General Diagnosis Part 1 Flashcards

(56 cards)

1
Q

What does a case history include?

A

Chief complaint (patients own words)
Present illness (OPQRST)
past family, occupational, and social history
Review of systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How many vital signs are there?

A

6 of them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are different method of checking temperature?

A

oral (MC), anal (best choice), otic (ear), axillary, vaginal and testicle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In the eyes, what is Icterus associated with?

A

Jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

With Cataracts the red light reflex is _______ and you have lens opacity.

A

Absent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

With Retinal detachment the red light reflex is ____, you see flashing lights, and a falling curtain (sign due to trauma).

A

Absent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

With increased intracranial pressure, what is seen in the eyes?

A

papilledema (headache)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Glaucoma shows increased _______ pressure?

A

intraocular (blurred, halos)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Arcus Seniles is seen in what population?

A

the elderly (insignificant)- crud build up in lens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Corneal Arcus is ________ if under 30 years old?

A

SIGNIFICANT- crud build up in lens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

If someone has diabetic retinopathy, wha is seen in their eyes?

A

waxy exudates and micro aneurysms

systemic illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

If someone has hypertension, how are their eyes affected?

A

flame hg.
cotton wool,
copper wires

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

If someone has MS or migraines, how are their eyes affected?

A
scintillating scotomas (neuro/vascular)
flashing lights
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What eye problems have normal background anomalies?

A

drusen

coloboma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do you pull the ear of an adult to check the inside?

A

pull up and out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How do you pull the ear of a child to check the inside?

A

pull down and out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What can you have if you ear shows crusty discharge?

A

otitis externa, swimmers ear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What can occur if you have a bulging tympanum?

A

otitis media

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What can be seen if you have a retracted tympanum?

A

serous (bubbly) and altitude (blocked eustachian tube)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

With myringitis you can see ______.

A

Redness (acute infection)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

True/False: Meningitis is a common complication (with the ear).

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

If there is black in your ears, what happened?

A

perforation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the normal color of the tympanic membrane?

24
Q

With otosclerosis, what color is the eardrum?

25
What is the CN VIII test?
Weber-Rinne
26
While preforming weber-rinne the sound lateralized to the right. Deficiency was noted on the right side. what kind of loss is this?
conduction loss
27
What can cause conduction loss in the ear?
infection, cerumen, otosclerosis | can hear better in a noisy environment
28
While preforming weber-rinne the sound lateralize to the right, but the deficiency was noticed on the left. What kind of loss is this?
sensorineural
29
What can cause sensorineural loss in the ear?
presbycusis, neuroma, meniere's | can't hear in noisy environment
30
If the inside of your nose is red, what is this likely caused by?
acute rhinitis
31
If your internal nose is pale/gray/blue what condition can be present?
allergies and chronic "itis"
32
If you have a foul discharge coming out of your nose, what must be in there?
a Foreign object
33
A clear/bloody discharge coming from your nose is usually ____
CSF
34
If you have a unilateral, watery discharge, what has happened to your skull?
Cribriform plate fracture
35
If you have a depressed bridge, what fracture is commonly seen?
nasal bone fracture
36
Epistaxis
Nose bleed
37
A polyp is the nose is seen as a _____ in mucosa?
mass
38
What are characteristics of a malignant lymph node?
non-mobile and non-tender
39
What are characteristics of a benign lymph node?
mobile and tender
40
Where are supraclavicular nodes located?
on the right above the diaphragm
41
What drains into the supraclavicular nodes
the entire right side above the diaphragm only
42
What drains into virchows nodes?
everything else (except the upper right side above the diaphragm)
43
Where is the head of the pancreas located?
below the xiphoid process by T10 (epigastric)
44
What common pathologies are seen at the head of the pancreas?
pancreatitis and cancer; seen with alcoholism, ecchymosis/flanks (fetal position)
45
What common pathology is seen at the tail of the pancreas?
insulin, polydipsia, polyuria, polyphagia
46
Who is seen with type I diabetes?
juvenile, thin | insulin dependent
47
Who is seen with type II diabetes?
obese | receptor site malfunction
48
Gestational diabetes is __________.
dangerous (can kill baby quickly)
49
What are 3 common symptoms seen with type II diabetes?
polydipsia, polyuria, polyphasia
50
What is Glycation?
when sugar combines with protein causing inflammation and free radicals
51
Where is the gallbladder located?
RUQ
52
What pathologies can occur in the gallbladder?
cholecystitis and cholelithiasis | seen in females, multiparous, flatulence, distension, obese, right scapular pain, jaundice and steatorrhea
53
What positive sign is seen when checking the gallbladder?
Murphys sign
54
With appendicitis you see an increase in WBCs (over 17,00). what is this called?
Schilling's shift
55
Where is your appendix located?
RLQ
56
What exams test the appendix?
- Posas test - Blumberg's (rebound tenderness) - Rousing's (pressure LLQ) - Marble (heel jar)