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32 Cards in this Set

  • Front
  • Back
Stroke
An acute focal neurologic deficit due to disturbance in the blood vessels supplying the brain

Ischemic: MOST COMMON
Hemorrhagic: Caused by bleeding into brain, higher mortality rate
TIA
UNLIKE A CVA, TIA LASTS FOR LESS THAN 24 HOURS
Bacterial Meningitis
PUT IN ISOLATION

IMMEDIATE ABx Tx
NO LIGHT
Observe for seizures
Respiratory isolation
Epilepsy
Electrical disturbances
What to do when someone is going through a Seizure?
Protect their head, keep them safe
Acute pain
self limiting pain that lasts less than 6 months

often results from injury surgery or invasive medical procedures, or presenting symptom for some infections
Migraine without aura
Most common, Throbbing, sensitive to light and sounds, confused with sinus infection, more common in women, NEV
Myasthenia Gravis

CM
Autoimmune disease
loss of Acetylcholine receptors in the neuromuscular junction

3x more common in women then men

Ptosis
Diplopia these are the initial symptoms
Parkinson disease

CM first symptoms
Degeneration of dopamin

Tremor
rigidity
bradykinesia
Multiple Sclerosis

CM Vision
Demilenation of myelin sheaths

Nystagmus, Diplopia, Visual clouding
Hematomas
Bleeding from an artery
develop between the skull and the dura, results from a tear in an artery.
Bone healing

First stage
second stage
third stage
fourth stage
fifth stage
Hematoma formation
Cellular proliferations: osteoblasts multiply

Callous formation: 3-4 week of healing

Ossification: fracture has bridged and fragments are united

Remodeling: reorganization of newly formed bone along lines of stress
Complications of fractures

Delayed union

malunion

nonunion
Failure of fracture to heal within predicted time as determined by x-ray

Deformity at fracture site

Failure of bone to heal before the process of bone repair stops, evidence on x-ray
Fracture blisters
Skin bullae and blisters representing areas of epidermal necrosis with separation of epidermis from the underlying dermis by edema fluid

Seen with more severe, twisting types of injuries

most often occur in the ankle, elbow, foot, knee

prevented by early surgical intervention
Osteosarcoma
aggressive and highly malignant bone tumor

most common bone tumor in children and adolescents

most commonly arise around the vicinity of the knee

Primary clinical fracture: deep localized pain with night time awakening and swelling in the affected bone

surgery+chemotherapy
prolong pts life
keeping limb
Ewings sarcoma
2nd most common type of bone cancer in children and adolescents

typically seen in early teenage years

most freqent site: FEMUR

CM: pain, limited movement, tenderness over the involved bone or soft tissue, often accompanied by systemic manifesations: fever or wt loss
metastic bone disease
Skeletal metastases are the most common malignancy of osseous tissue

spine, femur, pelvis, ribs, sternum, and skull

tumors that frequently spread to bone: breast, lung, prostate, kidney, thyroid

Incidence is highest in persons older than 40 years of age
Leiomyomas/Fibroad tumors
Most common CM
Abnormal bleeding
pain
Ovarian cancer

Risk factors that decrease

CM
Ages 65-84 years of age

Nullparity - never been pregnant

Breast feeding, multiple pregnancies, oral contracceptive use(>5),

Ascites(LATE SYMPTOM), pain is a late symptom, general abdominal discomfort, abnormal vaginal bleeding
Endometrial Cancer

CM
Most common gynecological cancer, low mortality rate(94% survival rate if treated early)

Grows slowly and metastasizes late

abnormal uterine bleeding
pain is a late symptom
other s/s related to metastasis
cervical cancer

Cm
Related to HPV

abnormal bleeding, spotting, or discharge
Fibrocystic breast disease

manifestations
Benign condition of the breast

May be accompanying tenderness increases in size and tenderness prior to menses
breast cancer risk factors

Manifestations
estrogen replacement therapy for menopause, pregnancy after age 30, nulliparity

painless nodule
poorly delineated nodule
fixed, hard nodule that does not change in size during menses
post mastectomy care
Exercise the shoulder once cleared by the surgeon

rest arm, immobilize until surgeon clears for exercise
Syphilis
FLU LIKE SYMPTOMS
RASH ON PALMS
Herpes
very painful, viral

recurrent episodes may be triggered by emotional stress and menses

Triggers: infections, sexual intercourse, menses, stress
Chlamydia
Co-exists with gonorrhea
gonorrhea

CM males
more common in women

Purulent urethritis, dysuria, profuse(purulent discharge 2-5 days after infection)

painful, swollen testicles
Vulvovaginal candidiasis
Tx: take all anti yeast medications,

don't stop meds or the diseases regress and becomes twice as worse
Risk factors for bph

Manifestations

Surgical therapy
family history
environment
diet

DYSURIA
urinary frequency
bladder pain
nocturia
incontinence
frequent UTI
Diminished urine stream

Surgery results in some degree of retrograde ejaculation
prostate cancer
Androgen driven: there is an increase in androgens
Testicular cancer
Risk factor: non-descending testes at birth or CRYPTORCHIDISM

15-35 males
not genetic