-
greater than 100 bpm
tachycardia
-
the 6 cardinal positions of gaze test these muscles
extraocular
-
brand medication used for seizures that is associated with weight loss
topamax
-
when recording this we list the rate, thythm, and strength
pulse
-
top number in blood pressure measurement
systolic
-
the L part of scholar
location
-
class of medications that causes respiratory depression and pinpoint pupils
opiods
-
skin tenting that does not go away is a sign of this
dehydration
-
normal capillary refill should occur within this number of seconds
3
-
earpieces should point towards this when inserted into the ears
nose
-
the first step in the 5 part exam technique
inspection
-
a disease state in which you hear wheezes
asthma
-
gold standard for blood pressure measurement
mercury
-
jugular venous pressure gives you information about this side of the heart
right
-
this lung has two lobes
right
-
type of percussion sound you would hear over a normal lung
resonant
-
vasotec has this rare but serious side effect
angiedema
-
artery used for auscultating blood pressure sounds
brachial
-
side of the stethoscope used to assess blood pressure
bell
-
this generic medication is associated with steven Johnson's syndrome and gingival hyperplasia
phenytoin
-
absence of breathing
apnea
-
common cause of kussmaul's breathing
diabetic ketoacidosis
-
quick and easy test to assess for mental status
fogs
-
artery located at wrist and used for assessing pulse
radial
-
-
eye chart test used to assess far vision
snellen
-
herpes zoster illicits this type of rash
vesicular
-
located at the 5th intercostal space
PMI
-
disease state that increases tactile fremitus
pneumonia
-
SBP 120-139 and or DBP 80-89
prehypertension
-
heart sound heard best at the base of the heart
S2
-
abnormal lung sounds heard in patient with CHF
crackles
-
an abnormal sound that can be heard when auscultating the carotid artery
bruit
-
difficulty breathing in supine position
orthopnea
-
ABCDE's of skin cancer
- Asymmetry
- Border irregularity
- Color variation
- Diameter >6mm
- Elevation, Enlargement
-
normal is 12-20
respiratory rate
-
this medication is FDA approved to treat diabetic peripheral neuropathy
lyrica
-
we tell patients that use inhalers to rinse the mouth out after use to avoid this
thrush
-
side of the hand that we use to assess temperature
dorsal
-
high pitched musical sound heard during breathing
wheeze
-
technique used to locate organ borders, identify shapes, and utilizes a shorp tapping technique
percussion
-
normal breathing rate or pattern
eupnea
-
S1 sound is this valve closing
mitral
-
can lead to brown patchy hyperpigmentation or light exposed area
anticonvulsants
-
can lead to patchy irregular blue-black or gray lesions
antimalarials
-
can lead to areas of bronze color and eventually can be violet or gray with ling term exposure
phenothiazines
-
can lead to brown macules on the cheeks, forehead or upper lip
oral contraceptives
-
can lead to a blue color on previously inflamed skin with prolonged high dose therapy
tetracycline
-
black coloration of the thyroid has been reported with prolonged use and also discoloration of teeth
minocycline
-
can lead to gray-blue discoloration on 10% of patients
amiodarone
-
can lead to cushing's disease
excessive glucocorticosteroids
-
can lead to myxedema
insufficient thyroid replacement
-
can lead to exopthalmos
- insufficient antithyroid
- lithium
- GCS
-
can lead to goiter
- excessive PTU
- lithium
- iodine
-
what is PERRLA
pupils equally round and reactive to light and accomodation
-
drugs causing loss of accommodation
anticholinergics
-
drugs causing dilated pupils
- anticholinergics
- sympathomimetics
-
drugs causing nystagmus
- phenytoin
- lithium
- cytarabine
-
eye test to check near vision
rosenbaum
-
test to check retinal and optic disc
opthalmascopic exam
-
method of checking ears in and adult and child with an otoscope
- adult - pull up and back
- child - pull down and back
-
test performed by rubbing fingers outside of patients ears
auditory activity
-
ear exam checking for lateralization, with fork on forehead
weber test
-
ear exam testing for AC vs BC
rinne test
-
weber test showing sound increase in bad ear
conduction loss
-
weber test showing increase sound in good ear
sensorineural loss
-
central cyanosis is indicated by
blue lips
-
peripheral cyanosis is indicated by
blue extremities
-
disease state with the loss of melanocytes
vitiligo
-
most common drug induced skin reaction
maculopapular rash
-
these account for 25% of skin reactions
urticaria
-
the 5 steps in exam technique
- inspection
- palpation
- percussion
- auscultation
- olfaction
-
nail disorder that may indicate recent acute or severe illness
Mees' lines
-
nail disorder that may indicate psoriasis
pitting
-
nail disorder that may indicate chronic hypoxia from heart, lung, or liver disease
clubbing
-
nail disorder that could indicate fungal infection
onychomycosis
-
drugs that could cause nail deformity
- cyclosporine
- gold salts
- mitoxantrone
- tetracyclines
-
drugs that could cause nail dystrophy
lithium
-
drugs that could cause nail pigmentation
-
drugs that could cause hair color change
-
drugs that change body fluids to a reddish-orange color
-
SCHOLAR
- Symptoms
- Characteristics
- History
- Onset
- Location
- Aggravating factors
- Remitting factors
-
S1 sound
closing of the mitral and tricuspid valves
-
S2 sound
closing of the pulmonic and aortic valves
-
an abnormal sound when auscultating the aorta
aneurism
-
this landmark is parallel to the 2nd rib
sternal angel
-
murmur grading
1-6, 6 being the worst
-
MR AS(S)
MS AR(D)
- systolic
- mitral regurgitation
- aortic stenosis
- diastolic
- mitral stenosis
- aortic regurgitation
-
use this end of the stethoscope to auscultate the carotids
bell
-
4 classifications of blood pressure
- <120/<80 - normal
- 120-139/80-89 - prehypertension
- 140-159/90-99 - stage 1 hypertension
- >160/>100 - stage 2 hypertension
-
difficulty breathing where you wake up gasping
paroxysmal nocturnal dyspnea
-
main difference between arterial and venous insufficiency
- venous - there is edema and no gangrene
- arterial - usually has a lot of symptoms
-
what is a normal pulse rating
2+
-
joints are move by the patient
active ROM
-
joints are move by the examiner
passive ROM
-
joint motion moving away from the midline of the body
abduction
-
joint motion moving toward the midline of the body
adduction
-
joint motion moving in a circle
circumduction
-
joint motion bending at a joint
flexion
-
joint motion straightening at a joint
extension
-
joint motion moving inward
inversion
-
joint motion moving outward
eversion
-
joint motion moving around an axis
rotation
-
joint motion moving forward
protraction
-
joint motion moving backward
retraction
-
muscle strength grading scale
1-5, 5 being the best
-
GI disorder that is relieved by food
PUD
-
order of exam techniques for the abdomen
- inspection
- auscultation
- palpation
- percussion
-
liver and gallbladder are located in what quadrant
RUG
-
spleen is located in what quadrant
LUQ
-
appendix is located in what quadrant
RLQ
-
the 9 F's of abdominal distention
- fat
- fluid
- feces
- fetus
- flatus
- full baldder
- fatal tumor
- fibroid
- false pregnancy
-
normal size of liver determined by percussion
6-12 cm at MCL
-
rebound tenderness is a sign of what disease
peritoneal irritation
-
costovertebral angle tenderness is a sign of what disease
pyelonephritis
-
rovsing's sign is indicative of what disease state
appendicitis
-
common cause of cheyne-stokes breathing problem
increasing intracranial pressure
-
common cause of Biot's breathing disorder
spinal meningitis
-
normal rate of breathing but deep respirations
hyperpnea
-
common cause of apneustic breathing
lesion in brain stem
-
breath sound heard over most of both lungs
vesicular
-
breath sound usually heard over the trachea and larynx
bronchial
-
breath sound heard over major bronchi and between scapulae
bronchovesicular
-
disease states where there is decreased tactile fremitus
- COPD
- obstruction
- pleural effusion
- pneumothorax
- tumor
- thick chest wall
-
abnormal lung sound heard in patient with bronchitis or pneumonia
rhonchi
-
abnormal lung sound heard in patient with pleuritis
friction rub
-
grading scale for deep tendon reflexes
0-4, 0 = no reflex, 2 = normal, 4 = hyperactive
-
A positive (+) Babinski sign is
abnormal
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