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35 Cards in this Set
- Front
- Back
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Infectious Disease Cycle |
AGETH Andgent/Pathogen Reservoir/ Source of Growth Portal of Exit Mode of Transmission Susceptible Host |
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6 Types of Pain |
Nociceptive Neuropathic Visceral (organ) Deep Somatic (ACL tear) Cutaneous Referred PT |
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OPQRST |
To assess a patient’s Pain Onset Provocation Quality Radiation Severity Timing |
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Skin Lesions Rule |
ABCDE Rule Asymmetry Boarder irregular Color more than 2 Diameter larger than 6mm Elevation, enlargement, evolving |
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Temperature |
Normal: 96.4 - 99.1 F Hypothermia: < 93.9 F Hyperthermia: > 100.4 F |
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Force of stroke volume |
Stroke volume - how much blood is pumped out 0 Absent 1 weak 2 normal 3 full 4 bounding |
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Cardiac output |
Stroke volume x HR |
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Korotkoff Sounds |
1- Tapping, systolic 2- Soft swishing 3- Knocking/crisp 4- Muffling/blowing, diastolic 5- Silence |
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Factors that affect BP |
1. Cardiac Output (SV x HR) 2. Peripheral Vascular Resistance 3. Volume of Circulating Blood 4. Blood Viscosity (RBC) 5. Elasticity of Blood Vessels 6. Age |
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Blood Pressures |
Normal: <120 / <80 HTN Stage I: 120-139 / 80-89 HTN Stage II: >160 / >100 HTN >180 / >110 |
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MAP |
Mean Arterial Pressure Range 65-105 |
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BMI |
Body Mass Index Percentages Body weight Malnutrition 85%-95% = Mild 75%-84% = Moderate <74% = Severe Normal BMI = 18.5 - 24.9 |
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Waist Circumference |
Females > 35 in Males > 40 in Increased risk for diabetes and heart disease |
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Lymph Nodes |
Swollen/Tender = infection Swollen/ Nontender = cancer or further inspection |
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Allen’s Test |
Occlude Ulnar and Radial artery, open/close hand rapidly, release ulnar and check for color return Contralateral circulation |
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Edema +1 and +4 |
+1 = squishy on palpation +4 = pitting > 1 min |
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Hypotonicity |
Soft / Squishy |
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Goniometer |
Check for ROM tool |
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Chvostek’s Sign |
Tap on preauricular arch, if patients potassium is low face will grimace at touch |
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Trousseau’s Sign |
Seen when taking BP, fingers will get spastic and wrist will turn inward - indicates hypocalcemia |
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Phalen’s Test |
Hands together in prayer for 1-2 min If tingling or soreness felt, could indicate carpal tunnel |
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Ballottement |
Of Patella Milking a cow - push fluids towards knee If fluid present do wave test, check flexion of knee |
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Grading Muscle Strength |
0 - no muscle contraction 1 - flicker of movement 2 - if gravity is eliminated but able to go through full ROM 3 - movement through full ROM against gravity w.o resistance 4 - movement through full ROM with MILD/moderate resistance 5 - movement through full ROM against gravity and FULL resistance |
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Rating Reflex Response |
0 - absent 1+ present but diminished 2+ normal 3+ slightly increased 4+ hyperactive |
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MMSE |
Mini Mental State Exam Basic series of questions to give score. Can base medications for mental deterioration off of this Cognitive impairment or dementia tests for |
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Murphy’s Sign |
Inspiratory Arrest For gallbladder- have patient inhale, hook fingers under ribs they will gasp hard |
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Pupil Sizes |
Normal lighting 4mm Normal constriction 2-3mm Worrisome 8mm - 9mm Too constricted 2mm May be on SSRIs 7mm - 8mm |
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Cranial nerves |
1 Olfactory - smell 2 Optic - vision 3, 4, 6 - oculomotor, trochlear, abducens - 6 cardinal fields 5 Trigeminal - cotton ball cornea 7 Facial - Bell’s palsy, lift brows, puff cheeks 8 Acoustic - hearing, Weber/whisper 9 Glossopharyngeal - swallow/gag 10 Vagus - slow HR, extends down trunk 11 Accessory - hands on shoulder lift up against resistance (if not- inflamed) 12 Hypoglossal - tongue movements |
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Romberg Test |
Close eyes, stand with feet together, check for sway |
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Rapid Alternating Movements |
Hands on thighs, palms down, up, down, faster |
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Vibration- posterior column tract |
Used on diabetics - activate tuning fork and place on toe, ask if they feel vibrations |
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Kinesthesia |
If a patient is unable to detect position when you have their eyes closed and you move their fingers in diff directions |
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Stereognosis |
Place diff items in a bag and have patient differentiate items without looking |
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Graphesthesia |
Write on palm and ask what they feel |
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Blumberg’s Sign |
Rebound tenderness for appendicitis push on the LLQ and quickly release to ceiling |
