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23 Cards in this Set

  • Front
  • Back
Common presenting symptoms of breast disorders?
*breast lump or mass
*breast pain or discomfort
* nipple discharge
Risk factors for breast cancer?
*1st degree family member
*early menses or late menopause
*(nulliparous (no child birth)
*1st live birth after 35
Breast cancer screening procedure?
*self exam starting at age 20
*clinical breast exam every 3 yrs. btwn 20-39 yrs.
*annually after age 40
How is breast lump described?
size, shape, consistency, locations, pain, swelling
Terms used to describe GI bleeding?
*Melena - black tarry feces associated with hemorrhage
*Hematemesis - vomitting blood
*Hematochezia - maroon colored stool caused by hemorrhoids or diverticulosis
Symptoms suggestive of UTI?
burning, painful urine; incontinence, increase in abdominal pressure; polyuria or nocturia
What are the causes of stress, urge, overflow, and functional incontinence?
stress - weak pelvic floor
urge - no apparent reason
overflow - urine retention problem (dribbling)
functional - feels need to urinate but does not make it in time
Differential diagnosis of painful and painless hematuria?
Painful - stones, UTI
Painless - BL, KI cancer
Difference between risky or hazardous and harmful drinking?
Risky or hazardous drinking:
*women - >7 drinks/week or >3 drinks on occasion
*men - >14 drinks/week or >4 drinks on occasion
Harmful drinking - drinking that causes physical, social, or psychological harm from alcohol but does not meet criteria for dependence
Serious complications of Hep B Virus infection?
chronic infection, cirrhosis of the LR, LR cancer
What age does screening for colorectal screening start?
average age 50 yrs;
with family history 40 yrs
What is the correct sequence of the abdominal examination?
1. inspection
2. auscultation
3. percussion
4. palpation
4.
Which element of the physical examination of the abdomen generates most information?
palpation
Define:
Blumberg's sign
Blumberg's sign - rebound tenderness (peritonitis)
Define:
Murphy's punch sign
Murphy's punch sign - KI tenderness with tapping due to infection
Define:
McBurney's sign
McBurney's sign -
deep tenderness a sign of acute appendicitis
Define:
Rovsing's sign
Rovsing's sign - palpation of left lower quadrant of abdomen results in more pain in right lower quadrant; indicates possible appendicitis
Define:
Murphy's sign
Murphy's sign - pressure on the right costal margin on right side at mid-clavicular line produces pain with an inhale; indicates cholecystitis
How is ascitis clinically assessed?
*tympany surrounded by dullness
*shifting dullness
*fluid wave
an accumulation of fluid in the peritoneal cavity
What are the causes of loss of libido and erectile dysfunction?
psychogenic causes (ie. depression), endocrine dysfunction, or side effects of medications
Six examples of common STDs?
most common: chlamydia
gonorrhea
trichomas vaginitis & nonspecific urethritis
HIV infection
syphilis
HPV
HPB
genital herpes
Most common cancer of young men between ages 15 and 35?
Testiscular cancer
*monthly self exam should start at age 15
What are examples of female sexual dysfunction?
Lack of desire (frigidity), inability to reach orgasm, dyspareunia or vaginismus are due to psychiatric, medical, or lack of estrogen