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Exam 2
OCU BSN DNP 2019
117
Nursing
Graduate
02/05/2017

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Cards

Term
Acromegaly
Definition
Hypersecretion of GH and IGF after epiphyses closure

No change in height
Thickening of bone/face and skull
Term
Cushing
Definition
High exposure to glucocorticoids

Obesity, buffalo hump
Moon face striae
Term
Turner
Definition
Partial or complete absence of second X chromosome

Lack of breast development
Short stature
Webbed neck
Infertility
Sensorineural Hearing Loss
Term
Hydrocephalus
Definition
Excess CSF, large head circ

Enlarged head
Rapidly increasing HC bulging fontanel
split sutures
Hyperreflexia
Term
GH Deficiency
Definition
Failure of ant pit to secrete GH to support growth in stature

growth begins leveling off at 9-12 months
excess SQ fat
high pitched voice
Term
Precocious puberty
Definition
<7 girls
<9 boys
Term
Anemia
Definition
Iron deficiency most common cause

Frequently no physical findings
Term
Macule
Definition
flat <1cm
freckle, flat mole
Term
Papule
Definition
elevated, firm <1cm
wart, elevated mole
Term
Patch
Definition
flat, non-palpable >1cm
vitiligo, port wine stain
Term
Plaque
Definition
Elevated, firm, rough >1cm
psoriasis, actinic keratoses
Term
Wheal
Definition
Elevated, irregular shaped cutaneous edema

insect bites, urticarial, allergic reaction
Term
Nodule
Definition
firm, circumscribed
deeper in dermis than papule
1-2cm diameter

Erythema nodosum
lipoma
Term
Tumor
Definition
Elevated, solid lesion
deeper in dermis >2cm

neoplasms, benign tumor, lipoma
Term
Vesicle
Definition
elevated, circumscribed, superficial, filled with serous fluid
Less than 1cm

varicella
Term
Bulla
Definition
vesicle >1cm

blister
Term
Pustule
Definition
filled with purulent fluid

impetigo, acne
Term
Cyst
Definition
Elevated encapsulated lesion

sebaceous cyst, cystic acne
Term
Telangiectasia
Definition
fine, irregular red lines (cap dilation)
Term
Scale
Definition
flaking of skin

seborrheic dermatitis
Term
Lichenification
Definition
Chronic dermatitis

rough thickened secondary to persistent irritation
Term
Keloid
Definition
Progressively enlarging scar
Term
Scar
Definition
Follows injury or lac
Term
Excoriation
Definition
Abrasion or scratch
scabies
Term
Fissure
Definition
Linear crack


athlete's foot
Term
Erosion
Definition
loss of epidermis following rupture of blister
Term
Ulcer
Definition
Decubiti, stasis ulcers
Term
Crust
Definition
Scab on abrasion
eczema
Term
Atrophy
Definition
Thinning of skin surface
Striae
Term
Acrocyanosis
Definition
cyanosis of hands feet in NB
Term
Cutis marmorata
Definition
Transient mottling in NB due to temperature drop
Term
Erythema Toxicum
Definition
Pink popular rash may appear in 24-48 hours and disappear within days
Term
Eczematous Dermatitis
Definition
Most common inflammatory skin disorder
erythematous, pruritic, weeping vesicles

includes irritant and allergic contact dermatitis and atopic dermatitis
Term
Furuncle
Definition
Pilosebaceous unit infection

Staph common organism
Term
Cellulitis
Definition
Skin and SQ diffuse infection
Strep or Staph

Red hot tender indurated
Term
Pityriasis Rosea
Definition
Self-limiting inflammation of UNK cause

HERALD LESION then eruption 1-3 weeks later

Not contagious
Palms, Face and soles involvement rare
Term
Psoriasis
Definition
Keratin synthesis disease

Well-circumscribed dry silvery scaling papules and plaques
Term
Rosacea
Definition
Telangiectasia, erythema, papules, and pustules

resembles acne but comedones not present
Term
Acanthosis Nigricans
Definition
Brown thickening of skin around neck

Insulin resistance
Term
Basal Cell Carcinoma
Definition
Scarlike area
white, yellow, or waxy
poorly defined borders
skin taut and shiny appearing

Most common skin cancer
Term
Squamous Cell Carcinoma
Definition
Elevated growth with central depression

Scaly red patch with irregular borders
second more common skin cancer
Term
Malignant Melanoma
Definition
ABCDE

Lethal form of skin CA/melanocytes
Term
Paronychia
Definition
Inflammation of paronychium
irritation and erythema of lateral and proximal nail folds
Term
Leukonychia Punctata
Definition
White spots in nail plate

Minor trauma
Term
Onycholysis
Definition
Nail plate separation from bed beginning distally

trauma
candida or pseudomonas
Term
Koilonychia
Definition
Spoon nails

Iron deficiency anemia
hypothyroidism
Term
Beau Lines
Definition
Transverse depression in nail bed
Coronary occlusion, hypercalcemia, skin disease
Term
White banding
Definition
Cirrhosis, chronic CHF, DMII and age
Term
herpes Gestationis
Definition
Periumbilical erythematous urticarial patches and plaques
Term
Peyer Patch
Definition
Small intestines
Term
Lymphadenopathy
Definition
Enlarged lymph nodes
Term
Lymphadenitis
Definition
Inflamed and enlarged lymph nodes
Term
Lymphangitis
Definition
Inflammation of lymphatics that drain area of infection

Red streaks
Term
Lymphedema
Definition
Accumulation of lymph
Term
Lymphangioma
Definition
Congenital malformation of dilated lymphatics
Term
Shotty nodes
Definition
feel like BBS
Term
Fluctuant Nodes
Definition
Wavelike motion when node is palpated
Term
Matted
Definition
Group of nodes that feel connected and move as unit
Term
Mumps vs cervical adenitis
Definition
Mumps- Painful swelling parotid glands
Jaw angle is obscured

Cervial adenitis- can move node and feel jaw
Term
Acute Lymphangitis
Definition
Red streaks on skin
Term
Acute Suppurative Lymphadenitis
Definition
Group A Strep
Staph

Most often seen in cervical region d/t teeth and tonsil infections

axilla and inguinals d/t extremity infections
Term
Lymphedema
Definition
thick skin
volume overload

Doesn't decrease with elevation
Diuretics do not help

Later stages pitting does not occur
Term
Lymphangioma/Cystic Hygroma
Definition
Soft, non-tender, easily compressible
no discrete margins

Thin walled multiloculated cystis mass
Term
Lymphatic Filariasis
Definition
Elephantiasis
Filarial worms/mosquitos
ID microfilariae in blood
Term
Non-Hodgkin Lymphoma
Definition
Nodes localized in post cervical triangle
may become matted, crossing into ant cervical triangle

nodes well defined and solid
Term
Hodgkin Lymphoma
Definition
painless enlargement of cervical lymph nodes
asymmetric
Term
EBV Mononucleosis
Definition
Malaise, fatigue, fever
Generalized lymphadenopathy in ANT and POST cervical nodes and submandibular nodes
elevated Liver enzymes common
Splenomegaly
Term
Toxoplasmosis
Definition
Cat feces or litter, raw or rare meat or eggs
Single node chronically enlarged, nontender
Usually in POST cervical chain
Serious problems if pregnant exposed in first trimester
Term
Roseola Infantum
Definition
High fever the fever stops, then morbilliform fine, maculopapular rash occurs

spreads from trunk to extremities, child feels better
Term
Cat Scratch Disease
Definition
Follows bite or penetrating injury from cat
Painful enlarged lymph nodes, very large, up to several cm
Term
Serum Sickness
Definition
Type III hypersensitivity Reaction
7-10 days after exposure
maculopapular, urticarial, or pruritic lesions
Term
Latex Allergy Type IV Dermatitis (Delayed Hypersensitivity)
Definition
Allergic contact dermatitis
Reaction 24-48 hours after exposure vesicular lesions, erythema, oozing skin, blisters
Term
Latex Allergy Type I
Definition
Anaphylaxis
Term
Horizontal bobbing or jerking motion of head and face
Definition
Tremor
Term
Nodding movement of head and face
Definition
may be associated with aortic insufficiency
Especially if nodding is synchronized with pulse
Term
Facies
Definition
Head and neck features characteristic of a clinical condition or syndrome
Term
Facial nerve paralysis
Definition
Suspect when entire side of face is affected
Term
Facial Nerve Weakness
Definition
Suspect when lower face is affected
Term
Peripheral Trigeminal Nerve Problem
Definition
Suspect when only mouth is affected
Term
Temporal Arteritis
Definition
thickening, hardening, or tenderness over arteries may be associated with TA
Term
Cardarelli's Sign
Definition
Press on thyroid cartilage and displace to Left. If aortic aneurysm, pulsations may be felt systolically
Term
Oliver's Sign
Definition
Grasp cricoid cartilage and press up, have pt look up, if cricoid tugs down, aneurysm may be present
Term
Goiter Detection
Definition
Lateral Inspection
Term
Caput Succedaneum
Definition
SQ edema over presenting part of scalp at delivery
crosses suture lines
disappears in a few days
Term
Cephalhematoma
Definition
subperiosteal collection of blood, bound by suture lines
Term
Plagiocephaly
Definition
Flattened part of skull
Term
Bulging Fontanel with marked Pulsations
Definition
May indicate ICP from space-occupying mass or meningitis
Term
Macewen Sign
Definition
Direct percussion of infant skull at frontal, temporal, and parietal bones produces stronger resonant sound when hydrocephalus or brain abscess is present
Term
Salivary Gland Tumor
Definition
Most common in parotid
Difficulty opening mouth
tongue weakness or numbness
Term
Thyroglossal Duct Cyst
Definition
Freely moveable cystic mass in neck midline
moves upward and downward with tongue protrusion and swallowing
Term
Branchial Cleft Cyst
Definition
Oval, moderately movable, smooth, non tender fluctuant mass along anteromedial border of SCM muscle
Usually asymptomatic
Term
Torticollis
Definition
Wry Neck
Firm, Fibrous mass may be felt in muscle
stiff neck
birth trauma or intrauterine malposition
Term
Myxedema
Definition
Skin and tissue disorder with prolonged hypothyroidism
Coarse, thick skin, thickening nose, swollen lips, puffiness around eyes
slow speech
thin brittle hair with bald patches
Term
Grave's Disease
Definition
Autoimmune, antibodies to TSH receptor leading to overactive thyroid
Term
Hashimoto
Definition
Autoimmune bodies against Thyroid gland

often causes hypoT
Term
Craniosynostosis
Definition
Leads to misshapen skull, premature closure of sutures
NO accompanied by mental retardation
Term
Stenson Ducts
Definition
Parotid gland outlets open on buccal mucosa opposite second molar on upper jaw
Term
Wharton ducts
Definition
Outlet of submandibular glands, open on each side of frenulum under the tongue
Term
Low set ears or unusual angles
Definition
Chromosomal or renal disorders
Term
Tophi
Definition
small, whitish uric acid crystals along peripheral margins of the auricles may indicate gout
Term
Weber Test
Definition
Tuning fork on top of head
Sound lateralized to occluded ear if conductive los

sound lateralized to better ear if sensorineural loss
Term
Rinne Test
Definition
AC to BC 2:1
Conductive loss BC>AC
Sensorineural loss AC>BC but less than 2:1
Term
Leukoedema
Definition
diffuse, filmy, grayish surface with white streaks, wrinkles or milky alteration
asymptomatic benign lesion of the buccal mucosa
found in the majority of black adults
considered a normal variant
Term
Smooth red tongue with slick appearance
Definition
Vitamin B12 deficiency
Term
Gag reflex
Definition
CN 9 and 10
Term
TM oblique in infant
Definition
Light reflex may appear diffuse
Term
Ear inspection when child crying
Definition
Dilation of blood vessels in TM can cause redness
Term
Conductive Hearing Loss
Definition
hears better in noisy environment
loss of low frequency sounds
speaks softly
Term
Sensorineural Hearing Loss
Definition
Unable to hear in crowded room
Speaks more loudly
loss of high frequency sounds
Damage to CN 8
Term
Meniere
Definition
Progressive hearing loss
genetic transmission
sudden onset vertigo
Term
Peritonsillar abscess
Definition
Weber's gland becomes inflamed and duct obstructed
dysphagia, drooling, pain radiates to ear
uvula may be displaced
Term
Retropharyngeal Abscess
Definition
Will not move neck
Life threatening
can occlude airway
most common in children
Lateral neck movement increases pain
Term
Female Tanner Stages
Definition
[image]
Term
Male Tanner Stages
Definition
[image]
Term
Pubic Hair Tanner Stages
Definition
[image]
Term
BMI
Definition
[image]
Term
Daily Energy Needs
Definition
[image]
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