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Medical Scribe > Course 2.5 > Flashcards

Course 2.5 Flashcards

(88 cards)

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1
Q

What is Diabetic Ketoacidosis?

A
  • Reduced insulin
  • Hyperglycemia
  • produce ketones
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2
Q

Who is at risk of getting Diabetic Ketoacidosis?

A

People who suffers from type I and type II Diabetes Mellitus

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3
Q

What is the CC of Diabetic Ketoacidosis?

A

Presistent Vomiting and a history of diabetes Mellitus

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4
Q

What are the associated Sx for diabetic ketoacidosis?

A

polyuria, polydipsia, SOB

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5
Q

What is the PE for diabetic Ketoacidosis?

A

Ketotic odor “Fruity”
Dry mucous membrane (dehydrated)
Tachypnea

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6
Q

What is the Dx for diabetic ketoacidosis?

A

Arterial blood Gas, venous blood gas

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7
Q

What is cellulitis?

A

infection of the skin

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8
Q

What is the CC for Cellulitis?

A

Red, swollen, painful area of the skin

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9
Q

What is the PE for cellulitis?

A

Edema, erythema, induration (hardening of the skin)

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10
Q

How is Cellulitis treated and dx?

A

Treated with abx and dx clinically

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11
Q

What is abscess?

A

Infection of the skin characterized by pus collected under the skin.

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12
Q

What is the CC of abscess

?

A

Fluctuance (pus-pocket)
induration
purulent drainage

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13
Q

How is abscess diagnosed

?

A

clinically

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14
Q

What is a rash?

A

changes in the skin caused by a reaction

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15
Q

What is the CC if rash?

A
  • -Red
  • -Itchy (pruritic: Purrr ..ri..tic)
  • -Painful
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16
Q

What is the PE for at rash ?

A
  • Urticaria (Hives or wheals)
  • Purpura (dangerous rash)
  • Macules (flat skin dis-coloration)
  • Papules (raised bumps)
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17
Q

What is an allergic reaction?

A

Causes an immune response that causes inflammation

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18
Q

Who is at risk for an allergic reaction?

A

people with food an drug allergies

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19
Q

What are the C of an allergic reaction?

A

SOB
• Rash
• Itching
• Swelling

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20
Q

What is the PE of an allergic reaction?

A
  • Edema
  • Angioedema
  • Urticaria (hives)
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21
Q

How is an allergic reaction DX?

A

Dx: Clinically

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22
Q

What is an adverse reaction?

A

side effects caused by a medication or procedure.

–Negative response

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23
Q

What is the CC for an adverse reaction?

A
  • Constipation
  • Dry mouth
  • N/V/D
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24
Q

What is Extremity Injury ?

A

• Trauma that cause pain/swelling to extrem-ities.

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25
What is the CC and assoc sx of extremity injury?
* Bruising * Deformity * Limited use
26
What the PE for extremity injury?
* Ecchymosis (Blood/bleeding under skin) * Edema * ROM limited * Distal CSMT intact (Circulation, Sensory, Motor, Tendon)
27
What does CSMT stand for ?
(Circulation, Sensory, Motor, Tendon)
28
What is Musculoskeletal Back Pain ?
* Strain of back creating pain | * Worse with movement
29
CC of Musculoskeletal Back Pain ?
• Lumbar back pain
30
Assoc sx for musculoskeletal back pain?
• Shooting posterior low-er extremity pain
31
What is the PE for musculoskeletal back pain?
* Positive Straight Leg Raise (SLR) | * Sciatica (Radiating nerve pain)
32
What is Streptococcal Pharyngitis ?
• Bacterial infection of the Throat
33
what is the CC for streptococcal pharyngitis?
• Sore Throat
34
What is the PE for Streptococcal Pharyngitis?
* Pharyngeal Erythema * Tonsillar Hypertrophy (Enlargement) * Tonsillar Exudates (Pus)
35
What is the Dx for Streptococcal Pharyngitis?
• Rapid Strep
36
Streptococcal Pharyngitis can lead to what?
Peritonsillar abscess
37
What is peritonsillar abscess?
asymmetric swelling of the tonsils and infection.
38
What is otitis media?
• Viral/bacterial infection of the tympanic membrane causing ear pain and pressure.
39
What is the CC for otitis media?
* Ear pain | * Ear pulling
40
Associate sx for otitis media
* Fever * Sore Throat * Dry Cough * Congestion
41
What is the PE for otitis media?
* Erythema * Effusion (Giving off liquid) * Dullness/Bulging of tympanic membrane
42
How is otitis media diagnosed?
clinically
43
What is upper respiratory infection URI?
• Viral Infection causing inflammation of the up-per airway, congestion, cough.
44
What is the CC for URI?
* Cough | * Congestion
45
What is the assoc sx for URI?
* Fever * Sore Throat * HA * Myalgia (muscle pain)
46
How is URI diagnosed?
clinically
47
What is Sepsis?
• Immune system causing inflammation in the blood that stems from a primary infection
48
Who is at risk of getting sepsis?
* Current infection: viral, bacterial or fungal * Open wound * IVC or breathing tube
49
What is the CC of sepsis?
* Fever | * AMS
50
What is the PE for spesis?
* Tachycardia * Hypotension * Febrile * Discoloration of skin
51
what is the Dx for sepsis?
blood culture, lactate acid and CBC (complete blood count)
52
What is DVT ?
• Clot in the low extremities causing decreases blood flow.
53
Who is at risk for developing DVT?
* FHx of DVT * PMHx DVT or PE * Immobility * Surgery * Injury to LE * Pregnancy * Birth Control * Cancer
54
What is the CC for DVT?
* Swelling and pain in lower extremity | * Atraumatic and unilat-eral
55
What is the Dx for DVT?
Ultra sound/ doppler of the extremity
56
What is Aortic dissection?
• Tear in the muscular membrane of the heart ar-tery causing rupture/death.
57
What is the CC for aortic dissection ?
• Chest/Abd pain radiating to the back | ----ripping or tearing
58
What is the PE for aortic dissection?
Hypotension
59
What is the Dx for aortic dissection?
CTA cheat | A/P with IV contrast
60
What does stand for AAA?
Abdominal Aortic Aneurysm
61
What is AAA?
• Enlarging of the abdominal aorta | ---Risk of rup-turing
62
What is the CC for AAA?
• Midline ab-dominal pain
63
What is the PE for AAA?
* Abdominal bruit (murmur) * Hypotension * Midline pulsa-tile abdominal mass
64
What is the Dx for AAA?
• CT A/P with IV contrast dye
65
What is GRED?
GRED stands for gastroesophageal reflux disease. | • Stomach acid entering the esophagus
66
What is the CC for GRED?
• Epigastric Pain/burning
67
What is the PE for GRED?
• Epigastric tenderness
68
What is urinary tract infection?
infection of the urinary tract
69
Who's at risk for developing a uti?
females
70
What is the CC for UTI?
Dysuria (painful urination)
71
What are assoc sx to uti?
* Frequency | * Malodorous urine (Smelly urine)
72
What is the PE for UTI?
• Suprapubic Tenderness
73
What is the Dx for UTI?
urine dip and urinalysis (UA)
74
What is kidney stone?
• Kidney stone leaves the kid-ney and travels down the ureter
75
What is the CC for kidney stone?
* Flank Pain * Sudden onset * Radiating to groin
76
What are the Assoc sx for kidney stone?
* Hematuria | * N/V
77
What is the PE for kidney stone ?
• CVA tenderness
78
What is the Dx for kidney stone?
• CT abd/pelvis
79
What is the ectopic pregnancy?
• Fertilized egg develops outside the uterus
80
What is the CC for ectopic pregnancy?
• Lower abdomen pain • Vaginal bleeding while pregnant Dx:
81
What is the Dx for Ectopic pregnancy ?
US pelvis
82
What is testicular and ovarian torsion ?
male: Twisting of the spermatic cord resulting in lack of blood flow to the testicles female: Twisting of the ovarian ar-tery resulting in lack of blood flow to the ovaries.
83
What is the CC for testicular torsion ?
• Testicular pain
84
What is the CC for ovarian torsion?
• Lower ab-dominal pain (RLQ or LLQ)
85
What is the PE for testicular torsion?
• Testicular tender-ness/swelling of the right or left testicle
86
What is the Dx for testicular torsion?
• US Scrotum
87
What is the Dx for ovarian torsion?
US pelvis
88
What is the PE for ovarian torsion?
• Tenderness in the LLQ or RLQ

Medical Scribe (9 decks)

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