Term
| phases of nursing process |
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Definition
| assessment, diagnosis, planning, implementation and evaluation |
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Term
| nursing assessment is mostly.. |
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Definition
| collective subjective and objective data to determine patient's overall level of functioning |
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Term
| medical assessment is mostly... |
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Definition
| focuses mainly on patient's physiological state |
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Term
| Communication includes three main parts... |
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Definition
| sender- message- receiver |
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Term
| examples of non verbal communication |
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Definition
| posture, gestures, facial expression, eye contact, voice, touch |
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Term
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Definition
| empathy, be an active listener, ensure privacy, reduce interruptions, note taking |
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Term
| common communication issues |
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Definition
| interpreters, cross cultural communication, etiquette, space, considerations on gender... |
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Term
| which is an open ended question? |
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Definition
| what made you come to the doctor today? (not questions with a specific answer, like where does it hurt?) |
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Term
| make sure questions are... |
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Definition
| non accusatory, don't make inferences... what happened between the time you noticed the problem and the time you came in?? |
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Term
| health history should include |
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Definition
| biographical data, reason for seeking care, current health or history of seeking care, past health, family history, review of systems, lifestyle and practices |
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Term
| documenting reasons for seeking care |
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Definition
| whats the chief complaint, document signs and symptoms |
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Term
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Definition
| objective abnormality, detectable in physical exam and lab reports |
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Term
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Definition
| subjective complaint from patient, a sensation |
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Term
| characteristics of symptom ?'s |
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Definition
| character? onset? location? duration? severity? pattern? how does it affect patient? |
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Term
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Definition
| provocative or palliative, quality or quantity, region or radiation, severity scale, timing, understand patients perception of it |
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Term
| examples of past health q's? |
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Definition
| childhood illnesses, accidents or injuries, serious or chronic illnesses, hospitalzations, operations, obstetric history, last examination date, allergies, current meds |
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Term
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Definition
| general health state, skin hair nails, head neck, eyes, ears, mouth throat nose sinuses, thorax lungs, breast, heart, admbomen, genitalia anus rectum prostate |
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Term
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Definition
| physical appearance, body structure, mobility, behavior |
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Term
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Definition
| when first see client, involves smell touch and vision. compare patient's right side to left side |
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Term
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Definition
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Term
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Definition
| texture, temp, moisture, organ location and size, swelling, pulsation, presence of tenderness or pain |
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Term
| fingertips are best used for-- |
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Definition
| fine tactile discrimination |
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Term
| the dorsa of hands and fingers are best for-- |
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Definition
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Term
| base of fingers are best for- |
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Definition
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Term
| physical examination should begin... |
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Definition
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Term
| when do you check vitals? |
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Definition
| like all the time, and after adminstering meds that affect patient's cardiovascular function |
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Term
| what part of the brain regulates body temperature? |
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Definition
| the thermoregulatory center of the hypothalamus |
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Term
| what is the body's primary heat source? |
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Definition
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Term
| what two hormones alter metabolism?, affect body heat |
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Definition
| epinephrine and norepinephrine |
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Term
| what is the primary source of heat loss? |
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Definition
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Term
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Definition
| skin, sweating, warming and humidifying air/breaths, and urine and feces |
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Term
| what things can affect oral temperature? (4) |
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Definition
| recent food, drink, cigarette, ability to hold thermometer in mouth, |
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Term
| what is the normal temp range? |
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Definition
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Term
| what is an elevated temperature called? |
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Definition
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Term
| What color is a rectal thermometer? |
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Definition
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Term
| what are the three stages of fever? |
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Definition
| initiation, plateau, defervenscence |
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Term
| when hyperthermia occurs, heat gain is greater than.. |
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Definition
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Term
| what is the pulse rate regulated by |
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Definition
| ANS, but is stimulated by PSNS and SNS |
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Term
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Definition
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Term
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Definition
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Term
| what is breathing rate regulated by? |
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Definition
| respiratory centers in medulla and pons |
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Term
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Definition
| force of blood against arterial walls |
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Term
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Definition
| stroke volume being ejecting from heart |
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Term
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Definition
| the energy stored in the aorta during systole |
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Term
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Definition
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Term
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Definition
| stage 1- 140-159/90-99, stage 2 160/100 |
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Term
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Definition
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Term
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Definition
| character, onset, location, duration, severity, pattern, affect on patient |
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Term
| the function of skin includes |
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Definition
| temp maintenance, fluid balance, absorption, exrection/secretion, immunity and vitamin D synthesis |
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Term
| What are the three layers of skin? |
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Definition
| epidermis, dermis, and subq layers |
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Term
| what are the two types of hair? |
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Definition
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Term
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Definition
| hard, transparent plates of KERATINIZED epidermal cells. |
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Term
| What changes should you look for in skin? |
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Definition
| note: distinctive odor, skin color variations, skin breakdown, and any lesions.. freckles scar moles |
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Term
| What are some abnormal skin color findings? |
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Definition
| cyanosis, pallor, jaundice, acanthosis nigricans |
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Term
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Definition
| pinching skin to check for dehyrdation |
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Term
| What should you look for when inspecting hair? |
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Definition
| color, texture, amount, distribution |
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Term
| flat, non palpable skin color change, <1 cm, circumscribed border |
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Definition
| macule! smaller than patch |
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Term
| flat, non palpable skin color change, >1 cm, may have irregular border.. |
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Definition
| patch! bigger than macule |
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Term
| elevated, palpable, solid mass, circ. border, <.5 cm |
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Definition
| Papule!, smaller than plaque, warts |
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Term
| elevated, palpable, solid mass, circ. border, >.5 cm |
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Definition
| Plaque, bigger than papule, psoriasis |
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Term
| elevated, solid, palpable mass, extends deeper into dermis, .5-2 cm |
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Definition
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Term
| solid, elevated, palpable mass, >1-2 cm |
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Definition
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Term
| circumscribed, elevated, palpable mass containing fluid, <.5 cm |
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Definition
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Term
| circubscribed, elevated, palpable mass containing fluid, >.5 cm |
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Definition
| Bulla, contact dermatitis, poison ivy, burn blisters |
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Term
| elevated mass with transient borders, often irregular, caused by movement of serous fluid into the dermis, doesn't contain free fluid in cavity.. |
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Definition
| Wheal! hives, insect bites |
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Term
| pus filled vesicle or bulla |
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Definition
| Pustule, acne furuncles, impetigo |
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Term
| encapsulated fluid-filled or semisolid mass, located in the subq tissue or dermis |
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Definition
| cyst, sebaceous cyst, epidermoid cyst |
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Term
| what does abcde stand for? |
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Definition
| asymmetry, borders, color, diameter, elevated |
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Term
| petechia is ? than purpura |
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Definition
| smaller, individual spots |
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Term
| what does RC:"disease" mean? |
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Definition
| Risk for complications, followed by the problem |
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Term
| conductive hearing impairment |
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Definition
| hearing loss that originates from a blockage or something within the outer/middle ear. |
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Term
| sensorineural hearing impairment |
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Definition
| damage in perception of sound, impairment originates from inner ear |
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Term
| What chart is used instead of Snellen chart if patient can't read? |
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Definition
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Term
| What is the Romberg test? |
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Definition
| tests equillibrium, patient stand with feet closer together, for 20 seconds, check for swaying |
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Term
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Definition
| Pupils, are they Equal?, are they Round? are they Reactive? to Light? and Accommodation? |
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Term
| what is a normal body temperature? |
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Definition
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Term
| what is the pyrexia range? |
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Definition
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Term
| what is the hyperpyrexia range? |
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Definition
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Term
| Intact skin with nonblanchable redness of a localized area, usually over bony prominence |
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Definition
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Term
| Partial thickness-loss of dermis presenting as a shallow open ulcer with a red-pink wound bed, serum filled blister.. |
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Definition
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Term
| full-thickness tissue loss, subq fat may be visible but bone, tendon, muscle is not exposed |
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Definition
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Term
| Full-thickness tissue loss with exposed bone, tendon or muscle, straight through skin layers. |
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Definition
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Term
| A macule is smaller than... |
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Definition
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Term
| A patch is larger than... |
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Definition
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Term
| A papule is smaller than.. |
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Definition
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Term
| A plaque is larger than.. |
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Definition
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Term
| A nodule is smaller than.. |
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Definition
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Term
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Definition
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Term
| A vesicle is smaller than.. |
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Definition
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Term
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Definition
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Term
| Which skin lesion is caused by the movement of fluid into the dermis? |
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Definition
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Term
| A pustule is a pus filled.. |
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Definition
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Term
| Which skin lesion is a fluid filled mass located in sub q tissues |
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Definition
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