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Physical exam & history taking
Test 2
59
Medical
Undergraduate 3
10/15/2009

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Cards

Term
Earliest sign og resp distress
Definition
Tachypnea
Term
2/6 resp distress
Definition
Airway compromise, flaring of nostrils, tripod/sniff position
Term
Respiratory failure
Definition
5/6, oxygen to skin- cyanosis, oxygen to brain- confused, oxygen to muscles- floppy, loud inspiratory sounds
Term
Partial Upper airway obstruction
Definition
Loud inspiratory sounds
Term
Lower airway obstructions
Definition
Wheezing
Term
Circulatory failure
Definition
Late decompensating, inadequate tissue perfusion, decompensating shock
Term
Decompensating shock
Definition
Failure to circulate to skin- pale, mottled, failure to circ to brain-confused, failure to circ to muscle- floppy
Term
Min systolic child >1
Definition
70+ (age*2)
Term
Irregularly irregular
Definition
A-fib
Term
Very rarely irregular pulse
Definition
PVC
Term
Bounding pulse
Definition
Heat stroke, Atrial regurgitation
Term
Slow regular pulse
Definition
Complete heart block
Term
No pulse
Definition
V-fib
Term
Neck vein distension
Definition
Left sided CHF
Term
Neck vein distension with shock
Definition
Tension pneumothorax, cardiac tamponade
Term
Late signs of resp dysfunction
Definition
Cyanosis, confusion
Term
Unilateral dullness and faint crackles
Definition
Pneumonia
Term
Rales or crackles in BOTH lower lung fields
Definition
CHF
Term
Rapid shallow breathing
Definition
Rib fx, pleuritic CP, shock
Term
Dullness over lower later chest in a trauma pt
Definition
Hemothorax
Term
Dullness over lower chest in non trauma patient
Definition
Pneumonia, CHF
Term
Hyperresonance over One unilateral lung field-traumatic
Definition
Pneumo, tension pneumo
Term
Hyperresonance over all lung fields- non trauma
Definition
COPD, asthma
Term
Wet crackles and scattered wheezes
Definition
CHF
Term
Right sided wheezing in a 2 yr old
Definition
Foreign body in right bronchus
Term
S1 sound
Definition
Mitral valve closure, at beginning of systole
Term
Aortic valve closure
Definition
S2, at beginning of diastole
Term
Aortic valve closure- ausculted at...
Definition
RUSB, 2nd ICS
Term
Physiologic consequences of suddenly becoming afraid, angry or upset
Definition
Epi like effects-inc Hr, gastric , BP, blood sugar
Term
Effective reversal of being afraid, angry, upset
Definition
Deep breathing exercises (1:2:2)
Term
Teenager with CP and panic attack
Definition
Hyperventilation or mitral valve prolapse- not the same as mitral regurgitation
Term
Wide pulse pressure 200/60
Definition
Aortic insufficiency-or aortic regurgitation
Term
Narrow pulse pressure 90/78
Definition
Shock, tension pneumo, cardiac tamponade
Term
Becks triad
Definition
Shock, neck vein distension, absent or muffled heart sounds
Term
Pulmonic valve closure sound auscultation
Definition
LUSB, 2 ICS
Term
Generationof a pulse caused by:
Definition
Left ventricular contraction, causes S1
Term
Junction of L and R bronchus
Definition
Carina, 21-22 cm from central incisors
Term
2nd rib landmark
Definition
Angle of Louis
Term
2nd ICS landmark
Definition
Lateral to angle of Louis , inferior to 2 nd rib
Term
Potentially useful and safe, but research still inconclusive
Definition
Indeterminate class
Term
Useful and safe, but research not 100 percent convincing
Definition
Class 2 b
Term
Unsafe, no positive research results
Definition
Class 3, unacceptable
Term
Thought to be most often safe
Definition
Class 2 a
Term
Thought to be always safe
Definition
Class 1, always acceptable
Term
Diaphragm nerves
Definition
3, 4, 5
Term
Stages of resp distress
Definition
1-inc rate, 2-airway positioning, nasal, sniff, pursed lips, 3-intercostal muscle use, 4-accessory muscles: neck abd rocking, 5-organ failure, 6-resp arrest
Term
End organ failure
Definition
Cyanosis, confusion, floppiness
Term
Mild resp distress
Definition
Inc WoB, 1 & 2
Term
Moderate resp distress
Definition
Further WoB, 3 & 4
Term
Severe resp distress
Definition
Decreased WoB, 5 & 6
Term
Retraction progression
Definition
ICM, Neck, Muscles
Term
Inspection: TREES
Definition
T: trauma, R: retractions E: effort, E: expansion, S: symmetry
Term
Hyperresonance
Definition
Absence of norm lung parenchma: pneumo, tension
Term
Dullness
Definition
Fluid: blood, pus
Term
Auscultation
Definition
5-6 ant, 6 areas post
Term
PEFR
Definition
300 norm?, 100-bad?
Term
S1
Definition
Systolic: pulmonic open, aortic
Term
S2, 3, 4
Definition
Diastolic
Term
S2
Definition
Mitral- open, tricuspid
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