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Flashcards in Exam 1 Deck (36):
1

Pallor

Lack of color (Raynaud disease phenomenon)

2

Jaundice

Yellowish color

3

Erythema

Redness - excess blood supply in capillaries close to the surface of the skin

4

Itching skin

Pruritus

5

Cyanosis

Blueish color (decrease of oxygenated blood)

6

Vitiligo

Objective data. Decreased in pigmentation, acquired condition. Absence of melanin

7

Acanthosis Nigricans

Increased pigmentation. Brown to black poorly defined hyperpigmentation of the skin. For peds: precursor sign of diebetes, sign of tumor, or cancer in abdomen

8

Hypothermia

Generalized coolness

9

Hyperthermia

Increase metabolic rate causing warmth.

10

Diaphoresis

Excess sweat

11

Dryness

Dehydrated lips and cracked mucous membrane

12

Edema

Abnormal accumulation of fluid

13

Macule

A circumscribe, flat, non-palpable change in skin color. Up to 1 cm. ex: freckles

14

Patch

A Macule greater than 1 cm. ex: Mongolian spot

15

Papule

Palpable solid mass caused by superficial thickening in the epidermis. No fluid. Up to 0.5 cm

16

Plaque

Flat elevated surface larger than 0.5 cm

17

Nodule

Deeper into dermis. A solid, elevated, firm/soft mass less than 2cm. Ex: fibroma

18

Tumor

Firmer/soft mass larger than 2cm. Ex: lipoma, and hemangioma

19

Wheal

A superficial raised erythomatous, transient lesion with somewhat irregular borders due to localized edema

20

Urticaria

Hives- intensive itching bumps, raised and pale red

21

Vesicles

A circumscribed superficial, elevated cavity that contains free fluid. Clear fluid flows if wall gets rupture. Up to 1 cm in size.

22

Bullae

Larger vesicle. Superficial in epidermis. Thin wall so ruptures easily. Larger than 1cm

23

Cyst

Encapsulated fluid or pus-filled cavity in dermis or subcutaneous layer. Larger than 1 cm

24

Pustules

Small elevation of the skin containing cloudy, or purulent material.

25

Ringing in the ears and balance issues

Ménière's disease

26

Analysis of a symptom

Location, character or quality, quantity or severity, timing, setting, aggravating or relieving factors, associated factors, clients perception of the symptom

27

HPI - critical characteristics of a symptom

P: provocative or palliative
Q: quality or quantity
R: region or radiation
S: severity scale
T: timing
U: understand patient's perception

28

Components of the physical exam

Inspection, palpation, percussion and auscultation.

29

What are the 4 types of data collection when doing history and physical exam?

Comprehensive data base, episodic, follow up and emergency data base

30

Orthostatic hypotension

Drop in systolic pressure of more than 20 mm Hg and or pulse increase of 20 bpm or more

31

Fontanels

"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

32

CN IX and X

Glossopharyngeal and Vagus

33

CN XI

Accessory (spinal accessory)

34

CN XII

Hypoglossal

35

Otosclerosis

An abnormal spongy bone growth in the middle ear that causes hearing loss

36

Presbycusis

Age-related hearing loss