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74 Cards in this Set

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Acne, impetigo lesions
Pustules, impetigo lesions turn into ulcers
Herpes simplex lesions
Vesicle then Ulcer
hive, mosquito bite lesions
Wheal
Marble-like lesion larger than 0.5 cm
Nodules
Elevated superficial lesion 1.0 cm or larger often formed by coalescence of papules
Plaque
freckle, petechia lesions
Macules
Ex: moist area after the rupture of a vesicle, as in chickenpox; loss of superficial epidermis; not bleeding
Erosion
Stage I decub
Pressure-related alteration of intact skin
Stage II decub
Partial-thickness skin loss involving the epidermis, dermis or both
Stage III decub
Full-thickness skin loss with damage to subcu tissue; does not extend through muscle
Stage IV decub
Full-thickness skin loss with destruction to muscle and bone
A malignant tumor seen in AIDS patients
Kaposi's Sarcoma
Sty
pustule in the eye
Paronychia
Pustule around the nail bed
Seborrhea
dandruff
Vetiligo
Hypopigmentation (Michael Jackson)
Actinic Keratosis
Benign papular lesions on sun-exposed skin; may be precursor to squamous cell carcinoma
Basal cell carcinoma
malignant
seldom metastasizes
common over age 40
usually appears on face
Squamous Cell Carcinoma
common after age 60
may develop from actinic keratosis
grows more quickly than BCC
Seborrheic Keratosis
Benign,yellowish to brown raised lesions that feel greasy and velvety
Multiple and symmetrically distributed on trunk, face and other parts
Blister and 2nd degree burn lesions
Bullae
Target lesions on palms may suggest?
Syphllis
Vesicles in a unilateral dermatomal pattern
Herpes Zoster
These are small (the size of split peas), tender, transient nodules in the pads of fingers and toes and the palms and soles. They are a highly diagnostic sign of bacterial infection of the heart (endocarditis)
Osler's nodes
A small erythematous or hemorrhagic lesion seen in some cases of bacterial endocarditis, usually on the palm or the sole.
Jane Way lesion
Technique for examining the skin
Inspection and Palpation
Modes of examination
IPPA

Inspect
Palpate
Percuss
Auscultate
What is a scrofula
A cervical lymph adenitis related to TB
A SOAP note stands for?
Subjective
Objective
Assessment
Plan
The 5 broad disease states that cause fever
imflammation
autoimmune
malignancy
infections
drug reactions
Cranial Nerve 1
Olfactory
Sensory: smell
CN 2
Optic
Sensory: Vision
CN3
Occulomotor

Motor: Sup, Inf, med, lateral rectus, & trochlear muscle
CN4
Trochlear

Motor: Downward, inward movement of the eye
CN5
Trigeminal
Sensory: 3 branches: Mandibular, Maxillary, and Opthalmic
Motor: temporal and masseter muscles(mastication)
CN 6
Abducens
Motor: lateral deviation of the eye
CN 7
Facial
Motor: facial movements, expressions, closing of the eye and mouth
Sensory: taste on anterior 2/3 of tongue
CN 8
Acoustic
Sensory: hearing and balance
CN 9
Glossopharyngeal
Motor: pharynx
Sensory: posterior eardrum and ear canal, pharynx and taste of posterior tongue
CN 10
Vagus
Motor: palate, pharynx, larynx
Sensory: pharynx, larynx
CN 11
Spinal accessory
Motor: sternomastoid and upper trapezius
CN 12
Hypoglossal
Motor: Tongue
Kuble-Ross's 5 stages in response to loss
Denial and isolation
Anger
Bargaining
Depression or sadness
Acceptance
The Tavistock principles
Rights
Balance
Comprehensiveness
Cooperation
improvement
safety
openness
What is the CAGE questionaire
To eval alcoholism
C-cutdown
A-annoyed by criticism
G-felt guilty
E-eye opener
The components of a comp health history
1.Identifying data
2.Source & Reliability
3.CC
4.HPI
5.PMH: Chilhood/adult: med,surg,ob/gyn,psych,health maintenance
6.Fam History
7.Personal & Social Hist
8.ROS
The 5 segments of the nervous system examination
1.mental status
2.cranial nerves(includes fundoscopic exam)
3.motor system
4.sensory system
5.reflexes
Which CN assesses the strength of the temporal and masseter muscles?
CN V trigeminal
Damage to this nerve will cause dysphagia, dysphonia and a lost gag reflex
CN X Vagus
nerve that supplies the tongue, throat, and one of the salivary glands (the parotid gland). Problems with this nerve result in trouble with taste and swallowing.
CN IX Glossopharyngeal
Paralysis of this nerve is called Bell's palsy.
CN VII Facial
This nerve operates the lateral rectus muscle that draws the eye toward the side of the head
CN VI Abducens
Paralysis of this nerve causes inward turning of the eye (internal strabismus) leading to double vision
CN VI Abducens
is the nerve supply to the superior oblique muscle of the eye
CN IV Trochlear
Paralysis of this nerve results in drooping eyelid (ptosis), deviation of the eyeball outward (and therefore double vision) and a dilated (wide-open) pupil.
CN III Occulomotor
is responsible for the nerve supply to muscles about the eye:

The upper eyelid muscle which raises the eyelid;
The extraocular muscle which moves the eye inward; and
The pupillary muscle which constricts the pupil.
CN III Occulomotor
It functions as the chief nerve of sensation for the face
CN V Trigeminal it has the 3 sensory branches
Problems with the motor root of this nerve result in deviation of the jaw toward the affected side and trouble chewing.
CN V Trigeminal
The physical exam sequence
General Survey
Vital signs
Skin
Head and neck; include thyroid and lymph nodes
Thorax and lungs
Breast
Musculoskeletal
Cardio: JVP,carotid upstrokes and bruits, PMI
Cardio: S3 and murmur of mitral stenosis
Cardio: murmur for aortic insufficiency
Breasts and axillae
Abdomen
Peripheral vascular
Nervous system: sensation, reflexes, Babinskis
A cuff that is too short or narrow may give a falsely (high/low) reading?
High
Normal range of BP
<130, <85
Mild HTN range
140-159, 90-99
moderate HTN range
160-179, 100-109
A fall in systolic pressure of 20 mmHG or more when going from a horizontal to vertical position suggest?
orthostatic hypotension
Causes of orthostatic hypotension
drugs
loss of blood
prolonged bedrest
diseases of the ANS
HTN also affects this organs
eyes- retinopathy
heart-L vent hypertrophy
brain-neuro deficits(CVA)
kidneys
A femoral pulse smaller and later than the radial pulse suggest?
Coarctation of the aorta or occlusive aortic disease
appendages of the skin
Hair, nails, sebaceous and sweat glands
This glands produce sweat and help control body temp
eccrine glands
The 4 skin pigments that give it its color
melanin
carotene
oxyhemoglobin
deoxyhemoglobin

pg96
ABCDEs for melanoma
Asymmetry
Borders (irregular)
Color variation or change
Diameter >6mm
Elevation
Is cyanosis in CHF usually central or peripheral?
peripheral
causes of central cyanosis
advanced lung disease
congenital heart disease
abnormal hemoglobins
What is alopecia?
hair loss