phy final Flashcards
(187 cards)
1
Q
fremitus
A
vibration
2
Q
light palp, moderate palp, deep pal,
A
1cm
1-2cm
2-4cm
3
Q
most common type of percussion
A
indirect
4
Q
tympany
A
air filled organ, stomach or intestine
5
Q
resonance
A
air in lungs
6
Q
hyper resonance
A
air trapped
7
Q
dullness
A
organ
8
Q
flatness
A
bone
9
Q
integumentary system
A
skin hair and nails
10
Q
skin function
A
protection temperature vitamine D storage fat and blood excretion sensation
11
Q
eccrine gland
A
sweat gland,
h20 and nacl
12
Q
apocrine gland
A
located in aeras of hair
thick milky secretions
bacteria mixwd sweat
13
Q
sabeacous/ oil glands
A
sebum
lube skin and hair
everywhere but dorsal appendages
increaed in scalp head and chin
14
Q
hair is composed of
A
keratinized cells 2 trpes
15
Q
vellus
A
short fine hair
16
Q
therminal
A
thick dark
17
Q
woods lamp
A
identifies fungus
18
Q
jaundice inspection on darm patiens
A
lips , oral mucosa, sclera, conjuctuva adn palms
19
Q
macule and patch
A
flat non papl change in color
over 1 cm may have uneven boarder “ mongolian patch “
port wine stain
vitiligo
20
Q
papule
A
solid papl mass less than .05cm ( moles and warts )
21
Q
plaques
A
groups of papule
22
Q
nodule
A
elevated solid hard mass
less than 2cm
circle border
23
Q
visicle bulla
A
blister , elevated fluid filled\
bullae is greter than .5cm
24
Q
tumor
A
solid masss greater than 2cm with uneven boarder
25
pustule
elevated puss filleed
26
wheal
elevated uneve
| incect bite
27
cyst
elevated and encapsulated greater than 1cm
28
inspection of red skin
dorsal part of hand
29
clubbing
copd lack of 02
30
vernix caseosa
white cheese like mix of sebum
31
millia
sebum collection in hair folicle
32
lanugo
fine downy like hair on newbourn
33
melasma chloasma
mask of pregnacy hyper pigmentation
34
skin pigment durring pregnacy
increases
35
linea nigera
linear darekned line
| increased darken moles nipples and scars
36
geriatric decreased
skin elasticity
sebum production
perspriation
melanin production
37
atrophy
old people paper skin
38
crust
Dry blood, serum, or pus on the skin surface from burst vesicles or pustules.
39
fissuer
cracke skin
40
kelloid
An elevated, irregular, darkened area of excess scar tissue caused by excessive collagen formation during healing that extends beyond the site of the original injury.
41
```
moles
a
b
c
d
e
```
```
asymmetry
boarder
color
diameter
evolving
```
42
ulcer
venous HTN
43
Hemangioma
A bright red, raised lesion about 2–10 cm in diameter that does not blanch with pressure and is usually present at birth or within a few months of birth. Typically, it disappears by age 10.
44
Petechiae
red freckles
45
Purpura
flat reddish blue patches
46
annular
leason with circular shape
47
confluent
leason that runs together
48
discrete
seperated and sicrete
49
grouped
clustered leasions
50
target
concentric circle leasions
51
polycystic
circular but united
52
zosterform
linear leasons on nerve rout
53
tinea
fungal or secondar bacteral
54
rubeola
nonblanching red freckles that begin on the face
55
basal carcinoma
ulcer begin as shiny papule
56
squamous cell carcinoma
clearly defined elevated boarder
57
malignant melanoma
grater than 6cm irregular boarder with discoloration
58
kaposi sarcoma
milignt tiumor of hiv patients
59
seborrheic dermatitis
cradle cap
60
tinea capitis
scalp ringworm
| fungus
61
alopecia areata
hair loss
62
hirsitum
excess body hair
63
ascultation of the temporal artery
bruit - bell of stethscope
64
examine lymph nodes w/
gentle circular
65
acromegly
enlargement of joints and bones
66
craniosytosis
early closure of sutures
67
classic migraine
```
depressed
restless
n/v
flashing light
localizes and light sensitive
```
68
cluter ha
numerous over days or weeks
| acute onset with aura
69
tenson HA
muscle contracetion HA
70
hyperthyroidism
```
amenorreaha
insomnea
heat intolerance
increased
weight loss
diaphroesis
```
71
hypothryadism
constipation
skkin changes
weight gain
cool skin
72
graves disease
hyperthryodism
73
sullen chart
20ft
74
rosenbaum
12-14in
75
near sited
myopia cant see distance only up close
76
farsited
hyperopia cant see close things
77
nastagumas
flutter of eye crainial nerve III
78
corneal light reflex
light in both eyes should seee twinkle
79
ptosisi
eye drooping
80
red reflex exam
examiners right eye pateints left eye
| no reflex = cataracts
81
presbyopia
age related farsitedniss
82
lateral deviation
normal till 4mo
83
iris blue/grey
color by 3 mo
84
astigmatism
light refraction over large aera instead of small aera
85
optic chiasm
bilateral prephrial viison los
86
esotopia vs exotropia
eye goes in vs out
87
mydriasis
fixed dialted
88
horners syndrome
one pinpoint pupil non reactive to light
89
belpharitis
staph inflimation of eyelid
90
basal cell carcinoma
papular apperance
91
chalazion
firm non tender nodule
92
entropion
inversion of eyelid muscle spasm
93
ectropion
exvirsion of lower eyelid due to weakened muscle
94
pteryguim
non cancerous growth from contjuva
95
glycoma vs cataracts
glycoma is increased in interocular pressure and cataracts is opacity in lens
96
pinguecula
yellowish nodules in conjunctiva
97
macular degeneration
| 2 stages
dry - vestles ebcome weak and brittel
wet -
vestles break done and leak into eye
98
degeneation of the macula
impared central vision
99
auditory canal inspection of adult
pinna up and back
100
auditory cal inspection of a child
pina downw and back
101
tempanic membrane
peral grey in color
102
ear infection
otis externia
103
whisper test
high frequency sounds
104
rhinne test
air and bone conduction
| bone should fade first
105
webber bone to bone
if the hearing is beeter in impared ear because direct conduction and not picking up enviromental sound
106
nasal polyups
chronic allergies
107
presbycusis
gradual hearing loss in elderly patients
108
pregnacy norms
epitaxiis rhinitis increase sense of smell
109
otitis externia
media
ear canal vs red buldging eardrum
110
rhinitis
nasal inflimation
111
blakc hairy tongue
black hairy tongue tempoary inhibition of normal bacteria
112
ankyloglossia
tongue studk to botom of mouth
113
mediastinum
countans hear trachea esophagus
114
right lung vs leftlung
right lung 3 loabs
| left 2 loabs taller
115
eupnea
regular breathing
116
dyspnia
change of difficulty i breathing
117
unilateral delayed expansion of lungs
fibrotic structures or pneumpthorax
118
fremitus increases
with fluid or fibrotic structures
119
rhales
crackles that do not clear with cough
fine -crackle
course - bubble
durring expriation
120
ronchi
clear with cough
wheex = obstruction
snorouse - fluid
121
stridor
obstructed upper airway
122
bronchophony
| egophany
99 become lauder and clear with consilidation
E sounds like ayyyyyy
bad
123
tachypenia
rapid shallow
124
bradypenia
slow regular
125
hyperventliation
rapid deep
126
hypoventliatiion
irregular shallow
127
cheyne strokes
deeep breathing and apnea
128
obstructed breathing
slower expriation (copd)
129
excavastium vs pectus carnatum
in vs out
130
kyphosis
posteriou curvature of the thoracic spine
| lateral is scholosisi
131
pregnant female abg
resp alk
132
asthma
chronic hyperactive condition of bronchiospasm
133
atelectasis
collaps of avoli resulting in impared inflation of lung
| mucus plug or lack of surfactant
134
bhronchitis
inflimation of trachialbronchial treee
135
emphysema
chronoic over inflation and distruction aveoli
136
pneumonia
infection of alveoli
137
pleural effusion
fluid in plueral space
138
chf
edema around aveoli
139
mammory ridge
line of different points a nipple can be ( supernumammory nipple)
140
colostrum
nipple leakage before child birth
141
breast inspection
first three finger pads with dime sized circular motion
142
glacorahhea
lactation w/out pregnancy
143
witches milk
neonatal milk
144
binign breastdisease
| (FIBROCYSTIC BREAST DISEASE
thinckning of normal breast tissue
145
fibroadenoma
benign tumor of glandular tissue of the breast
146
intraductual papilloma
growth of epicelial cells that product into the lumen
147
mamary duct electaus
inflimation of the ducts
148
orang peal skin on breast
sig of breast cancer
149
s1/s2
lub dub
| av - semilunar
150
murmurs
harsh blowing sounds disruption of blood flow
151
```
p
pr
qrs
t
qt
```
```
AD
sa-Av travel time
ventricular depolarization
ventricular repolarization
VD - VR
```
152
stroke volume vs CO
```
sv= 1 beat
co = 1min
```
153
preload vs afterload
stretch in
| contract out
154
scholosis and the heart
prolapsed mitral valve
155
ductus arteriosis
hole pulmonary artery descending aorta
156
foramen ova
hole between r and l atria
157
coarctation of the aorta
aorta narrowed at birth
158
tetralogy of fallot
fucked by four
159
normal pulse normal
```
0-absent
1-weak
2-normal
3-increased
4-bounding
```
160
alans test
respiratory for colateral circulation
161
aarterial insuffency
diminished pplses
cool shiny skin
deeep muscle pain ffrom elevation
162
venous insufency
uneven edges
pain prolonged sitting gor standing
normal temp
163
varicosites
dilated veins diminished rate of blood flow
164
raynauds disease
spasms in the fingers causeing purple fingers
165
alimentary canal
the tube !
166
scaphoid
stomach sucked in
167
RLQ
bowl sounds
168
merphys signn
cholecystitst
169
esophageal atresia
esophagus end in pouch instead of stomach
| atresia and fistulas determine name
170
pyloric stneosis
thicking of the pyloric muscle
171
```
hep a
b
c
d
e
```
```
a- fecal oral
b- parenteal sex
c - blood
d- b
e- travel
```
172
abdominal assessment
```
xprocess
umbillicus
costal margins
iliac crest
pubic bones
```
173
abdominal assessment
xi - cup
```
xprocess
umbillicus
costal margins
iliac crest
pubic bones
```
174
urinary assessment
contravertebral angle
rectus abdominas
symphesis pubis
175
female ureter length
10-12 inhes
176
stereogenesis
object in hand
177
graphesthesia
draw in hand
178
anosmia
loss of smell
179
asthesia
| hyper anf hyposthesia
since of touch
180
rapid alturnating action
indication of upper motor weakness
181
tonic neck
infiant head turned and arms and legs will extend tword that direction ends at 2-6 mo
182
palmar grasp
3/4 mo
183
plantar grasp
6-8mo
184
moro
extend arms and flex legs w/ laud sounds = 4-6 mo
185
```
p
p
s
b
b
```
```
34
68
45
46
1824
```
186
ataxic gate
ms/alc intox/
| wide base and swaying
187
scosor gate
knee slap spastic lower foot
| ms
