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Abnormal Findings for NRSG 312
N/A
102
Nursing
Undergraduate 3
05/11/2013

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Term
pseudostrabismus
Definition
eyes "seem" to be malaligned because of excess in the epicanthic folds
Term
strabismus
Definition
fixed malalignment of the eyes; also known as tropia
Term
phoria
Definition
mild weakness of the eyes
Term
periorbital edema
Definition
eyelids are swollen and puffy, occurring with local infections and crying
Term
exophthalmos
Definition
protrusion of the eyeballs and wide palpebral fissures
Term
enophthalmos
Definition
recession of the eyeballs and narrowing of palpebral fissures
Term
ptosis
Definition
drooping of the upper lid, occurring from neuromuscular weakness
Term
upward palpebral slant
Definition
change in the angle of the eyes that is indicative of Down syndrome
Term
ectropion
Definition
rolling out of lower eyelid; tears do not drain properly so eyes feel itchy
Term
entropion
Definition
rolling in of lower eyelid; constant rubbing of eyelashes irritates cornea
Term
blepharitis
Definition
inflammation of the eyelids characterized by red, scaly, greasy flakes that cause burning and itchiness
Term
hordeolum
Definition
localized staph infection of hair follicle that is painful, red, and swollen; stye
Term
basal cell carcinoma
Definition
papule with ulcerated center on lower eyelid and medial canthus
Term
anisocoria
Definition
unequal pupil size; normal
Term
monocular blindness
Definition
no response of either eye when light is directed to blind eye
Term
tonic pupil
Definition
pupil is slow to react to light and accommodation; unilateral
Term
conjunctivitis
Definition
infection of conjunctiva with red, beefy vessels at the periphery; causes itchiness and burning sensation; "pink eye"
Term
subconjunctival hemorrhage
Definition
red patch on sclera like a spot of pain; result of increased intraocular pressure from coughing, weight lifting, etc.
Term
iritis
Definition
deep, dull redness around iris; pupils may be irregular
Term
acute glaucoma
Definition
redness around the iris with a dilated pupil; anterior chamber is shallow, and cornea looks "steamy"
Term
pterygium
Definition
triangular opaque wing of bulbar conjunctiva that is yellow to white in color; result of chronic exposure to hot, sandy climate
Term
corneal abrasion
Definition
ridges visible on cornea under intense light as a result of blunt eye injury
Term
hyphema
Definition
blood in anterior chamber as a result of herpes zoster infection or blunt trauma
Term
hypopyon
Definition
purulent matter in anterior chamber associated with inflammation and iritis
Term
rheumatoid arthritis
Definition
inflammation of synovial joints, starting with thickening and then fibrosis and bony ankylosis; bilateral and characterized by heat, redness, swelling, and pain at joints
Term
osteoarthritis
Definition
noninflammatory, localized deterioration of deterioriation of articular cartilage; bone rubs against bone causing stiffness, swelling, and pain at hands, knees, and hips
Term
ankylosing spondylitis
Definition
chronic, progressive inflammation of RA that obliterates cervical and lumbar curvatures of spine
Term
osteoporosis
Definition
decrease in skeletal bone mass occurring when rate of bone resorption is greater than that of bone formation, increasing risk for fractures especially in postmenopausal women
Term
joint effusion
Definition
swelling from excess fluid in joint capsule, usually from RA
Term
tear of rotator cuff
Definition
limited abduction of arm associated with hunched position; positive drop arm test
Term
olecranon bursitis
Definition
large, soft knob or "goose egg" due to inflammation of olecranon bursa
Term
epicondylitis
Definition
tennis elbow; chronic disabling pain at lateral epicondyle of humerus
Term
ankylosis
Definition
wrist in extreme flexion due to severe RA; hand becomes functionally useless
Term
swan-neck and boutenniere deformities
Definition
flexion contractures at the metacarphophalangeal joints that occurs with RA; knuckle looks like its being pushed through a buttonhole
Term
polydactyly
Definition
extra digits where surgical removal is considered for cosmetic appearance
Term
syndactyly
Definition
webbed wingers due to a congenital defect, which usually requires surgery due to decreased ROM
Term
synovitis
Definition
loss of normal hollows on either side of patella due to synovial effusion
Term
Osgood-Schlatter disease
Definition
painful swelling of tibial tubercle just below the knee due to repeated stress; pain increases with activity
Term
tophi
Definition
hard, painless nodule usually found on the metatarsophalangeal joint of first toe
Term
bunion
Definition
inflamed bursa at metatarsophalangeal joint where great toe loses power power to push off while walking
Term
ingrown toenail
Definition
soft tissue grows over nail and obliterates groove; infection occurs when nail grows, and corner penetrate the soft tissue
Term
scoliosis
Definition
lateral curvature of thoracic and lumbar spine
Term
paralysis
Definition
decreased or loss of motor power due to problems with nerve or muscle fibers; hemiplegia (one side), paraplegia (both sides), quadriplegia (all four)
Term
fasciculation
Definition
rapid continuous twitching of resting muscle or part of muscle
Term
myoclonus
Definition
rapid, sudden jerk or short series of jerks at fairly regular intervals
Term
tic
Definition
involuntary, repetitive twitching of muscle group (wink, shoulder shrug) due to a neurologic cause
Term
tremor
Definition
involuntary contraction of opposing muscle groups; can occur at rest or voluntary movement but disappear while sleeping
Term
rest tremor
Definition
involuntary contraction of muscle groups when muscles are quite and supported against gravity (hand in lap)
Term
intention tremor
Definition
involuntary contraction of muscle groups that worsens with voluntary movement
Term
chorea
Definition
sudden, rapid, jerky, purposeless movement that occurs at irregular intervals
Term
athetosis
Definition
slow, twisting, and writhing movement, resembling a snake or worm; disappears with sleep
Term
spastic hemiparesis
Definition
arm immobile against body with leg stiffness; leg circumducts with each step (dragging toe in semicircle)
Term
cerebellar ataxia
Definition
staggering wide-based gait with difficulty turning; positive Romberg sign
Term
Parkinsonian
Definition
stooped posture with short shuffling steps; difficulty with turning
Term
scissors
Definition
knees cross like holding an orange between thighs
Term
steppage
Definition
slapping quality; looks like walking up stairs and slaps food down hard
Term
waddling
Definition
weak hip muscles where person takes a step and opposite hips drops; protruding abdomen
Term
peripheral neuropathy
Definition
loss of sensation in distal part of extremities (feet and hands); diabetes is a common cause
Term
decorticate rigidity
Definition
flexion of upper extremities and extension of lower extremities; indicates hemispheric lesion
Term
ecerebrate rigidity
Definition
extension of upper extremities and extension of lower extremities; hyperextended back; indicates lesion in brainstem
Term
opisthotonos
Definition
prolonged aching of back with head and heels bend backward
Term
tinea cruris
Definition
fungal infection in crural fold, not extending to scrotum; result of sweating or "jock itch"; presents as red-brown half-moon shapes
Term
genital herpes (HSV-2)
Definition
clusters of small vesicles with surrounding erythema; often painful and erupt on glans and foreskin; can rupture to form superficial ulcers
Term
genital warts
Definition
soft, pointed, moist, fleshy, painless papules that can be singles or "cauliflower patch"; due to HPV
Term
syphilitic chancre
Definition
begins as a small, solitary, silvery papule, eroding to a red, round, superficial ulcer with yellowish discharge; has an indurated base that can be lifted like a button
Term
carcinoma
Definition
ulcer with watery discharge on inner lip of penile foreskin
Term
phimosis
Definition
nonretractable foreskin forming a pointy tip with a tiny orifice
Term
paraphimosis
Definition
foreskin is retracted and fixed; constriction impedes circulation (medical emergency)
Term
hypospadias
Definition
urethral meatus opens on the under side of glans; should not be circumcised
Term
epispadias
Definition
meatus opens on upper side of glans associated with urinary incontinence
Term
cryptorchidism
Definition
testes that have never descended, which can lead to infertility
Term
testicular torsion
Definition
sudden twisting of spermatic cord, cutting off blood supply off and resulting in ischemia and engorgement
Term
epididymitis
Definition
acute infection of epididymis characterized by enlarged, reddened scrotum
Term
varicocele
Definition
incompetent valves of veins in spermatic cord, resulting in blood reflux; may show blue in like scrotal skin
Term
spermatocele
Definition
retention cyst in epididymis that transilluminates higher in the scrotum; contains thin, milky fluid with sperm (can fluoresce)
Term
testicular tumor
Definition
firm nodule or harder than normal section of testicle; early detection is important in prognosis
Term
hydrocele
Definition
circumscribed collection of serous fluid (cyst), resulting in an enlarged, mass that transilluminates with a pink or red glow
Term
orchitis
Definition
acute inflammation of testis, resulting in enlargement, edema, and redness; does not transilluminate
Term
indirect inguinal hernia
Definition
loop herniates through inguinal ring through external ring and can remain in canal or pass into scrotum; congenital or acquired
Term
direct inguinal hernia
Definition
bowel moves through external inguinal ring but does not enter scrotum; acquired by heavy lifting, obesity, etc.
Term
femoral inguinal hernia
Definition
bowel goes through femoral ring; more often on the right side; acquired only
Term
pilonidal cyst
Definition
hair-containing cyst or sinus located midline over coccys
Term
anorectal fistula
Definition
abnormal passage from inner anus to skin surrounding anus due to chronic inflammation of GI tract
Term
hemorrhoids
Definition
painless, flabby papules around or inside anus due to increased venous pressure due to straining at stool; becomes very painful when thrombosed
Term
rectal prolapse
Definition
rectal mucous membrane protrudes through anus, appearing as moist red donut with radiating lines
Term
pruritus ani
Definition
intense perianal itching manifested by red, raised, excoriated skin around the anus
Term
rectal polyp
Definition
protruding growth from rectal mucous membrane
Term
fecal impaction
Definition
collection of hard, desiccated feces in rectum; often a result of decreased bowel motility
Term
BPH
Definition
enlargement of prostate that results in urinary frequency, urgency, straining to urinate, weak and intermittent stream, and sensation of incomplete emptying
Term
pediculosis pubis
Definition
crab lice; excoriations and erythmetaous areas around the vagina; little dark spots or nits adherent to pubic hair can be noted; severe perineal itching
Term
uterine prolapse
Definition
uterus protrudes into vagina with straining or standing
Term
cyanosis (blue cervix)
Definition
bluish discoloration of cervical mucosa as a result of pregnancy
Term
erosion
Definition
cervical lips inflamed and eroded; reddened granular surface (inflammation) with no ulceration
Term
polyp
Definition
bright, red, soft, pedunculated growth emerging from os; benign lesion
Term
candidiasis
Definition
vulva and vagina are erythmetaous and edematous; discharge is thick, white, and curdy (like cottage cheese)
Term
trichomoniasis
Definition
vagina has red, raised papules and petechiae (strawberry appearance); discharge is a frothy, yellow-green, foul smelling discharge
Term
bacterial vaginosis
Definition
profuse discharge (constant wetness) with foul, fishy odor; color is thin, creamy white
Term
chlamydia
Definition
friable cervix with yellow or green discharge
Term
myomas (uterine fibroids)
Definition
uterus irregularly enlarged, firm, mobile, and nodular with hard, painless nodules in uterine wall
Term
endometriosis
Definition
cells lining womb grow outside of the vagina; small, firm nodular masses tender to uterine palpation
Term
ectopic pregnancy
Definition
palpable tender pelvic mass, which is solid, mobile, unilateral; irregular vaginal bleeding
Term
ovarian cyst
Definition
smooth, round, fluctuant, mobile, nontender mass on ovary; usually asymptomatic
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