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104 test 3
104 test 3
113
English
Kindergarten
06/09/2009

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Term
labile affect
Definition
rapid chgs in emotional exp
Term
blunted affect
Definition
restricted exp of emotion
Term
labile mood
Definition
rapidly shifting emotional state
Term
pverty of speech
Definition
speech that is brief and uncommunicative
Term
circumstantialty
Definition
before getting to the point the person gets caught up in tedious details before communicationg the central idea question answered in a roundabout way
Term
tangentiality
Definition
digressive talk where the speaker never gets to the point or specific goal
Term
blocking
Definition
involuntary cessation of thoughts and speech can happen because of unconcious emotional factors like conflicts or due to intrusion of hallucinations norm people also block at time but seen in schizophrenia
Term
perservation
Definition
sensleless repitition of the same meaningless words and phrases in response to any question
Term
clang assoc
Definition
relating words by sound not meaning in schizophrenia "red bed head dead said"
Term
neologisms
Definition
words invented by a person and understood only by him not by others iin schizophrenia
Term
word salad
Definition
jumble of disconnected words or phrases w no meaning in schizophrenia "vanilla reason lopsided can go left and right he is"
Term
echolalia
Definition
meaningless repitition by one person of what another has said in schizophrenia nurse says "turn on the lights" pt says "the lights the lights the lights"
Term
echopraxia
Definition
meaningless repitition of motion made by others seein in catatonic schizophrenia
Term
delusions
Definition
fixed false belief that is firmly maintained though not believed by others resistant to logic and can be many types
Term
persecutory
Definition
mafia out to get them
Term
grandious
Definition
believe they are an angel of god
Term
somatic
Definition
believe their intestines are removed
Term
nihilistic
Definition
theme of nonexistance the world will evaporate at noon
Term
paranoid ideation
Definition
excessive suspiciousness and the belief one is being harassed persecuted etc
Term
idea or dulusion of reference
Definition
inaccurate interpretation of an incidents as having spec reference to ones self usually ideas of reference are interpreted as disparaging or threatening pt hears laughter and interprets they are laughing at him
Term
concrete thinking
Definition
manifested by the literal inerpretation of msgs in schizophrenia pt interprets dont count oyour chickens b4 their hatched as dont count your babies b4 they are born
Term
mood
Definition
pervasive and sustained emotion experienced by the pt it is thier subective sense of how they feel
Term
affect
Definition
outward manifestation of mood facial expression what the examiner sees so it is objective
Term
euthmyic
Definition
normal mood labeled w this meaning neither up or down
Term
congruence
Definition
noting wether affect matches stated mood
Term
GRANDIOSE
Definition
exaggerated sense of ones own importance
Term
thought insertion
Definition
belief others are putting thoughts into their heads
Term
delusions of ctrl
Definition
believe their thoughts are ctrl'd by others
Term
thought broadcasting
Definition
believe others can hear their thoughts or read their mind
Term
insight
Definition
refers to whether the pt is aware of his cheif problem
Term
PESIL DOSLEXIS
Definition
MOst common site nose bleeds
Term
frontal
Definition
10% of pop doesnt have this sinus
Term
maxcillary and ethmoid
Definition
sinuses present at birth
Term
lymph adenopathy
Definition
enlg nodes >1 cm tumor lymphoma metastasis infection autoimmune
Term
lymphoma
Definition
soft and rubbery lymph nodes
Term
infection
Definition
boggy lymph nodes
Term
cholasma
Definition
brown pigemnt in face in preg women
Term
exophthalmus
Definition
abnormal protruding of eye
Term
trouble breathing
Definition
nasal flaring indicated
Term
bels paulsy
Definition
involves paralysis of eye forhead and mouth
Term
stensins gland
Definition
duct of parotid gland
Term
whartons
Definition
duct of submandibular gland
Term
vit d def
Definition
fissures on sides of lips can indic
Term
fungal infection
Definition
black hairy tongue
Term
corticolus
Definition
deviation of neck to one side
Term
listen for bruits
Definition
what to check if throid is enlarged
Term
listen for bruits
Definition
what to check if throid is enlarged
Term
langerhan cells
Definition
in epidermis mediate t cell immunity role in contact allergic dermatitis
Term
papillary layer
Definition
in dermis fingerprint fibroblasts mast cells macrophages
Term
reticular layer
Definition
in dermis collagens, arterioles, venules, capillaries
Term
subcutaneous layer
Definition
where are art and veins in skin layer
Term
apocrine glands
Definition
in axilla perineum opens in hair follicules dorman til puberty
Term
eccrine glands-
Definition
evaporative cooling perpiration all thru body
Term
vellus
Definition
fine hair (on face)
Term
terminal
Definition
thicker hair
Term
milia
Definition
white heads on babys
Term
mogolian spots
Definition
in AA r/t abundace of melanocytes in one area
Term
familiar atypical mole malignant melanoma
Definition
1 or more relatives have it and > 50 moles
Term
actinic keratiosis
Definition
rough patch on skin w aging
Term
triosinase
Definition
critical for melanin production makes hair color gray
Term
cicatricial alopeica
Definition
cant regrow hair follicle dest burns
Term
noncicatrical alopecia
Definition
non hormonal infectious disease follicles still intact potential for regrowth
Term
pallor or absense of color
Definition
due to absense of oxygenated hemoglobin
Term
reddish blue tone
Definition
inc in hemoglobin and stasis of blood capillaries may be seen in polycythemia vera
Term
hyperhydrosis
Definition
odor from excessive sweating
Term
pedunculated
Definition
semi attached flickable
Term
lichen planus
Definition
mesh like rash reticular infflammatory disease
Term
port wine stain or nevus flammeus
Definition
vascular birth mark deep capillaries dilated inskin
Term
papule
Definition
palapable raised superficial <1 cm raised mole basal cell carcinoma psoriasis if >1cm called plaque
Term
vesicle
Definition
<1cm blister herpes simplex
Term
bulla
Definition
>1cm blister burn
Term
pustule
Definition
vesicle or bulla filled w pus superficial acne vulgaria follicistus
Term
primary lesion
Definition
is part of skin surface
Term
lichenification
Definition
caused by rubbing contact dermatiitis thickening and scaling w inc skin markings
Term
keloid
Definition
hypertrophic scaring secondary to excess collagen form
Term
exroiation
Definition
loss of skin that does not extend past the superficial epidermia insect bite
Term
erosion
Definition
loss of superficial epidermia
Term
ulcer
Definition
irreg shape or loss of skin
Term
basal cell carcinoma
Definition
common in fair skinned people usually appears as a sm fleshy bump on the head neck or hands grow slowly and rarely spread to other parts of body most commo n in gen pop if left un tx can bleed cause damage
Term
squamous cell carcinoma
Definition
common in fair skinned ppl most common skin ca in organ transplant pts usually appears as bump or red scaly patch on face ears lips or mouth it can devel into large masses and spread to other body parts scaly stick out
Term
melanoma
Definition
most dangerous can spread to other parts of body thru lymphatic sys or blood new or current mole chgs leading cause skin cancer deaths 4x more common organ trans pts
Term
kaposi sarcoma
Definition
malignant skin cancer seen in immunocomp pts HIV purple in color soft blue and painless caould be macular or papular and may look like keloids or bruises
Term
pediculosis
Definition
live or nits near base of hair shaft
Term
oncycholysis
Definition
sep of nail from bed
Term
paronychia
Definition
inf of skin adjacent to nail
Term
koilonychia
Definition
flat nail w concave r/t fe def
Term
leukonychia
Definition
white spots on nail r/t over manicuring
Term
hypothyroidism
Definition
dry or course hair consider
Term
hyperthyroididm
Definition
fine silky hair consider
Term
EXT & MID EAR
Definition
RESP for conductive hearing
Term
inner ear
Definition
resp for sensory/neuro hearing
Term
tympanic mem
Definition
diveides exr ear from mid ear transmit sounds waves
Term
eustacian tube
Definition
equalizes pressure on both sides of TM
Term
otosclerosis
Definition
inability of bones to move so hearing is imparied
Term
cardiovascular
Definition
r/t this system with ears having tinnitus or vertigo
Term
presbycusis
Definition
hear loss of old age 5th decade high pitched (consonant sounds) lost men more
Term
asians and nat amer
Definition
ear wax white dry flaky
Term
white blacks
Definition
cerumen honey/brown sticky wet
Term
aspirin
Definition
#1 ototoxic drug
Term
brain tumor
Definition
cafe au lait spots may signify
Term
5 o clock
Definition
otoscope should be __ on right
Term
7 o clock
Definition
otoscope shoudl be __ on left
Term
weber test
Definition
should hear sound = both ears BASE OF RINGING TUNING FORK IN mid of forehead or top of head assesses for lateralization bone conduction and ait conduction
Term
rinne test
Definition
base of tuning fork on mastoid process, ask pt when no longer hear sounds move fork to front ear and ask when dont hear any more air conduction typically 2x > than bonecompares bone conduction and air condition AC is twice as long as BC
Term
mongolian spots
Definition
blue grey area of discoloration of skin of low back thighs and ocassionally shoulders of newborn grad fade often seen in black nat amer and oriental babies
Term
obligatory nose breathers
Definition
infants unable to breathe thru mouth
Term
heart disease
Definition
murmurs after 3 indicate
Term
moro reflex
Definition
startle by jarring of crib baby quickly abduct and extends arms and legs makes C w index finger and thumb birth - 4 mos if more than 6 mos can be neuro prob
Term
startle refle
Definition
present at birth lasts 4 mos clench fists arms abuducted flex elbows
Term
tonic nekc
Definition
aka fenching reflex brith-6wks infant supoine roate head to one side so chin os over 1 shoulder assume fenching position
Term
babinski
Definition
which reflex dissapears at 1 yr
Term
glabellar reflec
Definition
present at birth tap on forehead blink for 1st few taps persistant blinking w repeated taps indicates extrapyramidial probs
Term
magnet
Definition
present at birth infant supine flex legs and apply pressure to soles of feet extend legs against pressure
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