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Adventitious Breath Sounds
abnormal breath sounds
(aka~crackles, gurgles, friction rub, wheeze)
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Alopecia
Hair Loss, Baldness of body hair
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Angle of Louis
The junction between the body of the sternum, + the manubrium (handle like superior part of the sternum that joins w/the clavicles.
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Antihelix
The anterior curve of the auricle's upper aspect
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Aphasia
Any defect in or loss of the power to express oneself by speech, writing , or signs, or to comprehend spoken or written language due to disease or injury of the cerebral cortex
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Astigmatism
An uneven curvature of the cornea that prevents horizontal + vertical rays from focusing on the retina.
Common problem that may occur in conjunction w/myopia + hyperopia
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Auricle
Part of the external ear
Also called pinna or flap of ear
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Auscultation
Process of listening to sounds produced within the body
- indirect- the use of a stethoscope to listen
- direct- The use of an unaided ear to listen
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Blanch Test
A test during which the client's finger nail is temporarily pinched to access capillary refill + peripheral circulation.
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Bruit
A blowing or swishing sound created by turbulence of blood flow due to a narrowed arterial lumen.
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Caries
- Cavities (dental)
- Commonly associated w/ plaque + tarter deposits
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Cataracts
Tend to be occuring in persons over 65yrs
Opacity of the lens or capsule of the eye
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Cerumen
Earwax
lubricates and protects the canal
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Clubbing
Condition in which the angle between the nail and the nail bed is 180 degrees or greater
May be caused by a long-term lack of oxygen
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Cochlea
A sea-shell shaped structure essential for sound transmission and hearing.
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Conduction Hearing Loss
The result of interrupted transmission of sound waves through the outer and middle ear structures.
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Conjunctivistis
inflammation of the bulbar and palpebral conjuctiva, may result from foreign bodies, chemicals, allergenic agents, bacteria, or viruses.
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Crepitations
- ~rales
- ~Crackles
- ~Adventitious sounds
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Cyanosis
A bluish Tinge
~dark skinned clients, lining of eyelids and palms and soles may also show evidence of cyanosis
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Dacryocystitis
Inflammation of the lacrimal sac
manifested by tearing + a discharge from the nasolacrimal duct.
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Diastole
period in which the ventricles contract
Begins with the s2 + end with the s1
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Dullness
A thud like sound produced by dense tissue such as the liver, spleen, or the heart.
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Duration
A sound is its length (long or short)
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Edema
The presence of excess interstitial fluid
appears swollen, shiny, + taut and tends to blanch the skin color or if accompanied by inflammation, may redden the skin.
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Erythema
redness associated with a variety of rashes
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Eustachian Tube
Part of the middle ear, connects the middle ear to the nasopharynx
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Exophthalmos
A protrusion of the eyeballs with elevation of the upper eyelids resulting in a startled or staring expression.
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External Auditory Meatus
The entrance to the ear canal that ends in the tympanic membrane.
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Extinction
The failure to preceive touch on one side of the body when two symmetric areas of the body are touched simultaneously.
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Flatness
Red, swollen, gingiva (gums)
Bleeding, receding gum lines + the formation of pockets between the teeth and gums.
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Glaucoma
A disturbance in the circulation of aqueous fluid, which causes an increase in intraocular pressure.
Most frequently cause is blindness in people over 40
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Glossitis
Inflammation of the tongue
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Goniometer
A device that measures the angle of the joint in degrees.
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Helix
The posterior curve of the auricle's upper aspect
Landmark of the auricle or pinna
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Hernia
A protrusion of the intestine through the inguinal wall or canal.
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Hordeolum(sty)
A redness, swelling, and tenderness of the hair follicle and glands that empty at the edge of the eyelids.
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Hyperresonance
Not produced in the normal body
described as booming and can be heard over an emphysematous lung.
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Incus
(anvil) bone of the middle ear
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Inspection
Visual Examination
Assessing by using the sense of sight.
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Intensity
Amplitude refers to the loudness or softness of a sound.
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Intention Tremor
Apparent when an individual attempts a voluntary movement, such as holding a cup of coffee.
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Jaundice
A yellowish Tinge
First evident in the sclera of the eyes and than in the mucous membrane and the skin.
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Lift
Also heave
Refer to a rising along the sternal border with each heart beat.
Occurs when cardiac action is very powerful.
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Lobule
Landmark of the auricle or pinna
Ear lobe
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Malleus
hammer
Bone of sound in the middle ear
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Manubrium
The handle like superior part of the sternum that joins with the clavicles.
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Mastoid
Not part of the ear
Bony prominence behind the ear
important landmark
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Miosis
Constricted pupils
indicate an inflammation of the iris or result from such drugs as morphine or pilocarpine
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Mixed Hearing Loss
A combination of conduction and sensorineural loss.
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Mydriasis
Enlarged pupils
May indicate injury or glaucoma or result from certain drugs. (atropine)
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Normocephalic
Normal head size
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Nystagmus
Rapid involuntary rhythmic eye movement.
May indicate neurologic impairment.
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One-Point Discrimination
Sense of whether one or two areas of skin are being stimulated by pressure
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Ossicles
Three bones in the middle ear
Bones of sound transmission.
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Otoscope
Intrument for examining the interior of the ear, especially the eardrum. consisting essentially of a magnifying lens and a light.
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Pallor
Result of inadequate circulating blood or hemoglobin and subsequent reduction in tissue oxygenation.
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Palpation
Examination of the body using the sense of touch
used to determine texture, temperature, vibration, position, size, consistency, mobility, distention, and presence of pain upon pressure.
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Parotitis
Inflammation of the parotid salivary gland
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Periodontal Disease
pyorrhea
Commonly associated with plaque and tartar deposits.
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Percussion
The act of striking the body surface to create sounds that can be heard or vibrations that can be felt.
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Perfusion
Blood supply to an area
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Pinna
or auricle
External auditory canal
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Pitch
Frequency of the vibration ( the number of vibration per sound)
low pitched sounds (heart sounds) have fewer vibration per second
High pitched sounds = bronchial sounds.
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Plaque
invisible soft film that adheres to the enamel surface of teeth
consists of bacteria, molecules of saliva, + remnants of epithelial cells and leukocytes.
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Pleximeter
Middle finger of the nondominant hand used during percussion.
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Plexor
Flexed middle finger of the other hand
uses it to strike the pleximeter
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Precordium
The area of the chest overlying the heart.
Inspected and palpated for the presence of abnormal pulsation or lifts or heaves.
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Presbyopia
Loss of elasticity of the lens and thus loss of ablility to see close objects.
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Proprioceptors
sensory nerve terminals occurring chiefly in the muscles, tendons, joints, and the internal ear that give information about movements and the position of the body.
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Pyorrhea
Periodontal disease- purulant
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Quality
is subjective description of sound whistling, gurgling, snapping.
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Reflex
An automatic response of the body to a stimulus.
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Resonance
A hollow sound such as that produced by lungs filled with air.
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Resting Tremor
Involuntary movement which is more apparent when the client is at rest and diminishes with activity.
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S1
- First heart sound
- Occurs when the artioventricular (A-V) valves close.
dull-low pitched, "lub"
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S2
Second sound of the heart "dub
Higher pitched than S1 and shorter duration.
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Semicircular Canals
In the inner ear; contain the organs of equilibrium.
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Sensorineural Hearing Loss.
Result of damage to the inner ear, the auditory nerve, or hearing center of the brain.
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Sordes
The accumulation of foul matter (food, microorganisms, and epithelial elements) on the teeth and gums.
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Stapes
Stirrups
Part of the three bones of sound in middle ear.
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Stereognosis
The act of recognizing objects by touching and manipulating them. (discrimination)
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Systole
The period in which the ventricles contract.
Begins with the S1 and ends with the S2 shorter than distole.
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Tartar
Visible, hard deposit of plaque and dead bacteria that forms at the gum lines.
Can alter the fibers that attach the teeth to the gum and eventually disrupt bone and tissue.
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Thrill
Frequently accompanies a bruit.
A vibrating sensation like the purring of a cat or water running through a hose.
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Tragus
The Cartilaginous protrusion at the enterance to the ear canal
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Tremor
Involuntary trembling of a limb or body part
May involve large groups of muscle fibers or small bundles of muscle fibers.
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Triangular Fossa
A depression of the antihelix
landmark of the auricle of ear
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Two-point discrimination
the sense whether one or two areas of the skin are being stimulated by pressure.
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Tympanic membrane
Eardrum
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Tympany
A musical or drum-like sound produced from an air-filled stomach
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Vestibule
Contains organs of equilibrium.
found in the inner ear
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Visual Acuity
External part of the eye
The degree of detail the eye can discern in an image
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Visual Fields
The area an individual can see when looking straight ahead.
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Vitiligo
Patches of hypopigmented skin
Caused by destruction of melanocytes in the area.
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