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45 Cards in this Set

  • Front
  • Back

Xanthelasma

flat yellow growths on the eyelids

Trepopnea

Shortness of breath in one body position but not another

Tinnitus

Ringing or buzzing in the ears

Tachypnea

20-25 breaths/minutes (high metabolic rate, acidosis, etc.)

Tachycardia

>100 bpm

Splinter Hemorrhages

Tiny blood clots that run vertically under the nails

Scoliosis

Abnormal lateral curvature and torsion of the spine

Scleral icterus

Yellowing of the white of the eye (same as jaundice)

Pyrexia

fever

Pulsus tardus

slow upstroke of carotid pulse (aortic valve stenosis)

Ptosis

Drooping of upper eyelid

Proptosis

bulging of the eye anteriorly out of the socket

Pretibial myxedema

Waxy disolored induration of the shin

Precordium

region of the thorax immediately anterior to the heart

Platypnea

SOB that is relieved by lying down, worse when standing up

Paroxysmal nocturnal dyspnea

Severe SOB during sleep

Pallor

unhealthy pale appearance

Otalgia

Earache

Osler nodes

painful raised lesions on the hands and feet that are a sign of endocarditis

Orthopnea

shortness of breath when lying down

Opthalmoplegia

impairment/ paralysis of the extraocular movements and/or accomodation

Onycholysis

separation of nail plate from the nail bed

Onychorrhexis

Brittle nails that spontaneously split

Odynophagia

Painful swallowing (in mouth or esophagus)

Moribund

Near death / terminal

Mastalgia

Pain in the breasts

Lymphangitis

inflammation of the walls of the lymphatic vessels

Lymphadenopathy

diseased lymph nodes

Janeway lesions

small erythematous or haemorrhagic nodular lesions on palms and soles of feet

Hemoptysis

coughing up blood

Fetor hepaticus

sweet, fecal smell from thiols in portosystemic shunting

Epistaxis

nose bleeds



Diaphoresis

sweating heavily

Bradypnea

< 8-10 breaths/ minute

Bradycardia/ Absolute bradycardia

<60 bpm & <40 bpm

Ascites

accumulation of fluid in the peritoneum

apnea

temporary cessation of breathing

acropachy

new bone formation that looks like clubbing (associated with graves disease)

4 Moments forHand Hygiene

1. Entering the room (before pxencounter) -> protect px/environment


2. Before aseptic procedure ->protect px


3. After ascetic procedure (after bodyfluid exposure) -> protect self/environment


4. After Px encounter (on your way out)-> protect self & environment

Three things you look for in a pulse

Rhythm


Rate


Character

Normal Respiratory Rates

Infant = 24-34


Child = 20-26


Adult = 12-20

Lymph Nodes... what to look for?

Size, shape, consistency, mobility, margins, tenderness

Breast Exam HPI

o Onset, duration, character, nipple discharge, bilateral,discolouration, mastalgia, skin changes, last menstruation, menopause

Respiratory Exam ROS

Cough, Sputum, hemoptysis,fever, malaise, dyspnea, wheezing/stridor, chest pain, weight loss, night sweats,paroxysmal nocturnal dyspnea

Contact/ Droplet Precautions

· gown


· then mask


· finally gloves




- takegloves off


- thengown


- sanitize


- do the mask last, take off ear loops and then down andaway from face


- sanitize again