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117 Cards in this Set

  • Front
  • Back
Obstetrics
medical specialty focusing on care of all women's reproductive tracts
Thrombosis
blood clot formation
Encephalitis
acute inflammation of the brain
Epi-pen
epinephrine auto-injector. Adrenaline. To treat anaphylactic shock
Anaphylaxis
serious allergic reaction, rapid, can cause death. Itchy rash, throat and eyes swell, BP crashes (low!), from insect bites, foods, medications
Nephrology
The study of the renal system, the kidneys
Hematopoiesis
the formation of red blood cells from stem cells, which originate in the bone marrow
Subcutaneous
The lowermost layer of the integumentary system in vertebrates. The types of cells found are fibroblasts, adipose cells, and macrophages. (from superficial to deep: epidermis, dermis, subcutaneous / hypodermis)
Atherosclerosis
An artery wall thickens as a result of the accumulation of fatty materials such as cholesterol and triglyceride. It is a syndrome affecting arterial blood vessels, a chronic inflammatory response in the walls of arteries. Coronary arteries with this can lead to MI or CVA
Corticosteriods
Stress raises this, which lowers the immune system. a class of chemicals that includes steroid hormones naturally produced in the adrenal cortex of vertebrates and analogues of these hormones that are synthesized in laboratories. Corticosteroids are involved in a wide range of physiological processes, including stress response, immune response, and regulation of inflammation, carbohydrate metabolism, protein catabolism, blood electrolyte levels, and behavior.
Rhinorrhea
A condition where the nasal cavity is filled with a significant amount of mucous fluid. The condition, commonly known as "runny nose", occurs relatively frequently.
Herd immunity
A form of immunity that occurs when the vaccination of a significant portion of a population (or herd) provides a measure of protection for individuals who have not developed immunity.[1] Herd immunity theory proposes that, in contagious diseases that are transmitted from individual to individual, chains of infection are likely to be disrupted when large numbers of a population are immune or less susceptible to the disease.
Etiology
The study of causation, or origination
Serology
The scientific study of plasma serum and other bodily fluids. In practice, the term usually refers to the diagnostic identification of antibodies in the serum.
Phlebitis
inflammation of a vein (assess IV site!)

erythema, streak formation, warm to touch, edema may or may not be present, palpable cord, infusion fluid may or may not stop
Erythema
redness of the skin, caused by hyperemia of the capillaries in the lower layers of the skin.

It occurs with any skin injury, infection, or inflammation. Examples of erythema not associated with pathology include nervous blushes
Infiltration
leaking of fluid into the tissues (Assess at IV site!)

skin blanched, edema around site (from leaky fluids), skin COOL to touch, tightness, leaking of fluid may be present, infusion may or may not continue, circulatory impairment
Extravasation
a leakage of fluid out of its container:

when medication leaks into the tissues.

for irritant drugs (ie: chemo drugs), it can cause necrosis/amputation
Diapedesis
Leukocyte extravasation

he movement of leukocytes out of the circulatory system, towards the site of tissue damage or infection. This process forms part of the innate immune response, involving the recruitment of non-specific leukocytes. Monocytes also use this process in the absence of infection or tissue damage during their development into macrophages.
Orthostatic hypotension (orthostasis)
head rush or dizzy spell, is a form of hypotension in which a person's blood pressure suddenly falls when standing up or stretching. In medical terms, it is defined as a fall in systolic blood pressure of at least 20 mm Hg or diastolic blood pressure of at least 10 mm Hg when a person assumes a standing position.
Atelectasis
the collapse or closure of the lung resulting in reduced or absent gas exchange.

alveoli are deflated

collapsed, airless alveoli

-can get pnemonia if you don't deep / slow breathe, IS, ambulate, etc

a post-operative complication
OOB
out of bed
Fistula
an abnormal connection or passageway between two epithelium-lined organs or vessels that normally do not connect
Dehisce
to come apart at edges

a surgical wound complication
Eviscerate
internal organs protrude through the wound

a surgical wound complication
Antiemetics
drugs that ward off vomiting and nausea
Paralytic ileus
Paralysis of the intestine, typical post-surgery due to opioid side effects

bowel obstruction

give patient gum!
Hemorrhage
BLEEDING
Aneurysm
is a localized, blood-filled balloon-like bulge in the wall of a blood vessel.

As an aneurysm increases in size, the risk of rupture increases. A ruptured aneurysm can lead to bleeding and subsequent hypovolemic shock, leading to death.
Aorta
the largest artery in the human body

goes from left ventricle and extends down to the abdomen,
where it bifurcates into two smaller arteries (the common iliac arteries).
The aorta distributes oxygenated blood to ALL parts of the body through the systemic circulation
Abdominal aortic aneurysm (AAA)
A localized dilatation (ballooning) of the abdominal aorta exceeding the normal diameter by more than 50 percent, and is the most common form of aortic aneurysm.

Approximately 90 percent of abdominal aortic aneurysms occur infrarenally (below the kidneys)

Caused by tobacco, HTN, alcohol, genetics, atherosclerosis

16,000 deaths yearly in USA
NSAIDS
Non-steroidal anti-inflammatory drugs

aspirin, ibuprofen, and naproxen

(acetaminophen grouped as NSAIDS too, but doesn't provide anti-inflammatory)
Pallor
An unhealthy, pale appearance

a pale color which can be caused by illness, emotional shock or stress, stimulant use, or anemia
Intermittant claudication
muscle pain brought on by exercise

resolves with rest

usually in calf, or legs

Peripheral artery disease can cause it
Bruit sounds
The unusual sound that blood makes when it rushes past an OBSTRUCTION (called turbulent flow) in an artery when the sound is auscultated with the bell portion of a stethoscope
Cardiac tamponade
Pressure on the heart that occurs when blood or fluid builds up in the space between the heart muscle (myocardium) and the outer covering sac of the heart (pericardium).
Prinzmetal angina
Angina (cardiac chest pain) at rest that occurs in cycles.

It is caused by vasospasm, a narrowing of the coronary arteries caused by contraction of the smooth muscle tissue in the vessel walls rather than directly by atherosclerosis.

It occurs more in younger women.
Ecchymosis
Commonly called a bruise, is a hematoma of the skin larger than 10mm.
Rubor
Redness

One of the cardinal signs of inflammation, irritation.

Pain, swelling, heat
Hematoma
A localized collection of blood outside the blood vessels, usually in liquid form within the tissue.

(an ecchymosis, commonly called a bruise, is a hematoma of the skin larger than 10mm)
Hemolysis
When RBCs burst

(when RBC is in a hypotonic fluid)

Solutes suck!
Hemorrhage
Bleeding!
Hematocrit
Percentage of blood that is SOLID
Plasma
The liquid component of blood
Peritoneum
Thin tissue that lines the inner wall of the abdomen, covers most abdominal organs
CC
A cubic centimeter.

= 1 mL

1000 cc = 1 L
PCT
Patient care technician
Natremia
latin for Sodium
Diuretic
Something that promotes the production of urine.

ie: Coffee
Polyuria
Excessive urination
Paralysis
Loss of muscle function
Morbidity
The rate of disease
Mortality rate
The rate of deaths,
among a set of diagnosed hospital illness or injury cases
Hypoxia
The body is deprived of O2
Infarction
Tissue death caused by lack of O2 (due to blood supply blockage)
Parasthesia
"Pins and needles" sensation

"Falling asleep" feeling
Ischemia
A restriction of blood supply to tissues

shortage of O2 and glucose

sickle cell anemia
Aplasia
Defective development of an organ or tissue

blood vessel problems
Steroids
Decrease inflammation, but also causes immunosuppression
Fibrosis
The formation of excess fibrous connective tissue in an organ or tissue in a reparative or reactive process.
Paralytic ileus
Intestinal blockage due to nerve malfunction

ie: post surgery due to anesthesia
Supine
FACE UP (lying on back)
Prone
FACE DOWN (lying on stomach)
Stridor
High-pitched whistle, from blockage in throat / lung
Alopecia
Partial or total lack of hair
Diaphoresis
Excessive sweating
Dysphagia
Difficulty SWALLOWING
Tachypneic
Rapid breathing

Hyperventilation
Hyperventilation
BLOWING OFF CO2 FAST + DEEP BREATHING PATTERN.
BLOWING OFF CO2 FAST + DEEP BREATHING PATTERN.
BLOWING OFF CO2 FAST + DEEP BREATHING PATTERN.
BLOWING OFF CO2 FAST. FAST BREATHING
Pneumothorax
Punctured lung
Hypoventilation
= slow breathing, causes CO2 to BUILD UP in the blood
Hyperventilation
= fast breathing, causes CO2 to be BLOWN OFF
Hypercapnia
the main stimulus for us to breathe (an increase of CO2 in blood).

moreso than hypoxia !!!
Orthopnea
Difficulty of breathing while laying down supine

cannot breathe unless sitting up

state number of pillows to achieve comfort:
"two-pillow orthopnea"
Paroxysmal nocturnal dyspnea
awakening from sleep with SOB and needing to be upright to achieve comfort
Diaphoresis
Excessive sweat
Apnea
Temporary absence or cessation of breathing
Pleural effusion
The excess fluid that accumulates between the two pleural layers, the fluid-filled space that surrounds the lungs.

Excessive amounts of such fluid can impair breathing by limiting the expansion of the lungs during ventilation.
Cyclooxygenase (COX) Pathway
An enzyme that is responsible for formation of important biological mediators called prostanoids, including prostaglandins, prostacyclin and thromboxane

Pharmacological inhibition of COX can provide relief from the symptoms of inflammation and pain
Tinnitus
Ringing in the ears

Can be caused by chronic use of aspirin therapy
Reye's syndrome
A potentially fatal disease that has numerous detrimental effects to many organs, especially the brain and liver, as well as causing a lower than usual level of blood sugar.

NO ASPIRIN TO CHILDREN UNDER 19. NO ASPIRIN FOR CHICKEN POX OR INFLUENZA

The classic features are a rash, vomiting, and liver damage.

The exact cause is unknown and, while it has been associated with aspirin consumption by children with viral illness, it also occurs in the absence of aspirin use.
Sterioids
Potent anti-inflammatory

and also an immunosuppressant
Purse lip breathing
increases pressure, and forces air out better (for COPD or other pulmonary disorders where it's hard to exhale completely)
Aphasia
cannot speak, or communicate
Bullae
an air space in lung, measuring more than 1 cm

complication of COPD (along with pneumothorax)
Lacrimation
The secretion of tears especially when abnormal or excessive (parkinson disease)
Hirsutism
excessive hair growth in females or in areas not typical of hair growth (side effect of Dilantin (phenytoin) to treat epilepsy - an AED antiepileptic drug)
Choreoathetosis
the occurrence of involuntary movements in a combination of chorea (irregular migrating contractions) and athetosis (twisting and writhing)

a side effect of Parkinson drug Carbidopa-levadopa
Clonus
A series of involuntary, rhythmic, muscular contractions and relaxations.

from lithium toxicity
Ataxia
Uncoordinated movement is due to a muscle control problem that causes an inability to coordinate movements. It leads to a jerky, unsteady, to-and-fro motion of the middle of the body (trunk) and an unsteady gait (walking style). It can also affect the limbs.

from lithium toxicity
Pyelonephritis
Pyelonephritis is a type of urinary tract infection (UTI) that affects one or both kidneys.

Pyelonephritis is caused by a bacterium or virus infecting the kidneys. Though many bacteria and viruses can cause pyelonephritis, the bacterium Escherichia coli is often the cause. Bacteria and viruses can move to the kidneys from the bladder or can be carried through the bloodstream from other parts of the body. A UTI in the bladder that does not move to the kidneys is called cystitis.
Hydronephrosis
Literally "water inside the kidney" — refers to distension and dilation of the renal pelvis and calyces, usually caused by obstruction of the free flow of urine from the kidney. Untreated, it leads to progressive atrophy of the kidney.

In cases of hydroureteronephrosis, there is distention of both the ureter and the renal pelvis and calices.
Bilirubin
A brownish yellow substance found in bile. It is produced when the liver breaks down old red blood cells.

Excreted in bile and urine.

It is responsible for the yellow color of bruises, the background straw-yellow color of urine, the brown color of feces, and the yellow discoloration in jaundice
Hyperbilirubinaemia
In a new-born can lead to accumulation of bilirubin in certain brain regions (particularly the basal nuclei) with consequent irreversible damage to these areas manifesting as various neurological deficits, seizures, abnormal reflexes and eye movements.

The neurotoxicity of neonatal hyperbilirubinemia manifests because the blood–brain barrier has yet to develop fully, and bilirubin can freely pass into the brain interstitium, whereas more developed individuals with increased bilirubin in the blood are protected. Neonates in general are at increased risk since they lack the intestinal bacteria that facilitate the breakdown and excretion of conjugated bilirubin in the feces (this is largely why the feces of a neonate are paler than those of an adult).
Epigastric
divide abdomen in 9 squares, center square (slightly lower in the square) is umbilicus.

right hypochondriac epigastric left epigastric
right lumbar umbilical left lumbar
right iliac hypogastric left iliac
Retroperitoneal
Retroperitoneal space (retroperitoneum) is the anatomical space in the abdominal cavity behind (retro) the peritoneum. It has no specific delineating anatomical structures. Organs are retroperitoneal if they have peritoneum on their anterior side only. Structures that are not suspended by mesentery in the abdominal cavity and that lie between the parietal peritoneum and abdominal wall are classified as retroperitoneal
Jaundice
Concentration of bilirubin in blood plasma is normally below 1.2 mg/dL (<25µmol/L). A concentration higher than 2.5 mg/dL (>50µmol/L) leads to jaundice.

Too much bilirubin in blood.

Jaundice is often seen in liver disease such as hepatitis or liver cancer. It may also indicate leptospirosis or obstruction of the biliary tract, for example by gallstones or pancreatic cancer, or less commonly be congenital in origin (e.g., biliary atresia).
Steatorrhea
The presence of excess fat in feces. Stools may also float due to excess lipid, have an oily appearance and be especially foul-smelling. An oily anal leakage or some level of fecal incontinence may occur. There is increased fat excretion, which can be measured by determining the fecal fat level.
Atresia
Absence of a normal opening or patent lumen.
Patent
Open and unobstructed (vessel, duct, or aperture)
SIDS
Sudden Infant Death Syndrome

cot death or crib death

3rd leading cause of infant mortality 2011

putting the infant to sleep on his/her back, a firm mattress separate from but close to caregivers, no loose bedding, a relatively cool sleeping environment, using a pacifier, and avoidance of exposure to tobacco smoke
ETOH
Ethanol. Alcohol. Booze.
AAA
Abdominal aortic aneurysm
Tetany
Involuntary contraction of muscles
Trousseau's sign
inflate BP cuff, leave on for 3 min, look for hand/fingers.

fingers adduct (claw)

a sign of hypocalcemia
tetany
Chvostek's sign
facial nerve, press on anterior of earlobe

mouth will twitch to that side, eye will squint a little

a sign of hypocalcemia
tetany
what substances pass the blood brain barrier?
Non-polar, lipid soluable substances,

via diffusion!
Gynecomastia
Men's breasts grow very large

(side effect of Cimetidine - Tagament - H2 blocker for heartburn/acid)
Encorporesis
Painful bowel movements in kids, afraid to go, impaction, treat w/ stool softeners and regular BM schedules
Myalgia
Muscle pain
Fibromyalgia
Chronic widespread pain and allodynia (a heightened and painful response to pressure).[1] Its exact cause is unknown but is believed to involve psychological, genetic, neurobiological and environmental factors
Claudication
pain while walking
Agranulocytosis
failure of bone marrow to make WBCs, and also concurrent Neutropenia (low neutrophils)
PRN
pro re nata

A Latin phrase meaning in the circumstances or as the circumstance arises. It is commonly used in medicine to mean "as needed" or "as the situation arises".
Dysphagia
difficulty swallowing
Akathisia
can't sit still, restlessness
Diaphoresis
excessive sweating, profusely perspiring