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Flashcards in class #4 Deck (56):
1

vitals

BP, HR, respiratory rate, temp, oxygen saturation

2

external exam: eyes are normal

anicteric sclerae

3

external exam normal: cardiovascular

well perfused

4

external exam normal: general

well developed, well nourished, no acute distress

5

external exam normal: ENT

no epistaxis

6

external exam normal: neck

supple

7

external exam normal: respiratory

no respiratory distress

8

external exam normal: extremities

no edema

9

external exam normal: neurological

alert and oriented. normal speech

10

external exam normal: psychiatric

normal affect

11

complete exam normal: eyes

PERRL, EOMI

12

complete exam normal: ENT

moist mucous membranes

13

complete exam normal: cardiovascular

reg rate and rhythm. no murmurs, rubs, gallops. distal pulses intact

14

complete exam normal: abdominal

soft. non-tender. no guarding, rebound, or rigidity

15

complete exam normal: extremities

no edema, full ROM

16

opposite of no acute distress

mild/moderate/severe distress (due to pain)

17

opposite of well developed, well nourished

cachectic /emaciated /malnourished

18

opposite of alert

somnolent, obtained, unresponsive

19

physical exam: normal head

atraumatic / normocephalic (AT/NC)

20

physical exam: abnormal head

any signs of trauma, sinus tenderness (sinusitis) angioedema (allergic rxn)

21

physical exam: eyes normal

PERRL

22

physical exam:: eyes abnormal

anisocoria (unequal pupils)

23

opposite of extra ocular movements intact EOMI

EOM entrapment

24

opposite of sclerae are anicteric

scleral icterus (liver failure)

25

opposite of normal conjunctiva

pale conjunctiva (anemia), conjunctival infection (conjuntivitis)

26

physical exam: ears normal

tympanic membrane normal

27

opposite of normal tympanic membrane

TM erythema, TM bulging, TM dullness (all ottis media). TM obscured by cerumen (earwax)

28

physical exam: normal nose

normal nares

29

abnormal nose

epistaxis, rhinorrhea, boggy turbinates (swollen inner nose), septal hematoma

30

physical exam: mouth/throat normal

moist mucous membranes

31

physical exam: mouth.throat abnormal

dry mucous membranes (DMM)

32

opposite of normal oropharynx

pharyngeal erythema (pharyngitis) tonsillar exudate (tonsillitis) tonsillar hypertrophy (tonsillitis)

33

physical exam: abnormal dentition

1.edentulous,
2.dental caries, uvular shift, tonsillar asymmetry (signs of PTA)

34

physical exam: abnormal neck and cervical spine

thyromegaly, JVD, carotid bruit, cervical lymphadenopathy (swollen lymph nodes)

35

opposite of supple neck

nuchal rigidity, meningismus, limited ROM, Vertebral point vs. paraspinal tenderness

36

extra heat beats

extrasystoles

37

location of pulses

radial, carotis, femoral, dorsalis pedis, posterior tibialis

38

normal capillary refills is less than ?

2 seconds

39

pulse gradient scale 4+ indicates

bounding/ aneurysmal

40

physical exam: signs of respiratory distress

accessory muscle use, diminished breath sounds

41

physical exam: abnormal breath sounds

wheezes, rhonchi, rales

42

physical exam: normal abdominal

soft, non-tender, no peritoneal signs

43

physical exam: abnormal abdominal

rigid, mild.mod.severe tenderness, rebound tenderness, rigidity (involuntary guarding) voluntary guarding

44

positive murphys sign indicates

gall bladder infection/ cholecystitis

45

test for apendicitis

Mcburneys point tenderness
psoas sign
obturator sign
rovsings sign

46

different types of hemorrhoids

internal, external, thrombosed

47

physical exam: abnormal rectal tone

decreased rectal tone

48

physical exam: rectal heme exam

guaiac pos/neg

49

physical exam: abnormal female external genitalia

adnexal tenderness or mass

50

physical exam: abnormal female bimanual exam

cervical motion tenderness (CMT), uterine tenderness

51

physical exam: abnormal female speculum exam

cervical os is open, good in the vaginal vault, malodorous/thick white discharge

52

physical exam:abnormal male genital

testicular erythema, epididymal tenderness, testicular edema, testicular mass, urethral discharge, inguinal hernia

53

fracture

bony tenderness

54

contusion

soft tissue tenderness

55

DVT

calf tenderness

56

distal CSMT

circulation, sensory, motor, tendon