Fpp

Front 1

FPP 1

Back 1

late resupination with propulsion

Hint 1

1

Front 2

FPP 1

Back 2

absence of a nail

Hint 2

1

Front 3

FPP 1

Back 3

decrease hallux dorsiflexion at the first MPJ associated with first ray hypermobility and abducted gait

Hint 3

1

Front 4

FPP 1

Back 4

fungus or melanoma.

Hint 4

1

Front 5

FPP 1

Back 5

Tibial varum ...tibias are inverted distally

Hint 5

1

Front 6

FPP 1

Back 6

fungi that live off of skin cells

Hint 6

1

Front 7

FPP 1

Back 7

1. red feet without swelling 2.bilateral warm or hot feet 3. pain

Hint 7

1

Front 8

FPP 1

Back 8

1. mossy, pig skin with warts 2. foot gets larger with stimulated fibrous tissue 3. non pitting edema 4. blood flow slows down`

Hint 8

1

Front 9

FPP 1

Back 9

pain at the achilles tendon insertion due to and equinus functioning foot

Hint 9

1

Front 10

FPP 1

Back 10

the disease bursa is associated with the synovial sheath of the achilles tendon (anterior bursa). A posterior bursa will develop if the achilles tendon or its attachment is being rubbed or abuse hense the mechanical bursa for protection.

Hint 10

1

Front 11

FPP 1

Back 11

the presence of fibrous tumors on the plantar aspect of the foot

Hint 11

1

Front 12

FPP 1

Back 12

spur on the back of the heel, usually seen in a mechanically imbalanced foot with a lot of rocking back and forth. aka pump bumps

Hint 12

1

Front 13

FPP 1

Back 13

plantar flex and invert

Hint 13

1

Front 14

FPP 1

Back 14

non pitting edema

Hint 14

1

Front 15

FPP 1

Back 15

the buildup of extra wartlike tissue is burnt away with acid

Hint 15

1

Front 16

FPP 1

Back 16

three: dorsal, intermediate, ventral

Hint 16

1

Front 17

FPP 1

Back 17

area under the nail that is not attached to the bed

Hint 17

1

Front 18

FPP 1

Back 18

L4 slipped disc

Hint 18

1

Front 19

FPP 1

Back 19

inferior calcaneal bursitis.. it need a steriod injection in the bursa

Hint 19

1

Front 20

FPP 1

Back 20

arterial ulcer

Hint 20

1

Front 21

FPP 1

Back 21

30 sec, 3 times

Hint 21

1

Front 22

FPP 1

Back 22

HIV patients

Hint 22

1

Front 23

FPP 1

Back 23

intractable plantar keratosis, buildup of skin on the bottom of the foot due to pressure points. in diabetics, this may cause ulceration

Hint 23

1

Front 24

FPP 1

Back 24

genu valgum

Hint 24

1

Front 25

FPP 1

Back 25

accumulation of fat in the anterior aspect of the ankle in women after menopause

Hint 25

1

Front 26

FPP 1

Back 26

white patches on the surface of the nail that is a superficial fungal infection caused by candida

Hint 26

1

Front 27

FPP 1

Back 27

bigger or wider than normal nail

Hint 27

1

Front 28

FPP 1

Back 28

peeling away of lateral foot border

Hint 28

1

Front 29

FPP 1

Back 29

the red zone under the skin at the proximal end of the nail where nail growth originates.

Hint 29

1

Front 30

FPP 1

Back 30

trychophytan, hypersporum, epidermophytan, candida

Hint 30

1

Front 31

FPP 1

Back 31

painful nerve, usually do to tight shoes and is immediatly relieved when they are removed

Hint 31

1

Front 32

FPP 1

Back 32

thickening of a nerve

Hint 32

1

Front 33

FPP 1

Back 33

lack of sensation, as in a diabetic

Hint 33

1

Front 34

FPP 1

Back 34

uniform thickening of the nail

Hint 34

1

Front 35

FPP 1

Back 35

chronic inflammation of the nail matrix

Hint 35

1

Front 36

FPP 1

Back 36

ingrown toenail

Hint 36

1

Front 37

FPP 1

Back 37

the toe is abnormal

Hint 37

1

Front 38

FPP 1

Back 38

thick, grossly deformed and enlarged nails

Hint 38

1

Front 39

FPP 1

Back 39

separation of nail plate from the end of the toe (too proximally)

Hint 39

1

Front 40

FPP 1

Back 40

Separation from the proximal nail fold

Hint 40

1

Front 41

FPP 1

Back 41

the nail is soft

Hint 41

1

Front 42

FPP 1

Back 42

localized infection of the nail or nail bed caused by fungus

Hint 42

1

Front 43

FPP 1

Back 43

nail fungus (tinea ungum) characterized by thick, discolored nails

Hint 43

1

Front 44

FPP 1

Back 44

the nail is in layers

Hint 44

1

Front 45

FPP 1

Back 45

abnormal sensory signs

Hint 45

1

Front 46

FPP 1

Back 46

inflammation of veins

Hint 46

1

Front 47

FPP 1

Back 47

more than one nail on a digit

Hint 47

1

Front 48

FPP 1

Back 48

Grades 5 - 0 5 being normal 0 being no palpable contraction

Hint 48

1

Front 49

FPP 1

Back 49

contracture of the plantar and palmar fascia that is associated with insulin dependant diabetics...they cannot straighten their hands out....its called the prayer sign

Hint 49

1

Front 50

FPP 1

Back 50

in a child, the calcaneus grows faster than the soft tissues causing an equinus condition. it can be painful. casting and night splints help the soft tissue to catch up

Hint 50

1

Front 51

FPP 1

Back 51

distal phalanx bone tumor

Hint 51

1

Front 52

FPP 1

Back 52

tapping the nerve and getting a tingling sensation distally (electrical tingle)

Hint 52

1

Front 53

FPP 1

Back 53

loss of dermis and epidermis

Hint 53

1

Front 54

FPP 1

Back 54

tapping a nerve sends an electrical feeling proximally

Hint 54

1

Front 55

FPP 1

Back 55

results because of the vamp of improper shoes

Hint 55

1

Front 56

FPP 1

Back 56

1. Achilles tendonitis 2. Anterior Tendo-achilles bursitis (haglunds deformity) 3. Posterior achilles bursitis4. Posterior talar tubercle pain

Hint 56

1

Front 57

FPP 1

Back 57

1. Tarsal tunnel syndrome 2. Great saphenous vein (phlebitis) 3. Tibialis posterior tendonitis 4. Tibial nerve (entrapement or compression)

Hint 57

1

Front 58

FPP 1

Back 58

Keenan's fibromas or periomal fibromas

Hint 58

1

Front 59

FPP 1

Back 59

1. Rest portion 2. Stance portion 3. Gait portion 4. Footgear Survey 5. Radiographic Assessment

Hint 59

1

Front 60

FPP 1

Back 60

1. morphological exam (visual inspection) 2. comparative deviations (asymmetry) 3. palpation exam (determine tenderness) 4. Arthrometric exam (motion)~

Hint 60

1

Front 61

FPP 1

Back 61

calcaneal inversion = 20 deg. calcaneal eversion = 10 deg.

Hint 61

1

Front 62

FPP 1

Back 62

1. they are on the medial side of the ankle 2. they have a red granulating base 3. they have irregular borders 4. hard or indurated skin 5. Reactive bone formation 6. Usually not painful

Hint 62

1

Front 63

FPP 1

Back 63

1. lateral side of foot 2. cold, red foot 3. swelling 4. greyish centers 5. pain 6. smaller and punched out

Hint 63

1

Front 64

FPP 1

Back 64

CalcaneoNavicular coalition and Excessive ankle pronation

Hint 64

1

Front 65

FPP 1

Back 65

lamisil, sporanox

Hint 65

1

Front 66

FPP 1

Back 66

red is healthy, venous ulcer

Hint 66

1

Front 67

FPP 1

Back 67

non-glycosylation of connective tissue and collagen causing the deposition of mucopolysaccarides in the collagen.

Hint 67

1

Front 68

FPP 1

Back 68

soft tissue which is part of the posterior nail fold. Sometimes referred to as eponychium. plays a part in nail generation

Hint 68

1

Front 69

FPP 1

Back 69

white area you see on your fingernails. the most distal point of the nail matrix is the lunula. plays a role in nail generation

Hint 69

1

Front 70

FPP 1

Back 70

lateral ankle sprain

Hint 70

1

Front 71

FPP 1

Back 71

an epithelial layer with indentations and grooves so it can attatch to the nail.

Hint 71

1

Front 72

FPP 1

Back 72

keratohyalin

Hint 72

1

Front 73

FPP 1

Back 73

plantar flexion = 35 deg dorsiflexion = 65 deg

Hint 73

1

Front 74

FPP 1

Back 74

plantar flexion = 45 deg dorsiflexion = 15 deg (knee straight)

Hint 74

1

Front 75

FPP 1

Back 75

onych

Hint 75

1

Front 76

FPP 1

Back 76

ASIS to medial malleolus

Hint 76

1

Front 77

FPP 1

Back 77

Look at the shoes for clues and wear patterns

Hint 77

1

Front 78

FPP 1

Back 78

ROM, muscle strength tests and observe gait

Hint 78

1

Front 79

FPP 1

Back 79

look for obvious problems like fractures, variations and malalignments

Hint 79

1

Front 80

FPP 1

Back 80

Postural evaluation...foot alignment and balance

Hint 80

1

Front 81

FPP 1

Back 81

peroneus longus

Hint 81

1

Front 82

FPP 1

Back 82

intermediate dorsal cutaneous of superficial peroneal nerve.

Hint 82

1

Front 83

FPP 1

Back 83

S1 from an L5 slipped disc.....make the patient stretch his leg and if his heel hurts, it could be a slipped disc.

Hint 83

1

Front 84

FPP 1

Back 84

sickle cell disease

Hint 84

1

Front 85

FPP 1

Back 85

give a cortisone injection because it will tear the tendon further.

Hint 85

1

Front 86

FPP 1

Back 86

L5

Hint 86

1

Front 87

FPP 1

Back 87

liver disease or rheumatoid arthritis

Hint 87

1

Front 88

FPP 1

Back 88

English nail clipper, hemostats, freer elevator, pickups, small curette, 62 mini blade

Hint 88

1

Front 89

FPP 1

Back 89

the dorsal lateral part of the big toe....the saggital plane motion is gone in the MP joint so it is reflected in the IP joint

Hint 89

1

Front 90

FPP 1

Back 90

the matrix and soft tissues proximal and under the nail

Hint 90

1

Front 91

FPP 1

Back 91

the proximal end is the least attached because this is where the nail grows

Hint 91

1

Front 92

FPP 1

Back 92

sporanox

Hint 92

1

Front 93

FPP 1

Back 93

diabetics, alcoholics and patients suffering from epilepsy

Hint 93

1

Front 94

FPP 1

Back 94

diabetics

Hint 94

1

Front 95

FPP 1

Back 95

bump on the top of the foot, sometimes caused by osteoarthritis

Hint 95

1

Front 96

FPP 1

Back 96

bone spurs, can occur especially on heel, but can be seen in multiple places, also seen commonly with osteoarthritis

Hint 96

1

Front 97

FPP 1

Back 97

its C-shaped erosion of the bone

Hint 97

1

Front 98

FPP 1

Back 98

forms around wounds that won't heal

Hint 98

1

Front 99

FPP 1

Back 99

hard corn (possibly secondary to contracted or hammer toe)

Hint 99

1

Front 100

FPP 1

Back 100

Suppurative inflammation of the nail fold surrounding the nail plate; may be due to bacteria or fungi, most commonly staphylococci and streptococci. Origin [para- + G. onyx, nail]

Hint 100

1

Front 101

FPP 1

Back 101

inflammation of the nail fold surrounding the nail plate; may be due to bacteria or fungi, most commonly staphylococci and streptococci. Origin [para- + G. onyx, nail]

Hint 101

1

Front 102

FPP 1

Back 102

5th toe adducto varus

Hint 102

1

Front 103

FPP 1

Back 103

fungal infection of the scalp

Hint 103

1

Front 104

FPP 1

Back 104

athlete's foot

Hint 104

1

Front 105

FPP 1

Back 105

Interdigital infections, Moccasin distribution, and Vesiculobullos infection. ON BOARDS

Hint 105

1

Front 106

FPP 1

Back 106

Present in the webspaces, Scaling, Maceration, Fissuring, Erythema. Tx: Betadine, Powders, antifungal gel, Castallini's paint.

Hint 106

1

Front 107

FPP 1

Back 107

Scaling of the plantar surface, Hyperkeratosis plantar surface. Tx: Topical or oral antifungal, Loprox TS, Grispeg (pediatric safe) Lamisil.

Hint 107

1

Front 108

FPP 1

Back 108

Marked by vesicles in the arch of the foot. Tx: Topical Antifungal

Hint 108

1

Front 109

FPP 1

Back 109

aka. Verruca Plantaris caused by HPV, Warts display pinpoing bleeding on debridement. Pain upon lateral compression. Can occur singly or in groups. Tx: acids, electrotherapy, cryotherapy, excisional surgery, laser.

Hint 109

1

Front 110

FPP 1

Back 110

aka. Corns and calluses. Develps in response friction or pressure. Usually over prominent bony areas. Can be caused due to abnormal weight distribution, faulty biomechanics, improper shoe gear.

Hint 110

1

Front 111

FPP 1

Back 111

Dorsal hard corns usually centered over the proximal interphalangeal joint. PIPJ

Hint 111

1

Front 112

FPP 1

Back 112

soft corns usually interdigital corn.

Hint 112

1

Front 113

FPP 1

Back 113

Arterial ulcers are caused by ichemia (Local anemia due to mechanical obstruction (mainly arterial narrowing) of the blood supply); often marked by pain and by organ dysfunction) Presence of Peripheral Vascular Disease. VERY PAINFUL!

Hint 113

1

Front 114

FPP 1

Back 114

Inflammation of the nail fold. Red hot, swollen, and painful. Can yave a pyogenic granuloma Tx: remove the offending nail, betadine and H2O (epsom salt 15 min) soaks, topical or oral antibiotics.

Hint 114

1

Front 115

FPP 1

Back 115

Limited range of motion in the 1st metatarsal phalangeal joint (MTPJ)

Hint 115

1

Front 116

FPP 1

Back 116

Loss of motion metatarsal phalangeal joint (MTPJ)

Hint 116

1

Front 117

FPP 1

Back 117

dorsiflexed 1st ray, 1st ray hypermobility, long 1st ray, DJD of the MTPJ, prolonged 1st MTPH immobilization, Iatrogenic.

Hint 117

1

Front 118

FPP 1

Back 118

plantarflexed PIPJ, DIP Neutral or hyperectended, MTP dorsiflexed, can be flexible, semi-rigid, or rigid.

Hint 118

1

Front 119

FPP 1

Back 119

Plantar pain due to repeated microtrauma on the plantar aponeurosis causing strain of the posterior attachment to the medial tubercle. High association with cavus and planus feet. HALLMARK SYPMTOM: post-static dyskinesia; first step in the morning is extremely painful. Tx: NSAIDS, local steroid injection, strappings, orthotics, streching, PT, Sx.

Hint 119

1

Front 120

FPP 1

Back 120

Martel's sign on xray (On x-ray one may see soft tissue swelling, and joint effusions, rat-bite erosions, cyst-like or punched-out erosions. Many lesions are expansile with overhanging margins(Martel's sign) that are displaced away from the axis of the bone). Serum uric acid levels increased. Tx: aspiration, NSAIDS, colchicine injection.

Hint 120

1

Front 121

FPP 1

Back 121

area of skin on the sides of the nails: lateral, medial and proximal (posterior)

Hint 121

1

Front 122

FPP 1

Back 122

1. pointy heel spurs that are associated with plantar fasciaitis 2.fluffy heel spurs that are associated with systemic diseases like psoriatic arthitis, ankylosing spondylitis and Reiter's syndrome.

Hint 122

1

Front 123

FPP 1

Back 123

1. foot health# 2. protection# 3. wear# 4. comfort# 5. functional performance / support# 6. aesthtics

Hint 123

1

Front 124

FPP 1

Back 124

A Branick Device

Hint 124

1

Front 125

FPP 1

Back 125

A counter is the posterior portionof the shoe that stiffens the support around the heel. It contorls the heel at heelstrick and stabilizes the heels motion inside the shoe.

Hint 125

1

Front 126

FPP 1

Back 126

The box toe is the material that covers the toe box. Your toes fit into the toe box.

Hint 126

1

Front 127

Shoe - how the correction is to be accomplished#"

Back 127

1

Hint 127

How do you write a shoe prescription?

Front 128

FPP 1

Back 128

The cuticle

Hint 128

1

Front 129

FPP 1

Back 129

where the skin meets the nail at the distal edge

Hint 129

1

Front 130

FPP 1

Back 130

skin that is covering your nail matrix proximal to the eponychium

Hint 130

1

Front 131

FPP 1

Back 131

benign cartilaginous tumor that grows up from the distal phalanx and deforms the shape of the nail

Hint 131

1

Front 132

FPP 1

Back 132

the area that hurts with ingrown toe nails

Hint 132

1

Front 133

FPP 1

Back 133

(nail fungus) and also in nicotine use

Hint 133

1

Front 134

FPP 1

Back 134

lack oxygen

Hint 134

1

Front 135

FPP 1

Back 135

Tetracycline, if given to children, their teeth will be discolored and their nails will be a grey brown

Hint 135

1

Front 136

FPP 1

Back 136

liver cirrhosis, that is terry’s nails- a whitish tinge. Superficial white onychomycois occurs in AIDS patients which will also present as a white nail

Hint 136

1

Front 137

FPP 1

Back 137

Psuedomonas is a bacteria that likes to turn things green. Green alcohol is a phenomenon- rubbing alcohol that has a green food dye

Hint 137

1

Front 138

FPP 1

Back 138

jogger’s toenail…second toe will hit constantly against toe box of shoe and will get subungual hemmorage.# Subungual melanoma is a deadly skin cancer under your toe nail- you have less than 5 years to live. Bob Marley had subugnal melanoma

Hint 138

1

Front 139

FPP 1

Back 139

Onychoschizia- means nail is weak and brittle. It is peeling.

Hint 139

1

Front 140

FPP 1

Back 140

Onychomycosis- nail fungus disease

Hint 140

1

Front 141

FPP 1

Back 141

Onychomedesis- thickening of the nail over 1 mm.

Hint 141

1

Front 142

FPP 1

Back 142

Onycholysis- lifting up of the nail plate from the nail bed.

Hint 142

1

Front 143

FPP 1

Back 143

Paronychia- infection of the nail- ingrown toe nail.

Hint 143

1

Front 144

FPP 1

Back 144

Trachonychia- roughness of the nail plate (like with sandpaper).

Hint 144

1

Front 145

FPP 1

Back 145

Koilonychia- some children are born with spoon nails- nails curve in. Often times they grow out of it.

Hint 145

1

Front 146

FPP 1

Back 146

Anonychia- no nail.

Hint 146

1

Front 147

FPP 1

Back 147

Onychocryptosis- nail is ingrown but there is no infection- no pus.

Hint 147

1

Front 148

FPP 1

Back 148

Onychodystrophy- any disorder of the nail.

Hint 148

1

Front 149

FPP 1

Back 149

Anonychia- also seen in frostbite, trauma, amputation of distal toe (no distal aspect of toe= no nail!!).

Hint 149

1

Front 150

FPP 1

Back 150

Leukonychia-white nail- poisned with arsenic or with liver disease (Terry’s Nails).

Hint 150

1

Front 151

FPP 1

Back 151

Onychauxis-thickened nail plate- thickness is caused by onychomycosis and psoriasis.

Hint 151

1

Front 152

FPP 1

Back 152

Onychogryphosis- also known as a Ram’s horn nail- they are huge, curved, and brittle nails- caused by neglect. They are brittle nails- start at the distal aspect of nail when debriding. The curvature comes from the length.

Hint 152

1

Front 153

FPP 1

Back 153

Onycholysis- is detachment of the nail plate from the nail bed. if you ever picked under your finger nail and you see a bit of whiteness past the hyponychium, well, that’s where the nail plate has detached from nail bed…that can be a first sign of nail fungus when there is yellowish tinge with onycholysis.

Hint 153

1

Front 154

FPP 1

Back 154

Onychophagia- biting your nails.

Hint 154

1

Front 155

FPP 1

Back 155

Clubbing- think of pulmonary disorder. Lovibond’s angle is the angle that you see if you look at the side of your nail- it is a little less than 180…this is over 180 in clubbing disorders. Also seen in heart and liver disease, it may also be hereditary. You need to do a thorough history to figure this out. There is nothing we can do to change it when it is hereditary.

Hint 155

1

Front 156

FPP 1

Back 156

Oncyhocryptosis- ingrown nail plate at the proximal nail border but not infected. If infected paronychia. This is called proud flesh or granulation tissue when you see the red beefy tissue associated with an infected nail.

Hint 156

1

Front 157

FPP 1

Back 157

Onychomycosis is caused by a dermatophyte- same as causing athletes foot. It is caused by Trichophyum rubrum

Hint 157

1

Front 158

FPP 1

Back 158

hyperhydrosis. That is increased moisture of skin.

Hint 158

1

Front 159

FPP 1

Back 159

moccasin distribution#, the interdigital infection and the #vesicular infection

Hint 159

1

Front 160

FPP 1

Back 160

Warts display a pinpoint bleeding on debridement. Warts actually have pain upon lateral compression. So when you compress it side to side, you get a lot of pain. When you compress it directly on top of it, it doesn’t hurt

Hint 160

1

Front 161

FPP 1

Back 161

FALSE

Hint 161

1

Front 162

FPP 1

Back 162

heloma dura, which means that the corn is on the dorsal part of your digit.

Hint 162

1

Front 163

FPP 1

Back 163

Halloma mole is a soft corn, and it’s usually in the interspace; it’s an interdigital corn.

Hint 163

1

Front 164

FPP 1

Back 164

Absolutely nothing. You can’t cut somebody with poor circulation because they can’t heel at the incision site. Even if you’re debriding…with some people, you can’t even take out a nail, because they will get gangrene. This ulcer was really painful; he wanted to cut his own foot off. An arterial ulcer (might be on the test) is very, very painful. Because you don’t have enough blood flow to carry the oxygen that your tissues need to live. Never cut somebody who doesn’t have enough circulation.

Hint 164

1

Front 165

FPP 1

Back 165

to be taken before meals as with certain prescriptions [L. ante, before, in front of]

Hint 165

2

Front 166

FPP 1

Back 166

arteriosclerotic heart disease

Hint 166

2

Front 167

FPP 1

Back 167

twice a day

Hint 167

2

Front 168

FPP 1

Back 168

blood sugar

Hint 168

2

Front 169

FPP 1

Back 169

chief concern

Hint 169

2

Front 170

FPP 1

Back 170

congestive heart failure

Hint 170

2

Front 171

FPP 1

Back 171

Chronic obstructive pulmonary disease

Hint 171

2

Front 172

FPP 1

Back 172

Computerized tomography, as in a CT scan

Hint 172

2

Front 173

FPP 1

Back 173

cerebral vascular accident (stroke)

Hint 173

2

Front 174

FPP 1

Back 174

degenerative joint disease, or osteoarthritis

Hint 174

2

Front 175

FPP 1

Back 175

diabetes mellitus

Hint 175

2

Front 176

FPP 1

Back 176

deep vein thrombosis

Hint 176

2

Front 177

FPP 1

Back 177

diagnosis

Hint 177

2

Front 178

FPP 1

Back 178

electromyogram

Hint 178

2

Front 179

FPP 1

Back 179

family history

Hint 179

2

Front 180

FPP 1

Back 180

fracture

Hint 180

2

Front 181

FPP 1

Back 181

at bedtime [hour of sleep]

Hint 181

2

Front 182

FPP 1

Back 182

bunion

Hint 182

2

Front 183

FPP 1

Back 183

hepatitus B virus

Hint 183

2

Front 184

FPP 1

Back 184

heart disease

Hint 184

2

Front 185

FPP 1

Back 185

head, ears, eyes, nose, throat

Hint 185

2

Front 186

FPP 1

Back 186

hemoglobin

Hint 186

2

Front 187

FPP 1

Back 187

1. aviod incidental conversation and digressions 2. begin with short open ended questions to get the patient talking 3. control the questions and answers 4. clarify specific questions by asking focused or close-ended questions 5. limit the amount of direct questions to avoid an interrogation-like feeling. use indirect questions to soften the mood

Hint 187

2

Front 188

FPP 1

Back 188

only to confirm a diagnosis

Hint 188

2

Front 189

FPP 1

Back 189

history of present illness

Hint 189

2

Front 190

FPP 1

Back 190

hormone replacement therapy

Hint 190

2

Front 191

FPP 1

Back 191

hypertension (high blood pressure)

Hint 191

2

Front 192

FPP 1

Back 192

history

Hint 192

2

Front 193

FPP 1

Back 193

incision and drainage

Hint 193

2

Front 194

FPP 1

Back 194

intake and output

Hint 194

2

Front 195

FPP 1

Back 195

insulin dependent diabetes

Hint 195

2

Front 196

FPP 1

Back 196

internal fixation

Hint 196

2

Front 197

FPP 1

Back 197

intramuscular

Hint 197

2

Front 198

FPP 1

Back 198

last menstrual period

Hint 198

2

Front 199

FPP 1

Back 199

right in the center of the heel.

Hint 199

2

Front 200

FPP 1

Back 200

TB-multiple drug resistence tuberculosis

Hint 200

2

Front 201

FPP 1

Back 201

metastases (DPM's use this for met heads)

Hint 201

2

Front 202

FPP 1

Back 202

myocardial infarction

Hint 202

2

Front 203

FPP 1

Back 203

Magnetic resonance imaging

Hint 203

2

Front 204

FPP 1

Back 204

no food after midnight [L. non per os or nil per os, nothing by mouth.]

Hint 204

2

Front 205

FPP 1

Back 205

1. CC 2. HPI 3. PMH 4. PSH 5. FH 6. SH 7. Medications 8. Allergies 9. ROS”

Hint 205

2

Front 206

FPP 1

Back 206

non insulin dependent diabetes

Hint 206

2

Front 207

FPP 1

Back 207

non-steroidal anti-inflammatory drug

Hint 207

2

Front 208

FPP 1

Back 208

osteoarthritis

Hint 208

2

Front 209

FPP 1

Back 209

narrowing of joint space, not much cartilage, spurs cause dorsal bunions sometimes

Hint 209

2

Front 210

FPP 1

Back 210

destruction of bone, usually seen on x-ray, can occur in instances of gout

Hint 210

2

Front 211

FPP 1

Back 211

infection of bone

Hint 211

2

Front 212

FPP 1

Back 212

to be taken after meals, as with certain prescriptions

Hint 212

2

Front 213

FPP 1

Back 213

high arch foot type

Hint 213

2

Front 214

FPP 1

Back 214

low/no arch foot type

Hint 214

2

Front 215

FPP 1

Back 215

past medical history

Hint 215

2

Front 216

FPP 1

Back 216

pain on palpation

Hint 216

2

Front 217

FPP 1

Back 217

as needed (use for pain med Rx)

Hint 217

2

Front 218

FPP 1

Back 218

past surgical history

Hint 218

2

Front 219

FPP 1

Back 219

peptic ulcer disease

Hint 219

2

Front 220

FPP 1

Back 220

once daily

Hint 220

2

Front 221

FPP 1

Back 221

once an hour

Hint 221

2

Front 222

FPP 1

Back 222

four times daily

Hint 222

2

Front 223

FPP 1

Back 223

rule out

Hint 223

2

Front 224

FPP 1

Back 224

rheumatoid arthritis

Hint 224

2

Front 225

FPP 1

Back 225

range of motion

Hint 225

2

Front 226

FPP 1

Back 226

review of systems

Hint 226

2

Front 227

FPP 1

Back 227

regular rate and rhythem (of heart)

Hint 227

2

Front 228

FPP 1

Back 228

prescribe

Hint 228

2

Front 229

FPP 1

Back 229

status post

Hint 229

2

Front 230

FPP 1

Back 230

social or psychosocial history

Hint 230

2

Front 231

FPP 1

Back 231

shortness of breath

Hint 231

2

Front 232

FPP 1

Back 232

symptoms, surgery, depends on the clinician

Hint 232

2

Front 233

FPP 1

Back 233

three times daily

Hint 233

2

Front 234

FPP 1

Back 234

entrapment of tibial nerve in the lacunar ligament

Hint 234

2

Front 235

FPP 1

Back 235

tenderness on palpation

Hint 235

2

Front 236

FPP 1

Back 236

temperature, pulse, respiration

Hint 236

2

Front 237

FPP 1

Back 237

treatment

Hint 237

2

Front 238

FPP 1

Back 238

usual childhood diseases (measles, mumps, german measles)

Hint 238

2

Front 239

FPP 1

Back 239

1. general appearance 2. state of nutrition 3. body habits 4. symmetry 5. posture and gait 6. speech

Hint 239

2

Front 240

FPP 1

Back 240

1. introduce yourself as a student doctor with under the attending physician 2. keep eye contact, respect their space (3 ft.) 3. small talk, be able to maintain a conversation

Hint 240

2

Front 241

FPP 1

Back 241

1. CAGE test 2. MAST test 3. TWEAK test

Hint 241

2

Front 242

FPP 1

Back 242

1. inspection - visual acuity 2. palpation - feeling the abnormality 3. inspection and palpation 4. percussion 5. auscultation - use of stethoscope

Hint 242

2

Front 243

FPP 1

Back 243

1. shock and denial 2. anger 3. bargaining 4. depression 5. acceptance

Hint 243

2

Front 244

FPP 1

Back 244

1. Dolor (pain) 2. Edema (swelling) 3. Calor (heat) 4. Erythema (redness) 5. Exudate [pus (purulent) or transducent (clear)] if infected

Hint 244

2

Front 245

FPP 1

Back 245

1. establish rapport with patient 2. elicit info: medical history, physical exam, diagnostic tests 3. consult with your preceptor 4. assessment and plan: a. could involve more tests b. think of treament approaches for short nd long term relief 5. Exposition phase: speek to patient about problem and plan 6. Recording: write up the information collected

Hint 245

2

Front 246

FPP 1

Back 246

1. Rx (prescription) 2. dispense (number you want them to have) 3. signa (let it be labeled)\

Hint 246

2

Front 247

FPP 1

Back 247

1. expose areas to be inspected in good light 2. palpate tender areas while maintaining eye contact

Hint 247

2

Front 248

FPP 1

Back 248

1. use of tactile sensation 2. determines characteristics of organ system

Hint 248

2

Front 249

FPP 1

Back 249

1. combines tactile sensation and sound 2. difference in sound from normal can indicate mass or fluid

Hint 249

2

Front 250

FPP 1

Back 250

1. ask open ended questions (leaves things wide open) 2. ask close ended questions (yes or no answers) 3. direct/focused questions (when trying to determine) 4. indirect questions (statement like soften tone) 5. facilitation: head nodding, mhmm, mhmm; hand motions

Hint 250

2

Front 251

FPP 1

Back 251

subjective

Hint 251

2

Front 252

FPP 1

Back 252

past medical history contains all active and significant inactive (MI, pneumonia, syphilis, hepatitis) medical conditions

Hint 252

2

Front 253

FPP 1

Back 253

the past surgical history asks for the date and type of any kind of surgical procedure performed. also, be sure to ask about scarring or allergies or problems with anesthesia (local or general), blood clotting or scarring

Hint 253

2

Front 254

FPP 1

Back 254

a family history using goes three generations, from patient to parents to grandparents. always ask about their history with DM, HD, cancer, anemias and RA.

Hint 254

2

Front 255

FPP 1

Back 255

1. Age 2. Race 3. Gender 4. Chief Concern There may also be secondary and tertiary concerns

Hint 255

2

Front 256

FPP 1

Back 256

a hypertrophic scar is typically thick and wide but follows the line of incision (typically due to sloppy suturing)

Hint 256

2

Front 257

FPP 1

Back 257

a keloid scar appears almost tumorous and is typically consistent with the person.

Hint 257

2

Front 258

FPP 1

Back 258

Michigan Alcohol Screening Test~this is a 15 question test designed for social workers to asses alcholism

Hint 258

2

Front 259

FPP 1

Back 259

the number of packs of cigarettes smoked per day multiplied by the number of years of smoking

Hint 259

2

Front 260

FPP 1

Back 260

P -provocative/palliative (aggravating factors/better) Q -qualify and quantify pain on 1 -10 scale R -region/radiation (pinpoint pain, does it radiate) S –severity T-temporal characteristics/treatment (worse in the morning, evening, after periods of rest? what treament has been given? )

Hint 260

2

Front 261

FPP 1

Back 261

designed for women who drink while pregnant. 7 point scale T - tolerance. if a pregnant woman could hold 5 or more drinks without falling asleep or passing out - 2 points W - worry. if relatives are worried - 2 points E - eye openers - 1 point A - amnesia. have frequent blackouts K - do they feel the need to cut down. - 2 points

Hint 261

2

Front 262

FPP 1

Back 262

N-nature (sharp/dull pain) L-location D-duration (how long, acute/chronic) O-onset (how and when did the pain start C-course (has pain gotten worse) A-aggravating factors (what makes it hurt more or less) T-treatment (patient self treatment and previous doctors Rx)

Hint 262

2

Front 263

FPP 1

Back 263

assesses alcohol dependence. C - have you ever felt the need to cut down alcohol intake? A - have you been annoyed by others criticizing your alcohol intake? G - have you ever felt guilty about your alcohol intake? E - have you ever had an eye-opener (drink in the morning) 2 or more positive responses indicate clinical relevance"

Hint 263

2

Front 264

FPP 1

Back 264

you will be listening to sounds produced by internal organs, so 1. eliminate background noise 2. apply diaphragm firmly for high pitched sounds 3. apply bell lightly for low pitched sounds

Hint 264

2

Front 265

FPP 1

Back 265

1. NLDOCAT 2. PQRST

Hint 265

2

Front 266

FPP 1

Back 266

the social history is the personal history and psych evalution. It includes, job (sedentary, on feet all day), marrital status, home life, caffeine intake, alcohol intake, drugs etc.

Hint 266

2

Front 267

FPP 1

Back 267

within normal limits

Hint 267

2

Front 268

FPP 1

Back 268

years old

Hint 268

2