Paramedic Care-Patient Assessment

Front 1

HEMOPTYSIS

Back 1

COUGHING UP OF BLOOD

Front 2

DYSPNEA

Back 2

THE SENSATION OF HAVING DIFFICULTY BREATHING

Front 3

ORTHOPNEA

Back 3

DIFFICULTY BREATHING WHILE LYING SUPINE

Front 4

PAROXYSMAL NOCTURNAL DYSPNEA

Back 4

SUDDEN ONSET OF SHORTNESS OF BREATH AT NIGHT

Front 5

HEMATEMESIS

Back 5

VOMITING OF BLOOD

Front 6

POLYURIA

Back 6

EXCESSIVE URINATION

Front 7

NOCTURIA

Back 7

EXCESSIVE URINATION AT NIGHT

Front 8

HEMATURIA

Back 8

BLOOD IN URINE

Front 9

DYSMENORRHEA

Back 9

DIFFICULT OR PAINFUL MENSTRUATION

Front 10

INTERMITTENT CLAUDICATION

Back 10

INTERMITTENT CALF PAIN WHILE WALKING THAT SUBSIDES WITH REST

Front 11

PERCUSSION

Back 11

THE PRODUCTION OF SOUND WAVES BY STRIKING ONE OBJECT AGAINST ANOTHER

Front 12

MELENA

Back 12

BLACK TARRY STOOLS

Front 13

THE PRESENCE OF CAROTID PULSE GENERALLY MEANS THAT THE SYSTOLIC BLOOD PRESSURE IS AT LEAST ________?

Back 13

60 mmHg

Front 14

TIDAL VOLUME

Back 14

AMOUNT OF AIR ONE BREATH MOVES IN AND OUT OF LUNGS

Front 15

BLOOD PRESSURE

Back 15

FORCE OF BLOOD AGAINST ARTERIES' WALLS AS THE HEART CONTRACTS AND RELAXES

Front 16

SYSTOLIC BLOOD PRESSURE

Back 16

FORCE OF BLOOD AGAINST ARTERIES WHEN THE VENTRICLES CONTRACT

Front 17

DIASTOLIC BLOOD PRESSURE

Back 17

FORCE OF BLOOD AGAINST ARTERIES WHEN THE VENTRICLES RELAX

Front 18

KORATKOFF SOUNDS

Back 18

SOUNDS OF BLOOD HITTING ARTERIAL WALLS

Front 19

PERFUSION

Back 19

PASSAGE OF BLOOD THROUGH AN ORGAN OR TISSUE

Front 20

PULSE PRESSURE

Back 20

DIFFERENCE BETWEEN SYSTOLIC AND DIASTOLIC PRESSURES

Front 21

HYPERTENSION

Back 21

BLOOD PRESSURE HIGHER THAN NORMAL

140/90

Front 22

HYPOTENSION

Back 22

BLOOD PRESSURE LOWER THAN NORMAL

Front 23

DO NOT DEFINE HYPOTENSION BY NUMBERS BUT BY WHETHER PERFUSION IS _______________.

Back 23

ADEQUATE TO SUSTAIN LIFE.

Front 24

ORTHOSTATIC HYPOTENSION

Back 24

A DECREASE IN YOUR PATIENT'S BLOOD PRESSURE WHEN HE SITS OR STANDS

Front 25

IF YOU SUSPECT SHOCK DUE TO BLOOD OR VOLUME LOSS AND DO NOT SUSPECT A SPINAL INJURY YOU CAN PERFORM A ____________.

Back 25

TILT TEST

Front 26

POSITIVE TILT TEST

Back 26

-PULSE RATE INCREASES BY 10 TO 20 BEATS PER MINUTE
-SYSTOLIC BLOOD PRESSURE DROPS 10 TO 20 mmHg

Front 27

THE BODY WORKS HARD TO MAINTAIN A TEMPERATURE OF APPROXIMATELY _________.

Back 27

98.6F

Front 28

HYPERTHERMIA

Back 28

INCREASE IN BODY'S CORE TEMPERATURE

Front 29

HYPERTHERMIA CAN RESULT FROM?

Back 29

-ENVIROMENTAL EXTREMES
-INFECTIONS
-DRUGS
-METABOLIC PROCESSES

Front 30

TEMPERATURE OF 102F

Back 30

INCREASES METABOLISM MARKEDLY

Front 31

TEMPERATURE OF 103F

Back 31

THE NEURONS OF THE BRAIN MAY DENATURE

Front 32

TEMPERATURE OF 105F AND ABOVE

Back 32

BRAIN CELLS DIE AND SEIZURES MAY OCCUR

Front 33

PERIPHERAL VASOCONSTRICTION AND SHIVERING MECHANISMS CAN NO LONGER BALANCE HEAT PRODUCTION AND LOSS, CORE TEMP DROPS CAUSING ____________.

Back 33

HYPOTHERMIA

Front 34

TEMPERATURE OF 93F

Back 34

NORMAL BODY MECHANISMS BEGIN TO FAIL

Front 35

CORE BODY TEMPERATURE DROPS BELOW 90F

Back 35

-SHIVERING STOPS
-HEART SOUNDS DIMINISH
-CARDIAC IRRITABILTY INCREASES

Front 36

TEMPERATURE DROPS BELOW 70F

Back 36

-PATIENT WILL PRESENT WITH DEATHLIKE APPEARANCE
-POSSIBLY IRREVERISBLE ASYSTOLE

Front 37

PULSE OXIMETER

Back 37

NONINVASIVE DEVICE THAT MEASURES THE OXYGEN SATURATION SHOULD BE BETWEEN 96%-100%

Front 38

READING BELOW 95% YOU SHOULD SUSPECT

Back 38

-SHOCK
-HYPOXIA
-RESPIRATORY COMPROMISE

Front 39

ANY READING BELOW 90% REQURIES

Back 39

AGRESSIVE AIRWAY MAMAGEMENT

Front 40

CARBON MONOXIDE (CO) POISONING YOUR SATURATION READING WILL BE HIGH WHILE YOUR PATIENT'S

Back 40

TISSUES ARE HIGHLY ISCHMEIC

Front 41

THE CARBON MONOXIDE MOLECULE SATURATES THE HEMOGLOBIN MOLECULE _____________ MORE EASILY THAT THE OXYGEN.

Back 41

200 TIMES

Front 42

CAPNOGRAPHY

Back 42

REAL-TIME MEASUREMENT OF EXHALED CARBON DIOXIDE CONCENTRATIONS

Front 43

END-TIDAL CARBON DIOXIDE DETECTOR

Back 43

A DEVICE USED USED IN CAPNOGRAPHY TO MEASURE EXHALED CARBON DIOXIDE CONCENTRATIONS.

Front 44

WHAT IS THE LARGEST ORGAN IN THE BODY?

Back 44

THE SKIN IS THE LARGEST ORGAN IN THE BODY. AND MAKES UP 15% OF OUR TOTAL BODY WEIGHT . PROVIDES WATERTIGHT BARRIER BODY FLUIDS IN AND ENVIROMENTAL FLUIDS OUT.

Front 45

THE SKIN EXCRETES_____

Back 45

-SWEAT
-UREA
-LACTID ACID

Front 46

SKIN REGULATES BODY TEMPERATURE THROUGH ________

Back 46

-RADIATION
-CONDUCTION
-CONVECTION
-EVAPORATION

Front 47

THE SKIN CONTAINS OF TWO LAYERS THAT LIE ATOP THE SUBCUTANEOUS FAT

Back 47

-THE EPIDERMIS
-THE DERMIS

Front 48

THE OUTER LAYER, THE EPIDERMIS IS COMPRISED OF MOSTLY

Back 48

DYING AND DEAD CELLSTHAT ARE SHED CONSTANTLY AND REPLACED BENEATH BY NEW CELLS.

Front 49

THE DERMIS IS RICH IN ________ AND _______?

Back 49

BLOOD SUPPLY AND NERVE ENDINGS

Front 50

PETECHIAE

Back 50

SMALL, ROUND, FLAT, PURPLISH SPOTS CAUSED BY CAPILLARY BLEEDING FROM A VARIETY OF ETIOLOGIES

Front 51

ECCHYMOSIS IS A BLUE-BLACK BRUISE RESULTING FROM ________ AND ________.

Back 51

TRAUMA, BLEED DISORDERS

Front 52

JAUNDICE

Back 52

FIRST APPEARS IN THE SCLERA AND THEN IN THE LATE STAGES OF LIVER DISEASE IT AFFECT PARTS ALL OVER AGAIN

Front 53

CAROTANE MIA

Back 53

A HARMLESS NUTRIONAL CONDITION CAUSE BY EATING A DIET HIGH IN CARROTS AND YELLOW FRUITS AND VEGETABLES.

Front 54

TURGOR

Back 54

NORMAL TENSION IN THE SKIN

Front 55

LESION

Back 55

ANY DISRUPTION IN NORMAL TISSUE

Front 56

CLASSIC SIGNS OF A BASILAR SKULL FRACTURE

Back 56

-PERIORBITAL ECCHYMOSIS
-DISCOLORATION OF MASTOID PROCESS

Front 57

PROPTOSIS

Back 57

THE EYES PROTRUDING

Front 58

PTOSIS

Back 58

EYELID DROOPING

Front 59

REDNESS OR COBBLESTONE APPEARANCE SUGGEST AN ________ OR _________.

Back 59

-ALLERGIC REACTION
-INFECTIOUS CONJUNCTIVITIS

Front 60

BRIGHT RED BLOOD IN A SHARPLY DEFINED AREA SURROUNDED BY NORMAL TISSUE, NOT EXTENDING INTO THE IRIS, INDICATES A __________.

Back 60

HEMORRHAGE UNDER THE CONJUNCTIVE

Front 61

20% OF PATIENTS HAVE UNEQUAL PUPILS, A CONDITION KNOWN AS ___________.

Back 61

ANISOCORIA

Front 62

A YELLOW SCLERA SUGGESTS THE _________.

Back 62

JAUNDICE OF LIVER DISEASE.

Front 63

SLUGGISH PUPILS SUGGEST _____________.

Back 63

PRESSURE OF THE OCULOMOTOR NERVE (CN-III) FROM INCREASED INTRACRANIAL PRESSURE.

Front 64

BILATERAL SLUGGISHNESS MAY INDICATE _____________.

Back 64

-GLOBAL HYPOXIA TO THE BRAIN TISSUE
-ADVERSE DRUG REACTION

Front 65

CONSTRICTED PUPILS SUGGEST AN __________

Back 65

-OPIATE OVERDOSE

Front 66

FIXED AND DILATED PUPILS USUALLY MEAN ___________.

Back 66

BRAIN DEATH

Front 67

NYSTAGMUS

Back 67

FINE JERKING OF THE EYES

Front 68

OTORRHEA

Back 68

DISCHARGE FROM THE EAR CANAL

Front 69

RHINITIS

Back 69

(A RUNNY NOSE) MAY PRODUCE A WATERY, CLEAR FLUID, AS SEEN IN SEASONAL ALLERGIES

Front 70

IF DISCHARGE FROM THE NOSE APPEARS THICK AND YELLOW, SUSPECT AN ____________.

Back 70

INFECTION

Front 71

EPISTAXIS

Back 71

(A NOSEBLEED) MAY BE CAUSED BY TRAUMA OR SEPTAL DEFECT

Front 72

SWOLLEN GUMS, BLEED EASILY, AND ARE SEPARATED FROM THE TEETH BY LARGE CREVICES THAT TRAP FOOD YOU SHOULD SUSPECT ___________.

Back 72

PERIODONTAL DISEASE

Front 73

COATING ON THE TONGUE INDICATES _______.

Back 73

DEHYDRATION

Front 74

COFFEE-GROUNDS-LIKE MATERIAL MAY SUGGEST AN ____________.

Back 74

UPPER GASTROINTESTINAL BLEED

Front 75

PINK-TINGED SPUTUM INDICATES ____________.

Back 75

ACUTE PULMONARY EDEMA

Front 76

GREEN OR YELLOW PHLEGM SUGGESTS A __________.

Back 76

RESPIRATORY INFECTION

Front 77

TENDER, SWOLLEN AND MOBILE NODES SUGGEST INFLAMMATION USUALLY FROM _________________.

Back 77

INFECTION

Front 78

HARD OR FIXED NODES SUGGEST A ____________.

Back 78

MALIGNANCY

Front 79

SUBCUTANEOUS EMPHYSEMA , THE PRESENCE OF AIR JUST BELOW THE SKIN GENERALLY SUGGEST A _____________________.

Back 79

TEAR IN THE TRACHEOBRONCHIAL TREE OR A PNEUMOTHORAX

Front 80

THE CHEST IS DIVIDED INTO 3 CAVITIES:

Back 80

-THE MEDIASTINUM
-THE RIGHT PLEURAL CAVITY
-THE LEFT PLEURAL CAVITY

Front 81

THE RIGHT CHEST CONTAINS:

Back 81

(3) THREE LUNG LOBES (UPPER, MIDDLE AND LOWER)

Front 82

THE LEFT CHEST CONTAINS:

Back 82

UPPER AND LOWER

Front 83

THE MEDIASTINUM CONTAINS:

Back 83

THE HEART, THE GREAT VESSELS (VENA CAVA, AORTA, AND PULMONARY ARTERIES AND VEINS), THE TRACHEA, AND THE ESOPHAGUS.

Front 84

CRACKLES

Back 84

LIGHT CRACKLING, POPPING, NONMUSICAL SOUNDS USUALLY HEARD DURING INSPIRATION, ALSO CALLED RALES

Front 85

WHEEZES

Back 85

CONTINUOUS, HIGH-PITCHED MUSCIAL SOUNDS SIMILAR TO A WHISTLE

Front 86

RHONCHI

Back 86

CONTINUOUS SOUNDS WITH A LOWER PITCH AND A SNORING QUALITY

Front 87

STRIDOR

Back 87

PREDOMINANTLY INSPIRATORY WHEEZE ASSOCIATED WITH LARYNGEAL OBSTRUCTION.

Front 88

PLEURAL FRICTION RUB

Back 88

THE SQUEAKING OR GRATING SOUNDS OF THE PLEURAL LININGS RUBBING TOGETHER

Front 89

DIASTOLE

Back 89

PHASE OF CARDIAC CYCLE WHEN VENTRICLES RELAX

Front 90

SYSTOLE

Back 90

PHASE OF CARDIAC CYCLE WHEN THE VENTRICLES CONTRACT

Front 91

CARDIAC OUTPUT

Back 91

THE AMOUNT OF BLOOD THE HEART EJECTS EACH MINUTE, MEASURED IN MILLILITERS

Front 92

STROKE VOLUME

Back 92

THE AMOUNT OF BLOOD THE HEART EJECTS ON ONE BEAT

Front 93

THRILL

Back 93

VIBRATION OR HUMMING FELT WHEN PALPATING THE PULSE

Front 94

BRUIT

Back 94

SOUND OF TURBULENT BLOOD FLOW AROUND A PARTIAL OBSTRUCTION

Front 95

CULLEN'S SIGN

Back 95

DISCOLORATION AROUND THE UMBILICUS (OCCASIONALLY THE FLANKS) SUGGESTIVE OF INTRA-ABDOMINAL HEMORRHAGE

Front 96

GREY TURNER'S SIGN

Back 96

DISCOLORATION OF THE FLANKS SUGGESTING INTRA-ADBOMINAL BLEEDING

Front 97

ASCITES

Back 97

BULGES IN THE FLANKS AND ACROSS THE ABDOMEN, INDICATING EDEMA CAUSED BY CONGESTIVE HEART FAILURE

Front 98

PRIAPISM

Back 98

A PAINFUL AND PROLONGED ERECTION OF THE PENIS

Front 99

CREPITUS

Back 99

CRUNCHING SOUNDS OF UNLUBRICATED PARTS IN JOINTS RUBBING AGAINST EACH OTHER

Front 100

PITTING

Back 100

DEPRESSION THAT RESULTS FROM PRESSURE AGAINST SKIN WHEN PITTING EDEMA IS PRESENT

Front 101

INITIAL ASSESSMENT

Back 101

PREHOSPITAL PROCESS DESIGNED TO IDENTIFY AND CORRECT LIFE-THREATENING AIRWAY, BREATHING AND CIRCULATION PROBLEMS

Front 102

GENERAL IMPRESSION

Back 102

YOUR INITIAL, INTUITIVE EVALUATION OF YOUR PATIENT

Front 103

DECORTICATE

Back 103

ARMS FLEXED, LEGS EXTENDED

Front 104

DECEREBRATE

Back 104

ARMS AND LEGS EXTENDED

Front 105

SLANDER

Back 105

TO ORALLY DEFAME ANOTHER PERSON

Front 106

LIBEL

Back 106

TO DEFAME ANOTHER PERSON IN WRITING

Front 107

ADDENDUM

Back 107

ADDITION OR SUPPLEMENT TO THE ORIGINAL REPORT