-
Lethargic
Must speak to patient in loud forceful manner to get a response
-
Obtunded
You must shake pt to get response
-
Stuporous
The pt is unarousable except by painful stimuli
-
Coma
Pt completely unarousable
-
Perceptions
Awareness to their environment and surroundings
-
Thought process
Logic, coherence, and relevance to patients thoughts as they lead to thoughts and goals
-
Insight
Awareness or thought that symptoms or behaviors are normal or abnormal
-
Judgement
Process of comparing and evaluating different possible courses of action
-
-
-
-
Fluency
Rate flow and melody of speech
-
Circumlocutions
Words or phrases are substituted for the word a person can not remeber
-
Paraphasias
Words are malformed, wrong, or invented
-
Neologism
Invented or distorted words
-
Confabulation
Memory disturbance
-
Preservation
Keeps bringing stuff back up
-
Echolalia
Immediate repetition of words
-
Clanging
- Mode of speech
- Words that don't go together buy rhyme
-
Delusions
False, fixed beliefs that are not shared by other members of the persons culture
-
TRUE OR FALSE
When assessing a patients thoughts it is important to always follow specific questions to keep pt on task
- False
- Take leads from patient
-
Which of following is true about hallucinations
- A. Experience may or may not be recognized as false
- B. may be auditory, visual, olfactory, gustatory, tactile, or somatic
- C. Do not include false perceptions associated with dreaming and falling asleep
- D. All of the above
C
-
Digital span
Give patient sting of numbers to recite back to you
-
Serial 7's
Have patient subtract 7 from 100
-
Constructional ability
- Ask pt to copy geometric figure
- Have pt draw clock with specific time
-
SIGECAPS
- Sleep
- Interest
- Guilt
- Energy
- Concentration
- Appetite
- Psychomotor activity
- Suicide
-
Bipolar
DIGFAST
- Distract ability
- Indiscretion
- Grandiosity
- Flight of ideas
- Activity increase
- Sleep deficit
- Talkativeness
- Se
-
Alcohol
Cage question air
- Cut down
- Annoyed
- Guilty
- Eye opener- drink first thing in morning
-
Sixth vital sign
Assessing functional status
-
ABCDD SKIN LESIONS
- A- asymmetry
- B- border irregularity
- C-color variation
- D- diameter greater than 6 mm
- E- elevation or enlargement
-
Macule
- Less
- Than 1 cm
- Flat, discolored, uncircumcised
-
Patch
- Bigger than macular
- Greater than 1 cm
- Flat, discolored
-
-
Nodule
- Same as papule
- Greater than 1 cm
-
Plaque
- Greater than 1 cm
- Raised, superficial, flat,
- PSORIASIS
-
Vesicle
- Less than 1 cm
- Filled with serous fliid
-
Bulla
Greater than 1 cm vesicle
-
Pustule
Raised, superficial, filled with cloudy purulent drainage
-
Wheal
Raised irregular area of edema, solid, variable size,
ALLERGIC REACTION
-
Scales
- Irregular formation of exfoliated, karatinized cells
- Irregular shape and size
-
Crust
Dried serum, blood, or exudate
-
Lichenification
Thickened epidermis with accentuated skin lines caused by rubbing
-
Scar
Thick or fibrous tissue
-
Fissure
Linear break in skin through dermis and epidermis
-
Excoriation
Hollowed out area of all or portion of epidermis with depressed appearance
-
Erosion
Healing without --------
- Localized loss of epidermis
- Healing without scarring
-
Ulcer
Loss of epidemis and dermis
-
Atrophy
Depression resulting from loss of dermis and epidermis
-
Burrow
A narrow channel produced by a parasite
-
Telangiectasia
Superficial dilated blood vessel
-
Petechiae
Less than 1 cm circumscribed deposit of blood
-
Purpura
Greater than 1 cm circumscribed deposit of blood
-
Lichen Planus
Bluish or purplish patches on extremities hands and fert
-
Erythema nodosum
- Often bilateral, poorly defined, red nodule swelling over shins
- Looks like bruising over lower extremities
-
Dermafibroma
Solitary, done shaped, fixed, pink to brown, lateral pressure causes dimpling
Picture of side of ankle. Under am
-
Granules annulare
Asymptomatic, flesh colored or red Papules that progress to agranular ring without scale.
-
Cyst
Raised, circumscribed, encapsulated with a wall and lumen filled with liquid or solid
-
Acne
Comodones and inflammatory Papules, pustules, and nodules
-
-
Hidradentitis
Inflammatory subcutaneous nodules, perforate, drain, and for sinus with healing
-
Pyrogenic granuloma
FRIABLE
Vascular Papule arising at site of previous trauma
Looks like it could bleed at any moment
-
Rosecea
- Face redness.
- Do not always have bulbulous nose
-
Actinic Keratosis
- From over exposure to sun
- Mainly seen in elderly starts early in life
-
Basal cell carcinoma
Flesh colored. Blends jn
-
Squamous cell
Irregular border, more erythematous.
-
Melanoma
- Nodular or flat
- Elevated irregular border
- Dark red, black, brown, bluish
- Asymetrical
-
Metastasis
Breast cancer metastasized
-
Tinea pedis
Athletes foot
-
Melanoma
Flat but irregular borders asymmetrical, color changes
-
Carotid pulse
- Brisk - normal
- Delayed- aortic stenosis
- Bounding - aortic insufficiency
-
Point of maximum impulse
PMI
- Tapping = normal
- Sustained = left ventricular hypertrophy from hypertension or aortic stenosis
- Diffuse = suggested dilated ventricle from congestive heart failure or cardiomyopathy
-
Systolic murmur
Benign or pathologic
-
Diastolic murmur
Always pathologic
-
Stenosis
Valve failure to open adequately
-
Incompetent valve or regurgitation
- Failure about to close adequately
- -backward flow of blood
-
Grade one murmur
- Very faint
- Barely audible in a quiet room
-
Grade 2 murmur
Soft but audible in a quiet room
-
Grade 3 murmur
- Moderately loud
- Without thrill
-
Great 4 murmur
- Loud and easily heard
- Associated with thrill
-
Great 5 murmur
- Very loud
- Easily palpable thrill
-
Great six murmur
- Very loud
- Visible and palpable thrill
- Can be heard with the stethoscope fully off the chest
-
Systolic murmurs
Mr. Pass wins the MVP
- Mitral regurgitation
- Physiologic
- Aortic stenosis
- Systolic
- Mitral valve prolapse
-
Diastolic murmurs
Ms. ARD
- Mitral stenosis
- Aortic regurgitation
- Diastolic
-
vesicle with erythematous base
chicken pox
-
Vesicular dermatomal distribution, does not cross midline
shingles
-
harolds patch with Christmas tree distribution
pityriasis rosacea
-
scaley plaques, wide spread distribution
psoriasis
-
seborrhea and dandruff
head and trunk sites of sebaceous glands, rich skin
-
diascopy
- use of compression of a lesion, usually accomplished with microscopic slide.
- see if it blanches, if redness goes away when blanching it may tell you something
-
woods light exam
tinea versicolor
pseudomonas aeruginosa
- long uv light used in examination of the skin. findings under light
- tv= dull golden yellow
- pa= yellowish green
-
tzanck smear
for herpes simplex
-
nevus flammeus in neonates
stork bite at back of neck, fades and then goes away.
-
Mongolian spots
- usually Mediterranean descent
- bluish color above buttocks
-
linea nigra
in pregnant women, trail of hair down abdomen
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