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40 Cards in this Set
- Front
- Back
What are the 7 attributes of a symptom
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Location
Quality Quantity Chronology Setting Aggravating/alleviating factors Associated manifestations |
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2 tactics to use on an anxious patient
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Reassurance and interpretation
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2 tactics that can be useful on a depressed patient
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Confrontation and validation
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What tactics (2) should not be used on a patient in denial?
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Confrontation and validation
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What tactics (2) should not be used on the projection patient?
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Reflection and summarization
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What tactics do you use (2) and avoid (2) with the regression patient?
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Use: interpretation and summarization
Avoid: confrontation and reassurance |
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Used as a last resort on a silent patient
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Confrontation
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3 tools that are dangerous with the seductive patient
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Empathy and reassurance
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Helpful tool for the insatiable patient
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Reassurance
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What tools are ineffective (2) and what should be used (1) on the ingratiating patient?
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ineffective: confrontation and interpretation
Helpful: indirect questioning |
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What is not helpful (1) and what can sometimes help (1) the help-rejecting patient?
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Not helpful: Interpretation
Sometimes helpful: Echoing |
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A circumscribed, flat discoloration that may be brown, blue, red, or hypo pigmented and measures < 1 cm. They are nonpalpable.
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Macule
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Flat, circumscribed, discolored, nonpalpable lesion > 1 cm.
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Patch
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An elevated solid lesion up to 1.0 cm in diameter that is palpable. Color varies. It is confined to the epidermis
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Papule
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A circumscribed, elevated, superficial, solid lesion more than 1.0 cm in diameter, often formed by the confluence of papules. They involve the epidermis only.
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Plaque
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A circumscribed, elevated, solid lesion that extends into the dermis.
(Squeeze it) |
Nodule
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A circumscribed collection of leukocytes (pus) that varies in size.
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Pustule
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A circumscribed collection of free fluid up to 1.0 cm in diameter. They involve the epidermis only.
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Vesicle
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A circumscribed, superficial collection of free fluid more than 1.0 cm in diameter
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Bulla (blister)
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A firm edematous plaque resulting from infiltration of the dermis with fluid; wheals are transient and may last only a few hours. Also known as Urticaria.
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Wheal (hive)
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Excess dead epidermal cells that are produced by abnormal keratinization and shedding. May be seen in any chronic dermatitis
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Scales
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A collection of dried serum and cellular debris. Also known as a scab
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Crust
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Thick, palpable, upraised, irregular, dry, necrotic tissue or ‘slough’
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Eschar
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A focal loss of epidermis; does not penetrate below the dermoepidermal junction and therefore heal without scarring
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Erosion
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A focal loss of epidermis and dermis; ulcers heal with scarring
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Ulcer
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A linear loss of epidermis and dermis with sharply defined, nearly vertical walls
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Fissure
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A depression in the skin resulting from thinning of the epidermis or dermis
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Atrophy
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An abnormal formation of connective tissue implying dermal damage; after injury or surgery scars are initially thick and pink but with time become white and atrophic
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Scar (cicatrix)
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An erosion caused by scratching; excoriations are often linear erosions
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Excoriation
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A plug of sebaceous and keratinous material lodged in the opening of a hair follicle; the follicular orifice may be dilated (blackhead) or narrowed (whitehead)
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Comedone
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A small, superficial keratin cyst with no visible opening
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Milia
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A circumscribed lesion with a wall and a lumen; the lumen may contain fluid or solid matter
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Cyst
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A narrow, elevated, tortuous channel produced by a parasite
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Burrow
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An area of thickened epidermis induced by scratching; the skin lines are accentuated so that the surface looks like a washboard
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Lichenification
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Dilated superficial blood vessels often with skin thinning
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Telangiectasia
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A circumscribed, upraised deposit of blood less than 0.5 cm in diameter that does not blanch
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Petechiae
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A circumscribed, upraised deposit of blood greater than 0.5 cm in diameter that does not blanch
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Purpura
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Bruises, more extensive than purpura, round or irregular and flat.
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Ecchymosis
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Diffuse redness of the skin caused by inflammation
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Erythema
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Softening and whitening of skin that is constantly wet due to chronic water or urine exposure, edema, ointments, or barrier dressings
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Maceration
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