dl
+/- hypercholesterolemia
Term
What are the characteristics of acute glomerulonephritis and renal failure?
Definition
hematuria, proteinuria and HTN
Term
What condition is characterized by acites, jaundice, spider angiomatas, and hypoalbuminemia?
Definition
Cirrhosis
Term
Which type of LE edema is described as Unilateral leg edema with calf tenderness, palpable cord, and (+) Homan’s sign?
Definition
DVT
Term
Will LE edema caused by CHF be bilateral or unilateral?
Definition
bilateral
Term
Will LE edema caused by venous insufficiency be bilateral or unilateral?
Definition
unilateral
Term
In hypoalbuminemia, is the LE edema bilateral or unilateral? Pitting or Non-pitting? Where is the other edema located?
Definition
Bilateral
Pitting Edema
Facial/eyelid edema upon awakening
Term
What type of edema are stroke pts at-risk for? And what is a complication of this?
Definition
Unilateral LE edema (in paralyzed leg); Elevates risk of DVTs
Term
Where does the swelling start and move to in lymphedema?
Definition
Swelling starts in feet and moves upward
Term
What are the risk factors for thrombophlebitis?
Definition
recent sx, previous phlebitis, prolonged inactivity, recent injury, redness, tenderness, or fever
Term
If unilateral edema is prominent w/little pitting, what condition would you expect?
Definition
lymphatic obstruction
Term
If pt has bilateral edema, and has signs of jaundice, ecchymosis and spider angiomas, what condition would you suggest?
Definition
hepatocellular failure
Term
What does an S3 sound indicate?
Definition
Heart failure
Term
What is the definitive test to diagnose a DVT? What other test is also used?
Definition
Venogram-definitive test ; Doppler U/S
Term
How can CHF be ruled out as a cause of edema?
Definition
BNP and CXR
Term
How can you r/o proteinuria?
Definition
U/A
Term
How can you r/o renal insufficiency as a cause of edema?
Definition
Cr/BUN
Term
What vitamin deficiency can be caused by terminal ileal disease?
Definition
Vit B12 deficiency
Term
What does a low serum carotene indicate?
Definition
fat malabsorption
Term
What does qual 72 hr stool fat help to r/o?
Definition
r/o malabsoprtion
Term
What does D-xylose test used to determine?
Definition
High amounts in the stool indicates malabsorption in the small intestines
Term
What is the secretin stimulation test used to evaluate?
Definition
Assesses pancreatic function
Supporting users have an ad free experience!