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rapid chgs in emotional exp |
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restricted exp of emotion |
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rapidly shifting emotional state |
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speech that is brief and uncommunicative |
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before getting to the point the person gets caught up in tedious details before communicationg the central idea question answered in a roundabout way |
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digressive talk where the speaker never gets to the point or specific goal |
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involuntary cessation of thoughts and speech can happen because of unconcious emotional factors like conflicts or due to intrusion of hallucinations norm people also block at time but seen in schizophrenia |
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sensleless repitition of the same meaningless words and phrases in response to any question |
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relating words by sound not meaning in schizophrenia "red bed head dead said" |
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words invented by a person and understood only by him not by others iin schizophrenia |
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jumble of disconnected words or phrases w no meaning in schizophrenia "vanilla reason lopsided can go left and right he is" |
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meaningless repitition by one person of what another has said in schizophrenia nurse says "turn on the lights" pt says "the lights the lights the lights" |
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meaningless repitition of motion made by others seein in catatonic schizophrenia |
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fixed false belief that is firmly maintained though not believed by others resistant to logic and can be many types |
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believe they are an angel of god |
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believe their intestines are removed |
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theme of nonexistance the world will evaporate at noon |
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excessive suspiciousness and the belief one is being harassed persecuted etc |
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idea or dulusion of reference |
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Definition
inaccurate interpretation of an incidents as having spec reference to ones self usually ideas of reference are interpreted as disparaging or threatening pt hears laughter and interprets they are laughing at him |
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manifested by the literal inerpretation of msgs in schizophrenia pt interprets dont count oyour chickens b4 their hatched as dont count your babies b4 they are born |
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pervasive and sustained emotion experienced by the pt it is thier subective sense of how they feel |
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outward manifestation of mood facial expression what the examiner sees so it is objective |
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normal mood labeled w this meaning neither up or down |
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noting wether affect matches stated mood |
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exaggerated sense of ones own importance |
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belief others are putting thoughts into their heads |
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believe their thoughts are ctrl'd by others |
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believe others can hear their thoughts or read their mind |
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refers to whether the pt is aware of his cheif problem |
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MOst common site nose bleeds |
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Term
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10% of pop doesnt have this sinus |
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enlg nodes >1 cm tumor lymphoma metastasis infection autoimmune |
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soft and rubbery lymph nodes |
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brown pigemnt in face in preg women |
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abnormal protruding of eye |
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involves paralysis of eye forhead and mouth |
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duct of submandibular gland |
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fissures on sides of lips can indic |
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deviation of neck to one side |
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what to check if throid is enlarged |
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Definition
what to check if throid is enlarged |
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in epidermis mediate t cell immunity role in contact allergic dermatitis |
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in dermis fingerprint fibroblasts mast cells macrophages |
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in dermis collagens, arterioles, venules, capillaries |
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where are art and veins in skin layer |
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in axilla perineum opens in hair follicules dorman til puberty |
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evaporative cooling perpiration all thru body |
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in AA r/t abundace of melanocytes in one area |
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Term
familiar atypical mole malignant melanoma |
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Definition
1 or more relatives have it and > 50 moles |
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Definition
rough patch on skin w aging |
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critical for melanin production makes hair color gray |
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Definition
cant regrow hair follicle dest burns |
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non hormonal infectious disease follicles still intact potential for regrowth |
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Term
pallor or absense of color |
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Definition
due to absense of oxygenated hemoglobin |
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inc in hemoglobin and stasis of blood capillaries may be seen in polycythemia vera |
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odor from excessive sweating |
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mesh like rash reticular infflammatory disease |
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port wine stain or nevus flammeus |
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Definition
vascular birth mark deep capillaries dilated inskin |
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Term
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Definition
palapable raised superficial <1 cm raised mole basal cell carcinoma psoriasis if >1cm called plaque |
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<1cm blister herpes simplex |
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vesicle or bulla filled w pus superficial acne vulgaria follicistus |
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caused by rubbing contact dermatiitis thickening and scaling w inc skin markings |
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hypertrophic scaring secondary to excess collagen form |
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Definition
loss of skin that does not extend past the superficial epidermia insect bite |
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Definition
loss of superficial epidermia |
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Definition
irreg shape or loss of skin |
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Definition
common in fair skinned people usually appears as a sm fleshy bump on the head neck or hands grow slowly and rarely spread to other parts of body most commo n in gen pop if left un tx can bleed cause damage |
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common in fair skinned ppl most common skin ca in organ transplant pts usually appears as bump or red scaly patch on face ears lips or mouth it can devel into large masses and spread to other body parts scaly stick out |
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Definition
most dangerous can spread to other parts of body thru lymphatic sys or blood new or current mole chgs leading cause skin cancer deaths 4x more common organ trans pts |
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malignant skin cancer seen in immunocomp pts HIV purple in color soft blue and painless caould be macular or papular and may look like keloids or bruises |
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Definition
live or nits near base of hair shaft |
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inf of skin adjacent to nail |
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flat nail w concave r/t fe def |
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white spots on nail r/t over manicuring |
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dry or course hair consider |
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RESP for conductive hearing |
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Definition
resp for sensory/neuro hearing |
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Term
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Definition
diveides exr ear from mid ear transmit sounds waves |
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Definition
equalizes pressure on both sides of TM |
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inability of bones to move so hearing is imparied |
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r/t this system with ears having tinnitus or vertigo |
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hear loss of old age 5th decade high pitched (consonant sounds) lost men more |
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cerumen honey/brown sticky wet |
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Definition
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cafe au lait spots may signify |
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Definition
otoscope should be __ on right |
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Definition
otoscope shoudl be __ on left |
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should hear sound = both ears BASE OF RINGING TUNING FORK IN mid of forehead or top of head assesses for lateralization bone conduction and ait conduction |
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base of tuning fork on mastoid process, ask pt when no longer hear sounds move fork to front ear and ask when dont hear any more air conduction typically 2x > than bonecompares bone conduction and air condition AC is twice as long as BC |
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Term
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Definition
blue grey area of discoloration of skin of low back thighs and ocassionally shoulders of newborn grad fade often seen in black nat amer and oriental babies |
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obligatory nose breathers |
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Definition
infants unable to breathe thru mouth |
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Definition
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startle by jarring of crib baby quickly abduct and extends arms and legs makes C w index finger and thumb birth - 4 mos if more than 6 mos can be neuro prob |
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present at birth lasts 4 mos clench fists arms abuducted flex elbows |
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aka fenching reflex brith-6wks infant supoine roate head to one side so chin os over 1 shoulder assume fenching position |
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which reflex dissapears at 1 yr |
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present at birth tap on forehead blink for 1st few taps persistant blinking w repeated taps indicates extrapyramidial probs |
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present at birth infant supine flex legs and apply pressure to soles of feet extend legs against pressure |
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