Exam 2-Skin,HEENT,Neck, Cardio, Resp Flashcards
(108 cards)
1
Q
What is impetigo?
A
2
Q
What is impetigo?
A
3
Q
What is impetigo?
A
4
Q
Impetigo
A
5
Q
Impetigo
A
6
Q
Impetigo
A
7
Q
Different Headaches
A
8
Q
Different Headaches
A
9
Q
Cranial Nerves
A
10
Q
Cranial nerves
A
11
Q
Cranial nerves
A
12
Q
Percussion in emphysema?
A
Hyper resonance
13
Q
Percussion sound for COPD?
A
14
Q
Lung sounds for emphysema?
A
15
Q
Acne vulgaris
A
Androgen dependent sebaceous glands
Excessive amounts of sebum are produced
16
Q
Acne vulgaris can lead to
A
Comedones
Pustules
Papules
Cystic nodules
Scarring
17
Q
Acne is the most blank skin condition in the US affecting up to 50 million people annually
A
Most common!
18
Q
Comedonal acne
A
Preteen early teen
Whitehead closed comedones
No infection
19
Q
Infllammatory acne
A
Teens early 20s
Pustules
Papules
Minimal scarring
Mild inflammation
Usual infection =inflammatory
20
Q
Nodulocystic acne
A
Teen
Nodules cysts
Mod- severe inflam
Infect- usually
21
Q
C. acne’s
A
Instrumental in inflammation
22
Q
Acne areas affected
A
Face
Upper and back of chest
Upper arms
Shoulders
23
Q
PCOS begins in
A
Puberty need other lab tests
24
Q
85% of people age 12-24 report minor acne
A
25
Acne women
Before menses
26
Boys and men
Later onset worse acne severity
27
Actinic Keratosis (solar keratosis)
Scaly lesions due to the sun red Papules or plaques
28
AK lesions are most common precancerous epithelial skin lesions
Can progress to squamous cell carcinoma
29
65- 100% of AK lesions can progress to
Nomelanoma skin cancer within 10 years
30
AK findings
Round or oval raised
Scaly Papules
Flesh colored pink brown or black
Papules or plaques
2 mm-5mm
31
Possible complications of AK
Squamous cell carcinoma in Siri
Squamous cell carcinoma
32
Atopic Dermatitis
Eczema
Chronic skin problem that causes red, patchy, papular, plaque like rash with inflammation
33
Atopic dermatitis common in patients with other atopic illness
Asthma
Allergic rhinitis
34
Atopic dermatitis
Affects 10.7% of children in the US
60% infancy and 12 years old
35
How to manage atopic dermatitis
Maintenance of skin hydration
36
Cafe Au lait spots
Uniform light brown to dark brown maculae’s with sharp margination
Birth or 1st 3 years of life
Birth mark
37
Cat scratch disease
Bartonella henselae infection
Subacute tender lymphadentitis that develops after contact with a cat
99% of cases localized or disseminated
5-13% of cases disease is severe… can lead to
Hepatitis
Neurologic
Stellate rhinitis
38
Cat scratch disease
Common among children 5-9 years old
Most common cause of lymphadenopathy in children and adolescents
39
Cat scratch disease resolves in
2-6 months without treatment
40
Contact Derm
Skin inflammation from contact with irritant
41
Cause of contact Derm
Chemical irritants
Plants poison Ivy
Antiobiotics adhesives
42
Diaper Dermatitis
Diaper rash
Acute inflammation of the skin in the region of the perineum
Butt
Lower abd
Inner thighs
43
Diaper Derm
Irritant
Candidal infection
Atopic Derm
Seborrheic Derm
Erythrasma
Inverse psoriasis
Intertrigo
44
Diaper Derm
Common in peds
Common in adults with urinary and fecal incontinence
45
Prevention of diaper Derm
Skin barrier creams
46
Varicella
Chicken pox
Contagious viral infection
Pruritic vesicles and Papules
On skin
Scalp
Mucous membranes
Transmitted through inhalation of respiratory membranes
47
Varicella zoster
Herpes virus group
Incubation period 14-16 days- after exposure to VZV or herpes zoster rash
48
Varicella zoster
Contagious from 1-2 days before rash onset until lesions have crusted
49
Varicella
Age 5-9 years
Can occur at any age
Outbreak between January and May
50
I’m pregnant women risk for infection is greatest during first
20 weeks of pregnancy
51
Incubation for varicella is 2 weeks
52
Patients are contagious for 2 days before the appearance of the rash
And until lesions have crusted
53
Varicella vaccine is contraindicated in pregnancy.
Pregnancy should be avoided 3 months after vaccine
54
Most infectious varicella
2 days prior to rash
Through crusting of all lesions
Patients should be at home until lesions have crusted
55
Varicella
Prodrome- fever ha, mailasie
Rash phase-
56
Pediculosis
(Lice)
An infestation of the body, head, pubic area by lice
57
Lice
Lice feed on human blood
Lice eggs (nuts) survive up to 3 weeks after removal of human host
58
Incubation of lice is
about a month
59
Roseola Infantum
(Exanthem Subitum)
Sudden rash
Rose rash
Sixth disease
Self limited viral condition
3-5 days of high fever
Blanching maculopular rash lasting 1-2 days
60
Roseola Infantum
Human herpesvirus 6 -HHV-6
Similar to cytomegalovirus
Can infect child through saliva
61
Burns
Cause chemicals
Thermal
Radiation
Electricity
62
Burns
Hot water burns most common cause of abuse
63
Burns
Leading cause of death in children
64
Adults vs kids
Adults - flame
Children- scald
65
Rule of 9’s
66
Normal layers of the skin
67
Skin
68
Anatomy of the nails and beds
69
When do sweat glands occur in children?
2nd or 3rd grade
70
Melanoma
71
Basal cell carcinoma
72
Basal cell carcinoma
73
Squamous cell carcinoma
74
A
B
C
D
Skin cancer
75
Primary vs secondary lesion
76
77
Pustule
Acne vulgaris
Small palpable collection of neutrophils or keratin that appears white
78
Nodule
Larger and deeper than Papule
79
Vesicle
Herpes simplex virus
Fluid filled
80
Papular rash
Eczema
81
People who work outside like farmers should get assessed for skin cancer
Once a year
82
Melanoma is the highest mortality rate
70% of skin cancer deaths
83
Prevention of skin cancer
84
Most likely place to get basal cell carcinoma
Face
Neck
Ears
85
Common neck mass
Thyroid
Neck mass or goiter
86
It’s not unusual for adults to have a chronic swollen lymph node 1-2 cm in size
Lymph nodes acutely swollen have tenderness bacterial or viral
87
Persistent neck masses 40 or greater refer to get it checked out
Cervical lymph nodes located neck
88
Pathway of visual fields
89
How often should patients see doctor to have eyes checked if they have contacts or glasses
Once a year
90
When should patients get checked for glaucoma?
91
Cataracts
92
Eyesight
93
Lazy eye for children nystagmus
Age 4-5 years old
94
Drug addict
Will have nystagmus too
95
Ears and Nose Anatomy
96
Whisper test
97
Weber test
98
Hearing tests
99
Hearing test
100
Viral rhinitis
Red and swollen
101
Allergic rhinitis
Pale and blue boggy
102
Hearing loss
Weber- middle of head laterization
Rinne- back of ear - air>bone conduct
103
Resp anatomy
104
Characteristic of lung disease
105
HtN
Silent killer
Family history
106
Acute bronchitis
Cough and sputum
Dry or productive
Acute or viral
Burning retrosternal discomfort
107
Heart valves with sounds
108
Thrills- cardiac in nature
Bruits- vascular in nature
