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66 Cards in this Set

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Pagets, Parkinson's, Temporal Arteritis, Aortic Aneurysm and Multiple Myeloma are typically seen in individuals after the age of __.
50.
Pagets, Parkinson's, Temporal Arteritis, Aortic Aneurysm and Multiple Myeloma are typically seen in individuals after the age of 50.
D-4
Regarding pt hx and the Onset question,
sudden onset = ?
insidious onset = ?
sudden onset = neuromuscular
insidious onset = often more dire
RA tends to start effecting women at the age of __ and men at the age of __.
Women, 30
Men, 40

RA tends to start effecting women at the age of 30 and men at the age of 40.
OA tends to hit after the age of __.
40.

OA tends to hit after the age of 40.
MS starts to effect women between the ages of __ to __.
25 to 35.

MS starts to effect women between the ages of 25 to 35.
Auto Immune diseases tend to initially afflict women btw the ages of __ - __.
20 - 40.

Auto Immune diseases tend to initially afflict women btw the ages of 20 - 40.

(women are effected more than men)
regarding the palliative / provoking part of hx taking ...

If nothing makes it better or worse then dx ___.
dx cancer.

If nothing makes it better or worse then dx cancer.
regarding the palliative / provoking part of hx taking ...

If pt can find a comfortable position then dx ___.
dx musculoskeletal

If pt can find a comfortable position then dx musculoskeletal.
regarding Quality of Pain

Throbbing = ___
Aching or Burning = ___
Tearing = ___
Throbbing = vascular
Aching or Burning = nerve
Tearing = dissecting aneurysm
regarding Radiation / Referral part of hx taking,

1. Nerve Root = ?
2. Facet = ?
3. Kidney = ?
4. Pancreas = ?
5. Gallbladder = ?
1. Nerve Root = dermatogenous
2. Facet = Scleratogenous
3. Kidney = Flank
4. Pancreas = T10 (pt feels better in fetal position)
5. Gallbladder = inferior angle of right scapula
regarding Site portion of hx taking, if pt uses one finger and points to...
epigastric area then ___ & ___
joint area then ___
epigastric area then PEPTIC or DEUODENAL ULCER

joint area then BURSA
what does hemorrhage and thyrotoxicosis do to pulse rate?
Increases Pulse rate
what does myxedema and ateriosclerosis do to pulse rate?
Decrease Pulse rate
Body Temperatures;

Normal =
Hyperexia =
Hypothermia =
Normal = 37*C or 98.6*F
Hyperexia = 41*C or 106*F
Hypothermia = 35*C or 95*F
trauma, infections, thyrotoxicosis and MI do what to body temp?
Increase body temperature
an increased in respiration rate is also known as ____.
tachypnea.

an increase in respiration is also known as tachypenia.
a decreased in respiration rate is also known as ___.
bradypnea

a decrease in respiration rate is also known as bradypnea.
thyrotoxicosis, coarctation of the aorta and renal artery stenosis can all cause ____.
Increased Blood Pressure (aka hypertension)

thyrotoxicosis, coarctation of the aorta and renal artery stenosis can all cause increased blood pressure.
acute MI, Addison's dz and shock can all cause ___.
decreased blood pressurre (aka hypotension)

acute MI, Addison's dz and shock can all cause decreased blood presure.
What do the letters in the acronym CAGE stand for?
C = cutting down
A = annoyed by criticisms
G = guilty feelings
E = eye opener
What are the Laboratory Findings for Temporal Arteritis?
increased ESR
What are the Laboratory Findings for Allergies & Asthma?
eosinophils and increased IgE
What are the Laboratory Findings for Thyroid disorders?
T3, T4, TSH, PBI, I^131

PBI is protein bound iodine
What are the Laboratory Findings associated with a Myocardial Infarction?
CPK, SGOT, LDH, EKG
What are the Laboratory Findings associated with Hypertension, Atherosclerosis & Arteriosclerosis
Lipid Profile, HDL, LDL, VLDL, cholesterol, triglycerides & Fasting Blood Sugar (FBS)
What are the Laboratory Findings associated with
Hepatitis,
Alcoholism,
Liver Cancer &
Biliary Duct Obstruction?
SGPT, SGOT, GGT, LDH, A/G ratio, BUN, bilirubin, alkaline phosphatase
What are the Laboratory Findings associated with Pancreatitis & Pancreatic Cancer?
amylase & increased lipase
What Laboratory Findings are associated with Diabetes Mellitus?
Fasting Blood Sugar (FBS),
Glucose tolerance test (GGT),
2 hr post-prandial glucose,
glycosylated hemoglobin
What are the Laboratory Findings associated with renal disease?
BUN
Uric Acid
Creatinine
What are the Laboratory Findings associated with disorders of Normal pregnancy, hydatiform mole & choriocarcinoma (placenta cancer)
Human Chorionic Gonadotropin (HCG)
What are the Laboratory Findings associated with Prostate Cancer?
Acid Phosphatase &
PSA (prostate specific antigen)
What are the Laboratory Findings associated with Muscular Dystrophy?
CPK increased
Creatinine decreased
What are the Laboratory Findings associated with Paget's or a fracture?
Increased Alkaline Phosphatase
What are the Laboratory Findings associated with Multiple Myeloma?
Immuno Protein electrophoresis (M spike, ~92% accurate)
reversal of A/G ratio
Bence Jones (60% accurate)
proteinuria
Rouleaux formation
Increased ESR, normochromic, normocytic anemia
Cluster Headaches (HA) are more common in what gender?
Males
A finding of scaly eyebrows indicates ___.
A finding of scaly eyebrows indicates SEBORRHEA.
A finding of loss of lateral 1/3 of the eyebrow indicates ___.
Myxedema or Hypothyroidism

A finding of loss of lateral 1/3 of the eyebrow indicates Myxedema or Hypothyroidism
A finding of Ptosis (drooping eyelid) may indicate ___
Horner's Syndrome
CN III palsy if unilateral or
Myastenia Gravis if bilateral
What is Ectropion?
Ectropion is the eyelid turned outward and is commonly found in the elderly
What is Entropion?
Entropion is the eyelid turned in ward and is found in the elderly
What does Periorbital Edema (generalized swelling about the eyes) indicate?
Allergies, myxedema, nephrotic syndrome or crying
What does Blepharitis (dandruff of the eyelashes) indicate?
Inflammation, Seborrhea or Staph Infection
What does Exophthalmosis (lid lag, bulging eyes) indicate?
if Bilateral, Graves
if Unilateral: Tumore
A Pale conjunctiva could indicate what?
Anemia
A Bright Red & Goopy conjunctiva could indicate ___.
Infection, conjunctivitis or Red Eye
A Yellow Sclera could be indicative of ___.
Jaundice
A Blue Sclera could indicate ___.
Osteogenesis Imperfecta
When examining the cornea we notice corneal arcus (gray ring). What does this indicate?
hyperlipoproteinemia
When examining the cornea we notice pterygium, what is that?
triangular thickening of bulbar conjunctiva that grows across the cornea
We may commonly find Cataracts in what two situations?
Old Age & diabetes
Xerophthalmia
Dry Eyes
Emmetropia
Normal Vision
Myopia
Nearsighted
Hyperopia
Farsighted
Presbyopia
Loss of lens elasticity due to aging
Argyll Robertson pupil

What does it Indicate and what is the appearance?
Indicates: Syphilis

Appearance: Small, irregular, bilateral. Accommodates but does not react to light. aka Prostitutes Pupil or Hooker's Eyes
Miosis
small pupil, reacts to light and accommodation but could indicate severe brain damage or Horner's Syndrome

(remember, miosis is a smaller word than mydriasis and refers to the smaller pupils)
Mydriasis
Dilated or Large Pupil

(mydriasis is a larger word than miosis and refers to the larger pupil)
Hordeolum (sty)
pimple or boil on eyelid margin

Indicates infection of the sebaceous glands
Chalazion
nodule which points inside the eyelid

indicates infection of the Meibomian gland
Pinguecula
a yellowish triangular nodule in the bulbar cunjunctiva and is a harmless indication of aging
Xanthelasma
deposits of cholesterol on nasal surface of eyelids

indicates normal or hypercholesterolemia
Cardinal Fields of Gaze test what cranial nerves?
CN III, IV and VI

Cranial Nerves 3, 4, 6
An absent Red Light Reflex could indicate ___.
cataract or detached retina
If the optic disc shows papilledema (swelling w/ blurred margins) what does this indicate?
intracranial pressure, eg. brain tumor
What is indicated when the optic disc is white and absent of disc vessels?
Otpic Atrophy