Extra stuff I forgot Flashcards
(28 cards)
What does Cerumen mean?
ear wax
remember ear wax = conductive hearing loss
If the pt has a cranial nerve lesion affecting their uvula, what would you find?
what is the soft palate controlled by?
uvula deviates to the OPPOSITE side of the lesion and the soft palate will NOT RISE
soft palate controlled by CN IX and X
Someone is 24 hours post op when they have SOB and a mild fever. what’s the most likely cause?
Atelectasis, NOT post op pneumonia.
if it was post op pneumonia, it would need a history of aspiration.
post op fever is almost always atelectasis
Clubbed nails is NOT present in what thing we talk about a lot?
COPD
What is an aortic dissection common in? What are other things these people have?
Marfan’s syndrome. Weakness of their aorta so aortic dissections, aneurysms, aortic valve insufficiency
Marfan’s is more likely to develop MVS or MVP?
MVP
What is the cardiac evaluation?
Inspect, Palpate, Percuss, Auscultate
When do you do a Positive hepatojugular reflex?
push the liver 5-10 seconds. Positive finding would be distensiion of the neck veins and is indicative of a poorly compliant R ventricle.
If you find sensorineural loss in the right ear, what are the findings of the weber rinne?
weber lateralized to left, (-) rinne
What is a key sign of BPPV?
worsening dizziness in a specific position
What does hyper resonance sound like?
what about dullness?
what about a normal healthy lung? (resonance)
what about a musical noise? where do you hear this?
what does flat sound like?
very loud, low pitched, and last for a longer duration.
medium intensity, pitch, and duration
loud, low pitched, long sound.
tympanic (abdominal exam)
soft, high pitched noise of sound and duration
What adventitial breath sound do you expect to hear in someone with COPD?
Wheezes
Where do you find the PMI?
what happens if it’s not there?
5th ICS, 1cm medial to Mid clavicular line.
cardiomegaly
If someone has atherosclerosis, what finding would you want to see?
Carotid bruits. plaques come from atherosclerosis and go in carotid arteries
If you have a Jugular Venous Distention, what does this mean?
right sided heart failure
a 25 year old comes in for the first time just getting new healthcare, what is the most appropriate documentation?
H&P. always do this for a new patient.
When do you do a SOAP note?
established pt with a chief complaint (problem-focused visit)
What symptom is associated with cystitis?
Pyelonephritis?
key symptom of renal cancer?
dysuria (problem urinating)
back pain/flank pain, would also have fever, vomiting.
painless hematuria
Where does renal cell carcinoma likely metastasize?
Bone. MSK symptom usually the first
Other than painless hematuria, what’s a big sign for Renal Cell carcinoma?
smoking
What is
C4? C6? C7? C8? T4? T10? L5? S1?
top of shoulder radial aspect of forearm middle finger little finger nipple line umbilicus great toe posterolateral calf/little toe
What is tinel’s sign for?
carpal tunnel syndrome (flexor retinaculum entraps nerve)
Bicep reflex?
Tricep?
Brachioradialis?
C5
C7
C6
What’s the difference between arm and forearm?
remember arm is the top part you idiot
