History and PE Flashcards
(105 cards)
1
Q
Part of history with basic info
A
General Data
2
Q
Part of history with informant’s name, relationship and reliability
A
General data
3
Q
Part of history with initial impression and DDx
A
HPI
4
Q
Part of history where must not use medical term
A
Chief Complaint
5
Q
Part of history that helps uncover related symptoms in other organ system
A
ROS
6
Q
Part of history that further elicit relevant data
A
ROS
7
Q
included in Past Personal History if <2yo
A
gestational, birth and neonatal history
8
Q
where to write APGAR in history?
A
Neonatal History, under Past Personal History
9
Q
Hx Parts in Sequence
A
General Data Chief Complaint HPI ROS Past Personal Hx Immunization Hx Family Medical Hx Socioeconomic Hx Environmental Hx
10
Q
Contents of Immunization Hx
A
vaccines and tuberculin test
11
Q
growth chart that measures whether underweight or not
A
wt for age
12
Q
growth chart that measures whether stunted or not
A
ht for age
13
Q
growth chart that measures whether wasted or not
A
wt for ht
14
Q
wt for age measures…
A
whether underweight or not
15
Q
ht for age measures…
A
whether stunted or not
16
Q
wt for ht measures…
A
whether wasted or not
17
Q
growth chart used for CHRONIC malnutrition
A
ht for age
18
Q
growth chart used for ACUTE malnutrition
A
wt for ht
19
Q
growth chart used for ACUTE or CHRONIC malnutrition
A
wt for age
20
Q
normal RR of newborn
A
30-60/min
21
Q
normal RR of 2-12 months old
A
50/min
22
Q
normal RR of 1-5 y.o.
A
40/min
23
Q
most reliable parameter for growth
A
Growth Chart
24
Q
when to compute for BMI
A
if wt for ht is +1 or +2
25
-2 wt for age
underweight
26
-3 for ht for age
severely stunted
27
-3 for wt for ht
severely wasted
28
BMI formula
kg/m2
29
APGAR components
```
heart rate
resp effort
muscle tone
reflex irritability
color
```
30
APGAR heart rate scoring
```
0 = absent
1 = <100
2 = >100
```
31
APGAR resp effort scoring
```
0 = absent
1 = slow and irreg
2= good and strong
```
32
APGAR muscle tone scoring
```
0 = flaccid
1 = some flexion of arms and legs
2= active movement
```
33
APGAR reflex irritability scoring
```
0 = no response
1 = grimace
2 = crying vigorously, sneeze, or cough
```
34
APGAR color scoring
```
0 = blue, pale
1 = pink body, blue extremities,
2 = pink all over
```
35
how to measure reflex irritability
reaction to suction of nares with bulb syringe
36
1 min APGAR scoring
8-10 normal
5-7 some nervous depression
0-4 severe depression, requiring immediate resuscitation
37
5 min APGAR scoring
8-10 normal
| 0-7 high risk for subsequent CNS and other organ system dysfunction
38
Skin color. yung kamay at paa bluish. hypothermia.
acrocyanosis
39
skin color. yung half of the body with diff color secondary to hypothalamic immaturity
Harlequin sign
40
skin color. lattice-like appearance
mottling
41
skin color. bluish mottled appearance
cutis marmorata
42
skin color. icteric
jaundice
43
loss of elasticity, hydration, skin pinch
turgor
44
which fontanel closes first? when do they close.
posterior fontanel closes by 2 mos.
| anterior fontanel 4-26 mos, (90%) closes by 7-19 mos.
45
20/20 visual acuity by when?
5-6 y.o.
46
wheezes
musical. during expiration.
47
stridor
musical. inspiratory wheeze.
| upper airway obstruction
48
rhonchi
sonorous wheeze; snoring,gurgling quietly; low-pitched moan; dull.
obstruction of larger main airways.
49
crackles (rales)
fine (hair rubbing) or coarse (velcro/pouring water from bottle)
50
Hoover sign
abdomen out and chest in; inward movement of the rib; COPD
51
“purring” vibratory sensations felt by the palm of the hand over the precordium
thrills
52
sign of LVH (feels like an abnormally large beating heart)
heaves
53
location of valves
A 2R
P 2L
T 4L
M 5L (apex beat)
54
thrills are associated with
murmurs
55
murmur grading that is associated with murmurs
Grade 4 above
56
valves that open on systolic and
| close on diastolic
aortic and pulmonic
57
valves that close on systolic and
| open on diastolic
mitral, tricuspid
58
mitral stenosis., systolic or diastolic?
diastolic (dun sya bukas e)
59
mitral regurgitation. systolic or diastolic?
systolic (dun sya close e)
60
stenosis
narrowing. naririnig kung bukas valve
61
regurgitation
turbulence. naririnig kung sarado valve
62
uneven shoulders, uneven hips, S-curved spine
Scoliosis
63
nakaLiyad
Lordosis
64
Kuba
Kyphosis
65
to test dislocation of hip. paabduct
Ortolani test
66
to test dislocation of hip. paadduct
Barlow test
67
nasa ilalim butas ng bird
hypospadia
68
di maretract balat ng bird
phimosis
69
undescended testes
cryptochidism
70
may tubig sa balls. (water in tunica vaginalis)
hydrocoele
71
bulge in inguinal area; failure of obliteration of the processus vaginalis (7 mos) M>F
hernia
72
CN I
Olfactory
| difficult to test
73
CN II
Visual acuity
| have baby regard your face. and look for facial response and tracking
74
CN II, III
Response to light
darken room, raise baby to sitting position to open eyes.
use light and test for optic blink reflex (blinking inresponse to light.
use otoscope (no speculum) to assess papillary responses
75
CN III, IV, VI
extraocular movements
| observe how well baby tracks your smiling face.
76
CN V
Motor.
Test rooting reflex.
Test sucking reflex (watch baby suck breast, bottle, or pacifier)
77
CN VII
Facial.
| Observe baby crying and smiling: note symmetry of face and forehead.
78
CN VIII
Acoustic
| Test acoustic blink reflex (blinking of both eyes in response to loud noise)
79
CN IX, X
Swallow
observe coordination during swallow.
Gag
Test for gag reflex
80
CN XI
SPinal accessory.
| Observe symmetry of shoulders
81
CN XII
Hypoglossal
| observe coordination of sucking, swallowing, and tongue thrusting.
82
Tanner Stage 1
preadolescent. elevation of nipples
83
tanner stage 2
breast bud forms below areola
84
tanner stage 3
further enlargement and elevation of both breast and areola
85
tanner stage 4
areola forms a secondary mound above the contour of the breast
86
tanner stage 5
breast is fully mature, with recession of the secondary mound and a smooth breast contour
87
male genitalia stage 1
prepubertal genitalia. with vellus hair.
88
male genitalia stage 2
enlargement of testes and scrotum, with reddening and thinning of scrotum, no enlargement of penis
89
male genitalia stage 3
penis began to enlarge, first in length, then in diameter, testes and scrotum continue to enlarge
90
male genitalia stage 4
testes and scrotum continue to enlarge with continued lengthening of penis and enlargement of the glans
91
male genitalia stage 5
genitalia of adult size and proportion
92
pubic hair stage 1
fine vellus hair
93
pubic hair stage 2
growth of sparse straight hair. base of penis. along the labia.
94
pubic hair stage 3
hair increases in quantity and is darker and curlier
95
pubic hair stage 4
resembles adult pubic hair although the escutcheon covers a smaller area than seen in adults
96
pubic hair stage 5
increased volume. spread onto medial thighs and taken on the characteristic male or female configuration.
97
attempt to dislocate femoral head from acetabulum
Barlow's test
98
nutrition, hydration, which part of hx
general survey
99
oral temp vs axillary temp
oral temp is 0.5C higher than axillary temp
100
interval hx which part of hx
HPI
101
manner of delivery, which part of hx?
birth hx, under personal past hx
102
useful when child's age is unknown
wt for ht
103
flat, short head with Down syndrome
brachycephaly
104
checking tympanic membrane in Neonates- 3 yrs:
tympanic downward - pull auricle down and back
105
checking tympanic membrane in > 3 yrs. old
pull auricle up and back
