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40 Cards in this Set
- Front
- Back
Subjective data
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Obtaining info from patient/family
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Objective data
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obtain info from physical examination
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hyperthermia
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elevated body temp
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hypothermia
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low body temp
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palpation
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to examine or explore by touching (an organ or area of body) usually as a diagnostic tool
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sequellae
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a disease or disorder that is caused by a preceeding disease or injury
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percussion
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method of tapping on a surface to determine the underlying structure, used in clinical examinations
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auscultation
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listening for sounds within the body, heart, lung, bowel etc
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sphygmomanometer
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(blood pressure meter) device used to measure blood pressure in an artery
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HPI
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HIstory of present illness
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NKDA
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No known drug allergies
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NKA
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No known allergies
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CC
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Chief complaint
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OTC
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Over the COunter
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S/P
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Status post
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Alopecia
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Absence or loss of hair
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Papule
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a circumscribed, solid elevation up to 1 cm in diameter on skin. Maybe pedunculated, sessile, or filiform
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Hematoma
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localized mass of extravasated blood that is relatively/completely confined in a space/tissue/organ. usually clotted
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Excoriation
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A scratch mark/ a linear break in the skin surface, usually covered with blood or serous crusts
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diffuse
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to disseminate/to spread about
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vitiligo
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Areas of nonpigmented white patches. often symmetrically distributed. usually bordered by hyperpigmented areas. Hair usually white
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Hirsutism
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Excessive bodily and facial hair (usually in women)
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Cachexia
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General weight loss and wasting occuring in the course of a chronic disease or emotional disturbance
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Hematocrit/hemoglobin
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white/red blood cells. centrifuged. white - examined for presence of parasites. red - examined for oxygen
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Albumin
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type of simple protein/ soluble in water; precipitatble from soln by strong acids
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Macule
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change in epidermis color with out elevation/depression
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Dyspepsia
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upset stomach/indigestion. hard/difficult digestion
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Dysphagia
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difficulty swallowing
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Clubbing
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Thickening of flesh under finger/toe nails (spoon like)
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Ecchymosis
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purple patch caused by extravasation of blood into the skin. larger than 3mm diameter
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Petechiae
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small red/purplish spot on the body caused by minor hemorrhage under the skin surface
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Abrasion
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wound caused by superficial damage to the skin
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Wheal
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(hive) raised reddish area
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Pruritis
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intense itching sensation
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Jaundice
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yellowing of the skin
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Uritcaria
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Hives; a vascular rxn of the upper dermis marked by transient appearance of slightly elevated patches which are red.
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Nevus
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(birthmark); medical term for sharply circumscribed and chronic lesions on skin
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Vesicle
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a small bladder like cell/cavity. small sac or cyst (esp containing fluid)
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Cyanosis
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Bluish discoloration of skin/mucous membranes. Sign that oxygen in blood is diminished.
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Patch
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Small area differing from rest. Macule more than 3-4 cm in diameter.
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