Flashcards in Exam 1 Deck (36):
Lack of color (Raynaud disease phenomenon)
Redness - excess blood supply in capillaries close to the surface of the skin
Blueish color (decrease of oxygenated blood)
Objective data. Decreased in pigmentation, acquired condition. Absence of melanin
Increased pigmentation. Brown to black poorly defined hyperpigmentation of the skin. For peds: precursor sign of diebetes, sign of tumor, or cancer in abdomen
Increase metabolic rate causing warmth.
Dehydrated lips and cracked mucous membrane
Abnormal accumulation of fluid
A circumscribe, flat, non-palpable change in skin color. Up to 1 cm. ex: freckles
A Macule greater than 1 cm. ex: Mongolian spot
Palpable solid mass caused by superficial thickening in the epidermis. No fluid. Up to 0.5 cm
Flat elevated surface larger than 0.5 cm
Deeper into dermis. A solid, elevated, firm/soft mass less than 2cm. Ex: fibroma
Firmer/soft mass larger than 2cm. Ex: lipoma, and hemangioma
A superficial raised erythomatous, transient lesion with somewhat irregular borders due to localized edema
Hives- intensive itching bumps, raised and pale red
A circumscribed superficial, elevated cavity that contains free fluid. Clear fluid flows if wall gets rupture. Up to 1 cm in size.
Larger vesicle. Superficial in epidermis. Thin wall so ruptures easily. Larger than 1cm
Encapsulated fluid or pus-filled cavity in dermis or subcutaneous layer. Larger than 1 cm
Small elevation of the skin containing cloudy, or purulent material.
Ringing in the ears and balance issues
Analysis of a symptom
Location, character or quality, quantity or severity, timing, setting, aggravating or relieving factors, associated factors, clients perception of the symptom
HPI - critical characteristics of a symptom
P: provocative or palliative
Q: quality or quantity
R: region or radiation
S: severity scale
U: understand patient's perception
Components of the physical exam
Inspection, palpation, percussion and auscultation.
What are the 4 types of data collection when doing history and physical exam?
Comprehensive data base, episodic, follow up and emergency data base
Drop in systolic pressure of more than 20 mm Hg and or pulse increase of 20 bpm or more
"Soft spots" membranous spaces between frontal and parietal and parietal and occipital bones observed in infants.
Anterior -> closes by 12-18 months of age
Posterior -> closes by six weeks to 2 months of age
CN IX and X
Glossopharyngeal and Vagus
Accessory (spinal accessory)
An abnormal spongy bone growth in the middle ear that causes hearing loss