Shared Flashcard Set

Details

Health Assessment midterm
ch 3,4,12-16
265
Nursing
Graduate
07/18/2013

Additional Nursing Flashcards

 


 

Cards

Term
lanugo
Definition
fine downy hair of newborn, replaced by fine vellus hair
Term
vernix caseosa
Definition
present at birth, thick, cheesy substance made up of sebum and shed epithelial cells
Term
linea nigra
Definition
increased pigment in the midline of the abdomen
Term
chloasma
Definition
increased pigment in the face - mask of pregnancy
Term
striae gravidarum
Definition
stretch marks (connective tissue develops increased fragility) does not resolve
Term
hyperestrogenemia
Definition
causes vascular spiders and palmar erythema
Term
senile purpura
Definition
vascularity of the skin diminishes while the vascular fragility increases - minor trauma may produce dark red discolored areas
Term
melasma
Definition
NOT the mask of pregnancy
patchy tan to dark brown discoloration of the face
Term
freckles
Definition
ephilides
Term
mole
Definition
nevus
Term
ABCDE
how to diagnose malignant melanoma
Definition
Asymmetry
Border irregularity
Color variation
Diameter greater than 6mm
Elevation or Enlargement
+ Discharge
Term
widespread color change
Definition
pallor - white
erythema - red
cyanosis - blue
jaundice - yellow
Term
vitiligo
Definition
complete absence of melanin pigment, can happen everywhere
Term
cyanosis
Definition
early sign of respiratory distress in children
late sign of respiratory distress in adults
Term
jaundice is first noted
Definition
in the junction of the hard and soft palate in the mouth and in the sclera
Term
unilateral edema
Definition
local or peripheral cause
Term
anasarca
Definition
bilateral or generalized edema - central problem such as heart or kidney failure
Term
edema four point scale
Definition
1+ mild - slight indentation, no perceptible swelling of leg
2+ moderate - indentation subsides rapidly
3+ deep - indentation remains for a short time, leg looks swollen
4+ very deep - indentation lasts a long time, leg very swollen
Term
turgor
Definition
ability of skin to return to place promptly when released
good or poor
severe dehydration or extreme weight loss
Term
cherry (senile) angiomas
Definition
small, smooth, slightly raised bright red dots
commonly in adults older than 30
normally increase in size and number with aging, not signif
Term
primary lesion
Definition
when lesion develops on previously unaltered skin
Term
secondary lesion
Definition
when a lesion changes over time or changes because of a factor such as infection or scratching
Term
tinea captiis
Definition
gray, scaly, well-defined areas with broken hairs - a ringworm infection found mostly in school age children
Term
hirsutism
Definition
excess body hair - in females on face and chest - abnormally high testosterone
Term
nail shape
Definition
should be 160
curved < 160
early clubbing 180
Term
clubbing of nails
Definition
occurs with congenital cyanotic heart disease and pulmonary disease, COPD
Term
Wood's light
Definition
ultraviolet filter through special glass - detects fungal infection with blue-green fluorescence
Term
capillary refill
Definition
normal color return instant or <3 sec
indicator of peripheral blood flow
Term
mongolian spot
Definition
hyperpigmentation - black to purple - gradually fades but still visible - common in blacks and asians
Term
cafe au lait spot
Definition
round oval light brown pigmentation, fades does not go away
6 or more associated with neurofibromatosis
Term
erythema toxicum
Definition
common rash in first 3 to 4 days of life - flea bite - no Tx needed
Term
physiologic jaundice
Definition
common variation in half of all newborns -
Term
milia
Definition
tiny white papules on cheeks, forehead, across nose
resolves spontaneously
Term
stork bite
Definition
aka salmon patch - flat, irregularly shaped red or pink patch found on the forehead, eyelid or upper lip
at birth, fades during first year
Term
lack of subcutaneous fat
Definition
occurs in prematurity and malnutrition
poor turgor
Term
open comedones
closed comedones
Definition
blackheads
whiteheads
Term
senile lentigines
Definition
liver spots
brown macules
not premalignant
Term
seborrheic keratosis
Definition
dark, greasy, stuck on, raised thickened
not premalignant
Term
actinic keratosis
Definition
senile/ solar
red-tan scaly plaques (pink) increased to be raised or roughened - silvery or red
premalignant and develop into squamous cell carcinoma
Term
acrochordons
Definition
skin tags
overgrowths can just be cut off
Term
annular
Definition
circular, begins in center and spreads to periphery
tinea corporis/ versicolor
Term
confluent
Definition
lesions run together
urticaria/ hives (represents histamine)
Term
discrete
Definition
distinct/ individual, remain separate
acrochordon, acne
Term
gyrate
Definition
twisted, coiled spiral, snakelike
scabes
Term
grouped
Definition
clusters of lesions
contact dermatitis, poison ivy/oak
Term
linear
Definition
scratch, streak, line
allergic rxn to belt/bra
Term
target
Definition
iris/ eye/ concentric rings
lyme disease
Term
zosteriform
Definition
linear arrangement along a unilateral nerve route
herpes zoster
Term
polycyclic
Definition
annular lesions grow together
lichen planus, psoriasis
Term
macule
Definition
color change, flat, less than 1 cm
freckles
primary
Term
patch
Definition
macules > 1 cm
mongolian spot
primary
Term
papule
Definition
solid elevated < 1cm
mole/ nevus or wart/ verruca
primary
Term
plaque
Definition
papules coalesce to form surface elevation wider than 1 cm
psoriasis
primary
Term
nodule
Definition
solid, elevated, hard or soft, larger than 1 cm - may extend deeper into dermis than papule
fibroma
primary
Term
tumor
Definition
larger than a few cm, firm or soft, deeper into dermis
lipoma
primary
Term
wheal
Definition
superficial, raised, transient and erythematous
primary
Term
urticaria
Definition
hives - wheals coalesce, pruritic
primary
Term
vesicle
Definition
elevated containing free fluid, up to 1cm, blister
herpes simplex, varicella
primary
Term
bulla (bulli)
Definition
larger than 1 cm, bigger blister
primary
Term
cyst
Definition
encapsulated fluid filled
sebaceous cyst
primary
Term
pustule
Definition
cavity with pus
impetigo, acne
primary
Term
crust
Definition
dried out exudate left when vesicles/pustules burst or dry up
impetigo (honey colored)
secondary
Term
scale
Definition
compact, flakes of skin, silver or white
seborrheic dermatits
psoriasis
secondary
Term
fissure
Definition
linear crack
athlete's foot
secondary
Term
erosion
Definition
shallow depression, heals without scar bc only epidermis
secondary
Term
ulcer
Definition
deeper depression extending into dermis, leaves scar
pressure ulcer
secondary
Term
excoriation
Definition
self inflicted abrasion
scratching
secondary
Term
scar
Definition
normal tissue is lost and replaced with connective tissue
permanent fibrotic damage
secondary
Term
atrophic scar
Definition
skin level is depressed with loss of tissue - THINNING of epidermis
striae (stretch marks)
secondary
Term
lichenification
Definition
tightly packed sets of papules, thickened skin
eczema (in kids autoimmune? - adult allergy)
red (itchy) - scabs - lichen (feels like sand paper) - sloughs off
secondary
Term
keloid
Definition
hypertrophic scar - excess scar tissue
claw-like; higher among blacks
secondary
Term
pressure ulcer
Definition
decubitus ulcer
I - red but unbroken
II - partial thickness erosion - loss of epidermis/dermis
III - full thickness, crater, extends into subcutaneous
IV - full thickness, all skin layers, muscle, tendon, bone
Term
hematoma
Definition
bruise you can feel
Term
bruise coloring
Definition
1. red-blue or purple immediately or within 24 hours
2. blue to purple
3. blue green
4. yellow
5. brown to disappearing
Term
pattern injury
Definition
a bruise or wound whose shape suggests the instrument or weapon that caused it
Term
nevus flammeus
vascular lesion
Definition
port-wine stain - large flat macular patch covering scalp or face - frequently along cranial nerve V - intensifies with crying, exertion or hot/cold
present at birth does not fade
Term
immature hemangioma
vascular lesion
Definition
strawberry mark - raised bright red area with well defined borders
disappears by age 5 or 7
Term
cavernous hemangioma (mature)
Definition
present at birth, may enlarge during first 10-15 months, will not involute spontaneously
Term
star angioma (spider)
Definition
associated with pregnancy and liver disease
Term
telangiectasia
telangiectasis
Definition
permanently enlarged and dilated blood vessels visible at skin surface
fair skin, HTN
Term
hemangiomas
Definition
benign proliferation of blood vessels in the dermis
Term
purpuric lesions
Definition
blood flowing out of breaks in the vessels
blood pigment in tissues (extravascular)
Term
petechiae
Definition
tiny punctate hemorrhages, 1-3mm, discrete, bleeding from superficial capillaries, will not blanch
thrombocytopenia (platelet count too low, involved in clotting)
Term
ecchymosis
Definition
a purplish patch resulting from extravasation of blood into the skin >3 mm
Term
purpura
Definition
confluent and extensive patch of petechiae and ecchymoses
> 3mm, macular hemorrhage
thrombocytopenia
Term
intertrigo
Definition
caused by candida, fungal
scalding red, moist patches with sharply demarcated borders, some loose scales
Term
impetigo
Definition
thin roofed vesicles, honey-colored crust
staph aureus
contagious
Term
atopic dermatitis
eczema
Definition
erythematous papules and vesicles, weeping, oozing crusts
paroxysmal = sudden start, sudden stop
allergies and or asthma
Term
rubeola
Definition
measles
koplik spots in mouth
first behind ears and spreads over face
red-purple maculopapular blotchy rash
Term
rubella
Definition
german measles
pink, papular (paler) - first face then spreads
absence of Koplik spots
presence of neck lymphadenopathy
Term
varicella
Definition
dew drop on a rose petal
small tight vesicles - first on trunk then spread to face, arms, legs (not on palms or soles)
Term
contact dermatitis
Definition
local inflammatory rxn to an irritant in the environment or allergy
Term
allergic drug rxn
Definition
systemic, generalized
erythematous
Term
tinea corporis
Definition
ringworm of BODY (body anywhere)
multiple circular lesions with clear centers
hyperpigmented in whites, depigmented in darks
fungal
Term
tinea pedis
Definition
ringworm of FOOT
athlete's foot
fungal
Term
herpes simplex I
Definition
cold sore
virus
can lie dormant for decades
Term
herpes simples II
Definition
genital herpes
Term
tinea versicolor
Definition
fine scaly patches of pink, tan, white
superficial fungal infection
Term
herpes zoster
Definition
shingles
along route of cutaneous sensory nerve, pustules then crusts
varicella zoster virus (VZV)
reactivation of chickenpox
Term
erythema migrans
Definition
lyme disease
deer tick
concentric circles
Term
psoriasis
Definition
scaly, erythematous, silvery scales
elbows, knees
Term
basal cell carcinoma
Definition
starts as skin colored papul
rounded pearly borders, central red ulcer - looks like open pore, volcano lesion
most common, slow growing
Term
squamous cell carcinoma
Definition
arise from actinic keratoses
erythematous scaly patch with sharp margins, 1 cm or more
central ulcer and surrounding erythema
less common, grows rapidly
Term
malignant melanoma
Definition
half of lesions arise from preexisting nevi
brown, tan, black, pink-red, purple
scaling flaking oozing
highest mortality of malignant cancers
diagnosed at youngest age, 40
Term
Kaposi sarcoma
Definition
vascular tumor
cancer of lining of blood vessels
common in HIV infected persons
Term
seborrheic dermatitis
Definition
cradle cap
thick, yellow to white, greasy, adherent scales, mild erythema on scalp and forehead
Term
folliculitis
Definition
infection of hair follicle
Term
pediculosis capitis
Definition
head lice
Term
trichotillomania
Definition
self induced hair loss as result of compulsive twisting and plucking of hair
sign of anxiety disorder
Term
furuncle and abscess
Definition
red, swollen, hard, tender, pus-filled lesion, localized bacterial, staphylcoccal
Term
scabies
Definition
scabies mite
mites form a linear or curved elevated burrow on the fingers
Term
paronychia
Definition
bacterial infection of nail bed/ nail folds
red, swollen, tender
Term
onycholysis
Definition
fungal infection of nails
crumbling, breaking
begins distal and progresses proximally
Term
beau's line
Definition
transverse furrow or groove
trauma temporarily impairs nail formation
Term
late clubbing
Definition
pulmonary circulation, chronic lung inflammation, bronchial tumors, heart defects with right to left shunts
Term
retina
Definition
the visual receptive layer of the eye in which light waves are changed into nerve impulses
Term
arcus senilis
Definition
pigment change bc of high cholesterol, arc or circle around the limbus
Term
presbyopia
Definition
decrease in the lens' ability to change shape to accommodate for near vision
decrease in power of accommodation
50% have by age 40
Term
cataract
Definition
lens opacity, clumping of proteins on the lens
can have double vision in single eye
Term
glaucoma
Definition
test is tonometry
increased intraocular pressure
gradual loss of peripheral vision
affects men more than women, affects blacks and hispanics more
Term
macular degeneration
Definition
loss of central vision, most common cause of blindness in whites
affects women more than men
Term
photophobia
Definition
intolerance to light
Term
diplopia
Definition
double vision
perception of two images
Term
snellen eye chart
Definition
recorded in fraction
pt in numerator, denominator is what normal eye can see
larger the denominator the poorer the vision
Term
reporting of snellen
Definition
right, 20/30, -2, with glasses
Term
hand held snellen
Definition
14/14
Term
confrontation
Definition
gross measure of peripheral vision
compares person's peripheral vision with your own
60 nasally, 50 superiorly, 90 temporally, 70 inferiorly
Term
hirschberg test
Definition
corneal light reflex
assess parallel alignment of eye, reflection of light should be symmetrical
Term
cover test
Definition
cover one eye, note uncovered eye
normal is a steady fixed gaze
Term
diagnostic positions test
Definition
whisker test, six cardinal positions, 12 inches away
normal - parallel tracking of object with both eyes
Term
extraocular muscle function tests
Definition
elicit eye muscle weakness
corneal light reflex
cover test
diagnostic positions test
Term
nystagmus
Definition
fine oscillating movement best seen around the iris
Multiple sclerosis, brain lesions
eyes flicker back and forth
Term
diopter
Definition
strength of each lens
black (+) focus on objects nearer
red (-) for focusing on objects farther away
Term
holding the ophthalmoscope
Definition
your RIGHT hand, to your RIGHT eye to the person's RIGHT eye
LEFT, LEFT, LEFT
Term
myopia
Definition
nearsighted
Term
hyperopia
Definition
farshighted
Term
red reflex
Definition
reflection of light off the inner retina
begin about 25 cm/ 10 in away steadily move closer
Term
optic disc
Definition
creamy yellow orange to pink
round
distinct margins
cup/disc ration - not more than half the disc diameter
Term
retinal vessels
Definition
arteries are brighter red than veins, have an arterial light reflex and have an artery to vein ration of 2:3 or 4:5
Term
macula
Definition
2-2.5 DD temporal to the disc
fovea centralis - area of keenest vision
clumped pigment may occur with aging
Term
AV nicking
Definition
looks like a raised bridge
elevated at an intersection
sign of HTN
Term
conjunctiva
Definition
transparent/ clear (not white)
pink over lower lids
white over the sclera
Term
exophthalmos
Definition
protruding eyes, bulging
hyperthyroidism
even after Tx does not go away
Term
cornea
Definition
smoothness, should not be opacities
Term
corneal abrasion
Definition
causes irregular ridges in reflected light, producing a shattered look to light rays
Term
iris
Definition
appears flat
Term
resting pupil size
Definition
3 to 5 mm
4 mm
Term
pupillary light reflex
Definition
darken room, gaze into distance, advance light from the side
direct light reflex
consensual light reflex
Term
PERRL (A)
Definition
Pupils are Equally Round and Reactive to Light
(Accommodation)
Term
accommodation
Definition
a normal response includes pupillary constriction and convergence of the axes of the eyes
Term
strabismus
Definition
crossed eye
visual acuity in this otherwise normal eye begins to deteriorate from disuse
diagnosis after 6 has a poor prognosis
untreated strabismus can lead to permanent visual damage
Term
pingueculae
Definition
commonly show on sclera, yellowish elevated nodules due to thickening of the bulbar conjunctiva from prolonged exposure to sun, wind, dust
Term
pterygium
Definition
also an opacity on the bulbar conjunctiva, but one that grows over the cornea
Term
xanthelasma
Definition
soft, raised yellow plaques occurring on the lids at the inner canthus
high and normal blood levels of cholesterol, no pathogenic significance
sometimes looks like skin tags but more yellow
Term
Extraocular muscle
Definition
obliques and rectus
Term
periorbital edema
Definition
lids are swollen, puffy
edema around eyes
Term
exophthalmos
Definition
protruding eyes
thyrotoxicosis - exacerbated hyperthyroidism
Term
ptosis
Definition
drooping upper lid from neuromuscular weakness
myasthenia gravis (neuro prob, autoimmune disease, blockage of acetylcholine)
Term
upward palpebral slant
Definition
normal in many children
when combined with epicanthal folds, hypertelorism and Brushfield spots (light colored areas in outer iris) indicates Down syndrome (Trisomy 21)
Term
blepharitis
Definition
inflammation of the eyelids
scaly, greasy flakes
staphylcoccal
Term
chalazion
Definition
beady nodule, infection, retention cyst of a meibomian gland
bigger/uglier
NOT PAINFUL
no Tx must cut it out
Term
hordeolum
Definition
stye PAINFUL
localized staphococcal infection of hair follicle
Term
basal cell carcinoma (on eye)
Definition
volcano lesion
most common, slow growing, not painful
Term
mydriasis
Definition
dilated and fixed pupils
Term
miosis
Definition
constricted and fixed pupils
Term
conjunctivitis
Definition
pink eye
bacterial or viral, allergy, STD
itching, burning, foreign body sensation
NO PAIN
Term
subconjunctival hemorrhage
Definition
red patch on the sclera
increased intraocular pressure (from coughing, birth, weight lifting, straining)
looks really bad but not significant
Term
acute glaucoma
Definition
screening by age 40 recommended
sudden increased intraocular pressure
requires emergency Tx to avoid permanent vision loss
Term
corneal abrasion
Definition
most common result of blunt injury
visible only when fluorescein stain reveals yellow-green branching
Term
hyphema
Definition
blood in anterior chamber, serious result of herpes zoster
Term
papilledema (choked disc)
Definition
increased intraCRANIAL pressure causes venous stasis in the globe, showing redness, congestion and elevation of the disc
brain tumor, HTN crisis
visual acuity not affected
Term
AV Nicking
Definition
when vein is occluded, it dilates distal to crossing, disc edema and hard exudates
with HTN the arteriole wall thickens and becomes opaque so that no blood is seen inside
long standing high blood pressure
Term
microaneurysms
Definition
diabetes
puntate red dots, localized dilations of small vessels
Term
palpebral fissure
Definition
the elliptical open space between the eyelids
lid margins should approximate completely
Term
limbus
Definition
the border between the cornea and the sclera
Term
canthus
Definition
the corner of the eye, the angle where the lids meet
inner/medial and lateral
Term
caruncle
Definition
small, fleshy mass containing sebaceous glands at inner canthus, part of what lubricates the eye
Term
external ear parts
Definition
auricle or pina, helix, antihelix, external auditory meatus (opening), tragus, antitragus, lobule
location of mastoid process
Term
bones of the middle ear
Definition
malleus, incus, stapes
Term
parts of the tympanic membrane
Definition
pars flaccida, pars tensa, cone of light, short process of malleus, manubrium of malleus, umbo, incus, annulus
Term
eustachian tube
Definition
connects the middle ear with the nasopharynx and allows passage of air
Term
inner ear
Definition
bony labyrinth, vestibule, semicircular canals, cochlea
Term
conductive hearing loss
Definition
mechanical dysfunction - impacted cerumen, foreign bodies, perforated tympanic, otosclerosis
possibly able to hear with increase in amplitude
Term
sensorineural hearing loss
Definition
pathology of inner ear, cranial nerve VIII - simple increase in amplitude may not enable person to understand words
presbycusis - gradual nerve degeneration that occurs with aging or ototoxic drugs (affect hair cells)
Term
mixed hearing loss
Definition
both conductive and sensorineural
Term
otosclerosis
Definition
conductive hearing loss, hardening of footplate, stapes becomes fixed to oval window
Term
eustachian tube
infant vs adult
Definition
infant - horizontal
adult - sloped
Term
presbycusis
Definition
sensorineural hearing loss, nerve degeneration - first high frequency tone loss, harder to hear consonants
60% of those older than 65
Term
otitis media
Definition
middle ear infection - obstruction of eustachian tube or passage of nasopharyngeal secretions into the middle ear
most common illness in children
90% of children younger than 2 years have had one episode
Term
cerumen
Definition
genetically determined
dry - gray and flaky - Asians and American Indians
wet - honey brown to dark brown and moist - Caucasians and African Americans
Term
darwin's tubercle
Definition
small, painless nodule at the helix, congenital variation
Term
otoscope
Definition
hold upside down and have dorsa of your hand along the person's cheek
adult - pull pinna up and back
child - pull pinna down and back
Term
if trouble seeing TM
Definition
pull out, reposition the person's head, re-angle the otoscope and point nasally
Term
color of TM
Definition
shiny, translucent, with a pearl gray color, cone of light is 5 or 7 o'clock
Term
whispered voice test
Definition
not a sensitive test
pump tragus with one finger, shield lips, whisper 3 items
3 out of 6 is a passing score
Term
Weber
Definition
strike tuning fork, place at middle on top of head
sound should be heard bilaterally, it does not lateralize
Term
Rinne
Definition
strike tuning fork, place on mastoid process (when they can't hear it) place in front of auditory canal (tell me when you can't hear it)
AC> BC (is normal) AC 2x as long as BC
Term
Conductive
vs
Sensorineural hearing loss
Definition
sound will lateralize to poorer ear AC< BC

sound will lateralize to better ear AC> BC
Term
low set ears are a sign of
Definition
trisomy 13, 18, 21
Term
normal ear alignment
Definition
top of pinna should match an imaginary line extending from the corner of the eye to the occiput
the ear should be positioned within 10 degrees of vertical
Term
frostbite
Definition
red blue discoloration, swelling of the auricle after exposure to extreme cold, vesicles or bullae may develop
feels pain and tenderness
Term
otitis externa
Definition
swimmer's ear
cellulitis of pinna and tragus, purulent discharge, scaling, itching, fever - hearing is normal or slightly diminished
swimming - canal gets water logged - lakes/ ponds - bacteria - topical antibacterial
Term
tophi
Definition
small, whitish yellow, hard, nontender nodules in or near helix or antihelix, contain greasy, chalky material of URIC ACID crystals and are a sign of gout
not Darwin's tubercle
Term
keloid
(ear)
Definition
in the ear it is most common at lobule at the site of a pierced ear
Term
carcinoma
(ear)
Definition
basal cell, usually in superior rim of pinna bc of sun exposure
volcano lesion
Term
furuncle
(ear)
Definition
painful, reddened, infected hair follicle
regional lymphadenopathy often accompanies a furuncle
needs some time mostly
Term
otitis media with Effusion
Definition
amber-yellow drum suggests serum in middle ear that transudates to relieve negative pressure
not pearly
Term
perforation
Definition
hallowed
drum may rupture from acute otitis media if untreated
blew open
Term
inserttion of Tympanostomy tubes
Definition
common in kids with chronic infections
relieves middle ear pressure and promotes drainage of chronic or recurrent middle ear infections
Term
cholesteatoma
Definition
an overgrowth of epidermal tissue in the middle ear or temporal bone, may result over years from marginal TM perforation
can erode bone and produce hearing loss later in life
chronic otitis media
Term
turbinates
Definition
three parallel bony projections on the lateral walls of each nasal cavity - superior, middle and inferior
available to warm, humidify and filter the inhaled air
can't see superior
Term
sinuses
Definition
frontal above eyes
maxillary behind cheekbones
ethmoid inner corner of eyes
sphenoid deep within skull
two accesible to examination
Term
uvula
hard palate
soft palate
Definition
free projection that hangs down from middle of soft palate
made up of bone and is whitish color
posterior to hard palate
Term
frenulum
Definition
a midline fold of tissue that connects the tongue to the floor of the mouth
Term
mouth has 3 pairs of salivary glands
Definition
parotid
submandibular
sublingual
Term
Stensen's duct
Definition
from parotid gland, runs forward to open on the buccal mucosa opposite the second molar
Term
Wharton's duct
Definition
from submandibular gland, runs up and forward to the floor of the mouth and opens at either side of frenulum
Term
permanent teeth
children's deciduous teeth
Definition
32 adult
20 deciduous
Term
oropharynx
Definition
separated from the mouth by a fold of tissue on each side, the anterior tonsillar pilar
Term
nasopharynx
Definition
continuous with the oropharynx, although it is above the oropharynx and behind the nasal cavity. The pharyngeal tonsils (adenoids) and the eustachian tube openings are located here
Term
bifid uvual
Definition
double uvula or split uvula (completely or partially)
highest ethnicity is American Indians and second is Asians
Term
cleft lip/ cleft palate incidence
Definition
Asian American (highest, Japanese)
American Indians
least common among African Americans
Term
rhinitis
Definition
nasal mucosa is swollen and bright red with upper respiratory infection
discharge is common - varies from watery and copious to thick, purulent and green-yellow
Term
chronic allergy rhinitis
Definition
mucosa looks swollen, boggy, pale, and gray
Term
oral malignancies are
Definition
most likely to develop in the U-shaped area under the tongue, behind the teeth
note white patches, nodules or ulcerations
Term
leukoedema
Definition
a benign, milky, bluish white opaque are more common in Blacks
Term
first sign of jaundice
Definition
the hard palate appears yellow
hepatitis - the liver is inflammed
Term
tonsils
Definition
1+ visible - Normal
2+ halfway btwn tonsillar pillars and uvula
3+ touching uvula
4+ touching each other
tonsils are enlarged with an acute infection
Term
epistaxis
Definition
nosebleed
most common site of a nosebleed is Kiesselbach plexus in the anterior septum (front part of nose)
(what's their BP? HTN causes nose bleeds)
Term
perforated septum
Definition
a hole in the septum, snorting cocaine, chronic infection, trauma
Term
acute rhinitis
Definition
clear, watery discharge
turbinates dark red and swollen
Term
allergic rhinitis
Definition
itching of nose and eyes
usually pale, grey
Term
sinusitis
Definition
facial pain after URI
red swollen nasal mucosa, swollen turbinates, purulent discharge
pain, pain with palpation
Term
cleft lip
Definition
maxillofacial clefts are the most common congenital deformities of head and neck
highest in American Indians and Asians; lowest in Blacks
Term
Herpes Simplex I
Definition
cold sores, evolve into pustules, which rupture, weep and crust and heal in 4 to 10 days
provoked by sunlight, fever, colds, allergy
very common affecting 50% of adults
Term
malocclusion
Definition
upper or lower dental arches are not in alignment
Term
gingivitis
Definition
gum margins are red and swollen and bleed easily
inflammation
poor dental hygiene
Term
cleft palate
Definition
congenital defect, failure of fusion of the maxillary processes - wide variation in the extent of cleft formation - upper lip only, palate only, uvula only, cleft of nostril and the hard and soft palates
Term
aphthous ulcers
Definition
canker sore, white inside, red halo
stress ulcer
Term
Koplik Spots
Definition
small blue-white spots with irregular red halo scattered over mucosa opposite the molars - early sign of measles
Term
candidiasis
Definition
white, cheesy, curd-like patch on the buccal mucosa and tongue - scrapes off, leaving raw, red surface that bleeds easily
"thrush" in newborn
fungal, occurs after antibiotics
Term
atrophic glossitis
Definition
smooth, glossy tongue
surface is slick and shiny, mucosa thins and looks red
iron deficiency anemia
Term
oral Kaposi Sarcoma
Definition
bruiselike, dark red or violet, confluent macule, usually on hard palate
Term
thyroid gland
thyroid cartilage
Definition
CELLULAR METABOLISM
palpable notch - adam's apple
Term
lymphadenopathy
Definition
enlargement of the lymph (>1cm) from infection, allergy or neoplasm
Term
palpate lymph nodes
Definition
note location, size, shape, discrete/matted, mobility, tenderness
cervical nodes are often palpable in healthy persons
normal - moveable, discrete, soft and nontender
Term
acute infection
lymph
Definition
acute onset, < 14 days duration, nodes are bilateral, enlarged, warm, tender, and firm but freely movable
Term
chronic inflammation
lymph
Definition
nodes are clumped
Term
cancerous nodes
lymph
Definition
hard, > 3 cm, unilateral, nontender, matted, fixed
Term
thyroid tissue moves
Definition
up with a swallow
Term
can you palpate the normal adult thyroid
Definition
not usually
Term
hydrocephalus
Definition
obstruction of drainage of cerebrospinal fluid results in excessive accumulation, increasing intracranial pressure and enlargement of the head
Term
goiter
Definition
chronic enlargement of the thyroid gland that occurs in some regions where the soil is low in iodine
not due to neoplasm
hypo or hyperthyroidism; usually hypo
Term
fetal alcohol syndrome
Definition
facial malformations may be recognizable at birth - narrow palpebral fissures, epicanthal folds and midfacial hypoplasia
Term
Down Syndrome
Definition
Trisomy 21 - upslanting eyes with inner epicanthal folds; flat nasal bridge; small, broad, flat nose; protruding thick tongue; ear dysplasia; short, broad neck with webbing and small hands with a single palmar crease
leading risk - older parents
Term
parkinson syndrome
Definition
deficiency of the neurotransmitter dopamine
Term
cushing syndrome
Definition
fat face - too much steroid
excessive secretion of corticotropin hormone (ACTH) and chronic steroid use
Term
Bell's Palsy
Definition
LMN lesion (peripheral) - cranial nerve VII paralysis
HSV-I
person canNOT wrinkle forehead, raise eyebrow, close eye, whistle or show teeth on the right side
Term
Stroke
Cerebrovascular Accident
# 4 killer
Definition
UMN lesion (central) - stroke or brain attack
paralysis of LOWER facial muscles - upper half not affected bc of intact nerve from unaffected hemisphere - able to wrinkle forehead and close the eyes
Term
scleroderma
Definition
"hard skin" rare connective tissue disease
chronic hardening and shrinking degenerative changes in the skin, blood vessels, synovium and skeletal muscles - can occur in the skin, heart, esophagus, kidney, lung
Term
leading cause of cataracts
Definition
aging - cataract surgery is most common surgery in those > 60yr
Term
leading cause of blindness
Definition
macular degeneration
Term
scotoma
Definition
blind spot surrounded by an area of normal or decreased vision, occurs with glaucoma
Term
halos around lights occur with
Definition
glaucoma and cataracts
Term
closed-angle glaucoma
Definition
painful - fluid can't get out, pressure builds - pain
Supporting users have an ad free experience!