Scribe Study Cards

Medical Anatomy And Physiology 1000 with Liscum at Hawaii Pacific University

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By: Maggie Gerk
Created: 2011-01-13
Size: 105 flashcards
Views: 22

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LOC: somnolent, obtunded, unresponsive

Level of Consciousness part of abnormal PE findings for Neuro

Motor strength: extremity weakness and Pronator drift

part of abnormal PE findings for Neuro

Pronator drift: holding both hands in front and closing eyes if one drifts down, positive test.

Sensation: Hypoesthesia, numbness

part of abnormal PE findings for Neuro

Speech: aphasia, dysarthria

part of abnormal PE findings for Neuro

CN II - XII: visual field loss, unequal pupils, EOM palsy, Rightward, Leftward gaze, asymmetry/facial droop, decreased gag reflex, tongue deviation

Cranial Nerves part of abnormal PE findings for Neuro

Cerebellar :Dysmetria during finger to nose or heel to shin or positive romberg

Coordination: part of abnormal PE findings for Neuro

Romberg: putting arms out to make a T and unable to stand straight

Gait: Ataxia

Walking off balance part of abnormal PE findings for Neuro

Reflexes Decreased DTR, Positive babinski

Deep Tendon Reflex part of abnormal PE findings for Neuro

NAD: No Acute Distress

General/ Constitutional Normal Finding

Cachectic, Emaciated- frail, thin, bony

Abnormal General finding

Somnolent

Sleepy: abnormal general/constitutional finding

Atraumatic, Normocephalic

Normal Head finding in PE

Sinus Tenderness

Abnormal Head finding

Angioedema

Edema around the mouth

Abnormal head finding

PERRL

Pupils equal round and reactive to light

Normal eye finding

EOMI

Extraocular movement intact

Normal eye finding

Nystagmus

Shaking of the eyes

Abnormal eye finding (usually in pts with vertigo)

Scleral Icterus

Yellowing of the sclera of the eyes

Abnormal eye finding

Pale Conjunctiva

pale pink part beneath the eyes: suggestive of anemia

abnormal eye finding

Conjunctiva Injection

Erythema and inflammation of conjunctiva

Clear anterior chamber and sharp discs

Normal internal eye exam

Retinal Detachment, Papilledema, Hyphema

Hyphema is blood in the eye

Abnormal internal eye exam

Corneal abrasion, Flourescein uptake

Abnormal external eye exam findings

Tympanic Membrane Normal

Normal Ear exam finding

TM erythema

redness of the tympanic membrane

abnormal ear exam finding

TM bulging

Bulging of the tympanic membrane

abnormal ear exam finding

TM dullness

Abnormal ear exam finding

TM obscured by cerumen (ear wax)

abnormal ear exam finding

Normal nares

Normal nose finding

epistaxis

bloody nose

abnormal nose exam finding

rhinorrhea

runny nose

abnormal nose exam finding

septal hematoma

abnormal nose exam finding

boggy turbinates

swollen inner nose

Oropharynx normal

moist mucous membrane

Normal throat finding

Dry mucous membrane

suggestive of dehydration

abnormal throat finding

pharyngeal erythema

redness of the throat: suggestive of an infection

abnormal throat finding

Tonillar exudate

pus in the tonsils: common with strep throat

abnormal throat finding

Dental caries

cavities

abnormal throat findings

Edentulous

without teeth

abnormal throat finding

Supple

able to move normal

normal finding in Neck (cervical spine)

Jugular venous Distention (JVD)

Common with CHF patients

abnormal neck finding

caratid bruit

whooshing noise in carotid

abnormal neck finding

cervical lymphadenopathy

swollen lymph nodes

abnormal neck finding

Vertebral point tenderness

neck and back abnormal finding

tender on the bone

paraspinal tenderness

neck and back abnormal finding

tenderness in muscle around bone

RRR Regular rate and rhythm

Normal cardio finding

Tachycardia/bradycardia

fast/slow heart rate

abnormal cardio finding

Irregularly irregular heart beat

A Fib patients

abnormal cardio finding

Murmur

abnormal cardio finding

Extrasystoles

extra heart beats

abnormal cardio finding

Pleural rub

lung rubbing against other organs

abnormal cardio finding

Gallop

abnormal cardio finding

Pulses equal and symmetric, normal capillary refill

normal findings for perfusion

Delayed capillary refill

abnormal perfusion finding

Carotid, Radial, femoral, Dorsal pedalis (DT), Posterior Tibialis (PT) pulses

If not 2+ then abnormal perfusion findings

Breath sounds clear and equal

Normal pulmonary finding

Respiratory distress

abnormal pulmonary finding

tachypnea

fast breathing rate

abnormal pulmonary finding

Accessory muscle use

hard to get oxygen out

abnormal pulmonary finding

Diminished breath sounds, wheezing

abnormal pulmonary finding

Rales (Crackles) and Rhonchi

abnormal pulmonary finding

Soft and non tender

normal abdominal finding

Involuntary or voluntary guarding

tensing up of muscles around area being pressed

abnormal abdominal finding

Rebound

more painful on release

abnormal abdominal finding

Rigidity

hard abd

abnormal abd finding

Peritoneal signs

rebound, rigidity, guarding

abnormal abd findings

Normal bowel sounds, no organomegaly, no mass

normal detailed abd findings

organomegaly (hepatomegaly and splenomegaly)

enlargement of organs ( liver and spleen)

abnormal abd findings

absent/hypo/hyperactive bowel sounds

abnormal abd findings

Murphys sign

RUQ test done by pushing on gall bladder then making pt breath. Cannot do it cause diaphram hurts the swollen organ.

Abnormal abd finding

McBurneys point tenderness

tenderness of appendix

abnormal abd finding

Distended

enlarged intestines due to fluids or gas

abnormal abd finding

Normal rectal exam, heme neg

Normal rectal finding

heme positive (guaiac positive)

stool positive for blood

abnormal rectal finding

hemorrhoids

swollen veins

abnormal rectal finding

rectal prolapse

falls out of place

abnormal rectal finding

Decreased rectal tone

decreased ability to open and close

abnormal rectal finding

Normal external, bimanual and speculum exam

normal female genital finding

CMT- cervical motion tenderness