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Physical Diagnosis
Midterm
177
Medical
Professional
02/23/2008

Additional Medical Flashcards

 


 

Cards

Term
What are the most common kinds of recurring headaches?
Definition
Migraine and tension
Term
Where do tension headaches arise?
Definition
Temporal areas
Term
Where do cluster headaches arrise?
Definition
retro-orbital
Term
Changing or progressively severe headaches increase likelihood of...
Definition
tumor, abscess or other mass lesion
Term
Extremely severe headaches suggest...
Definition
subarachnoid hemorrhage or meningitis
Term
Visual aura and scintillating scotomas are associated with...
Definition
migraines
Term
coughing, sneezing or changing position of head can increase pain in...
Definition
brain tumor and acute sinusitis
Term
True of false: family history is normally positive in patients with migraine
Definition
true
Term
T/F High glucose levels cause blurring
Definition
true
Term
sudden visual loss suggests...
Definition
retinal detachment, vitreous hemorrhage or occlusion of central retinal A.
Term
Difficulty with close work suggests _______ which is___sightedness?
Definition
hyperopia; far
Term
similar to hyperopia but also called aging vision
Definition
presbyopia
Term
difficulty with distant vision is called _______ or ___ sightedness
Definition
myopia; near
Term
slow central vision loss is seen in...
Definition
nuclear cataract and macular degeneration
Term
peripheral vision loss is seen in...
Definition
open-angle glaucoma
Term
moving specks or strands in vision suggest_____ while fixed defects (scotomas) suggest _____
Definition
vitrous floaters; lesions in retina or visual pathway
Term
flashing lights or new vitrous floaters suggest detachment of ______ from _____
Definition
vitreous; retina
Term
diplopia (double-vision) may result from
Definition
-lesion in brainstem or cerebellum
-weakness or paralysis of extra-ocular muscles
-in only one eye, suggests problem in lens or cornea
Term
hyperthyroidism leads to ____ hair
Definition
fine
Term
hypothyroidism leads to ___ hair
Definition
coarse
Term
redness or scaling of the scalp can be caused by...
Definition
seborrheic dermatitis or psoriasis
Term
enlarged skull in ...
Definition
hydrocephalus and paget's disease of bone
Term
Cushing's syndrome
Definition
-due to increased adrenal hormone production
-round or "moon" face with red cheeks
-excessive hair growth may be present in mustache, sideburn and chin areas (hirsutism)
Term
Nephrotic syndrome
Definition
-edematous face, often pale
-swelling appears first around eyes (periorbital edema)and in morning
-eyes become slitlike when edema is severe
Term
Myxedema
Definition
-severe hypothyroidism
-dull, puffy facies
-non-pitting edema mostly around eyes
-dry, coarse, thin eyebrows
-dry skin
Term
Parotid gland enlargement
Definition
chronic bilateral asymptomatic parotid gland enlargement
-swelling obscures ear lobes
-may be associated with obesity, diabetes, cirrhosis and other conditions.
-swelling anterior to the ear lobes and above angle of jaw
-gradual unilateral enlargement suggests neoplasm
-acute enlargement seen in mumps
Term
Acromegaly
Definition
-due to increased HGH
-produces enlargement of both bone and soft tissues
-elongated head
-prominent brow, nose and jaw
-facial features appear coarsened
-nose, lip and ear soft tissues also enlarge
Term
Parkinson's Disease
Definition
-decreased facial mobility blunts expression
-masklike face results, decreased blinking and characteristic stare
-trunk tends to flex forward - patient seems to peer upward
-facial skin becomes oily, drooling may occur
Term
20/200 vision means...
Definition
at 20 ft. pt can read print normal pt can read at 200 ft.
Term
legal blind at what level?
Definition
20/200 or 20 degree or less constricted field of vision
Term
enlarged blind spots occur in conditions affecting the _____
Definition
optic nerve. conditions like glaucoma, optic neuritis and papilledema
Term
Red inflamed lid margins in often without crusting...
Definition
blephartis
Term
ptosis
Definition
drooping of the upper lid
causes include:
-myasthenia gravis, damage to CN III, damage to sympathetic nervous supply (Horner's syndrome)
-weakened muscle, relaxed tissues and weight of herniated fat may cause senile ptosis
-may be congenital
Term
Lid retration and exopthalmos
Definition
-wide-eyed stare
-note rim of sclera between upper lid and iris
-often due to hyperthyroidism
Exopthalmos
-eyeball protrudes forward
-if bilateral suggests infiltrative opthalmopathy of graves' hyperthyroidism.
-edema of eyelids and conjunctival injection my be associated
-unilateral seen in graves disease or tumor or inflammation in orbit
Term
excessive tearing is due to...
Definition
increased production (conjunctival inflammation and corneal irritation) or impaired drainage (ectropion and nasolacrimal duct obstruction)
Term
yellow sclera indicates...
Definition
jaundice
Term
Pinguecula
Definition
harmless yellowish triangular nodule in bulbar conjunctiva on either side of iris
-occurs frequently with aging, first on nasal and then temporal side
Term
episcleritis
Definition
localized ocular redness from inflammation of episcleral vessels
-vessels appear salmon pink and are movable over scleral surface
-may be nodular or may show only redness and dilated vessels
Term
sty
Definition
painful, tender red infection in a gland at the margin of the eyelid
Term
chalazion
Definition
subacute nontender and usually painless nodule involving a meibomian gland
-may become acutely inflamed but, unlike a sty, will point inside the lid rather than on lid margin
Term
xanthelasma
Definition
slightly raised, yellowish, well-circumscribed plaques that appear along the nasal portions of one or both eyelids
-may accompany lipid disorders
Term
Inflammation of lacrimal sac
Definition
AKA dacrocystitis
-swelling between lower eyelid and nose.
-acute inflammation is painful, red and tender
-chronic inflammation is associated with obstruction of the nasolacrimal dut
-prominent tearing
-pressure on sac produces regurgitation of material through the puncta of the eyelids
Term
Corneal Arcus
Definition
Thin grayish white arc or circle not quite at the edge of the cornea.
-normal w/ aging but also seen in younger people, esp. blacks
-in young people, suggests hyperlipoproteinemia
-usually benign
Term
Corneal scar
Definition
superficial grayish white opacity in cornea
-secondary to old injury or inflammation
-size and shape are variable
-don't confuse with opaque lens of cataract which is visible on a deeper plane and only through pupil
Term
Pterygium
Definition
triangular thickening of the bulbar conjunctiva that grows slowly across the outer surface of the cornea
-usually from nasal side
-reddening may occur
-may interfere with vision as encroaches on pupil
Term
cataracts
Definition
opacities of lens visible through the pupil; most common in old age
-nuclear and peripheral
-both look gray on black pupil w/ flashlight
-black against red reflex in opthalmoscope
-nuclear starts in middle, peripheral looks like wheel spokes
Term
if the iris bows abnormally far forward, what happens?
Definition
light from the side will cast a crescent-shaped shadow on edges of iris
-this increases risk for narrow-angle glaucoma (sudden increase in intraocular pressure when drainage of aqueous humor is blocked
Term
open-angle glaucoma
Definition
the common form of glaucoma
-normal spatial relationship between iris and cornea
Term
miosis
Definition
constriction of the pupils
Term
mydriasis
Definition
dilation of the pupils
Term
causes of anisocoria
Definition
-blunt trauma to eye
-open-angle glaucoma
-impaired parasympathetic nerve supply to iris (in tonic pupil and oculomotor nerve paralysis)
-sympathetic nerve supply (Horner's syndrome)
Term
Tonic pupil
Definition
-AKA adie's pupil
-pupil is large, regular and usually unilateral
-rxn to light is severely reduced and slowed, even absent
-very slow near rxn, but present
-slow accommodation causes blurred vision
-DTRs often decreased
Term
oculomotor nerve (CN III) paralysis
Definition
-dilated pupil is fixed to light and near effort
- ptosis of upper eyelid and lateral deviation of the eye are often, but not always, present
-atropine-like eyedrops create a more dilated and fixed pupil
Term
Horner's syndrome
Definition
-caused by sympathetic nerve damage
-affected pupil, though small, reacts briskly to light and near effort
-ptosis of eyelid is present
-perhaps, loss of sweating on forehead
-if congenital, affected iris is lighter in color (heterochromia)
Term
small irregular pupils
Definition
-accommodate but do not react to light
-AKA Argyll Robertson pupils
-tertiary syphillis (in CNS)
Term
conductive hearing loss
Definition
problems in external or middle ear
Term
sensorineural hearing loss
Definition
from problems in the inner ear, cochlear nerve or its central connections to brain
Term
people with sensorineural hearing loss have trouble ...
Definition
understanding speech and noisy environments make it worse
Term
T/F in conductive hearing loss, noisy environments help
Definition
a big fat T
Term
medications that affect hearing include...
Definition
-aminoglycosides
- aspirin
- NSAIDs
- quinine
-furosemide and others
Term
pain in ear, if associated with respiratory infection is most likely...
Definition
otitis media
Term
T/F tinnitus is common and increases in frequency with age
Definition
true
Term
tinnitus when associated with hearing loss and vertigo suggests...
Definition
Meniere's disease
Term
feeling unsteady, lightheaded or "dizzy in the legs" suggests_____ while feeling pulled to one side suggests true vertigo from an inner ear problem or ______
Definition
cardiovascular etiology; lesion of CN VIII
Term
movement of the auricle and tragus (tug test) is painful in _____ but not in _____
Definition
otitis externa; otitis media
Term
tenderness behind the ear may be present in _____
Definition
otitis media
Term
testing the near reaction is helpful in diagnosing...
Definition
Argyll Robertson and tonic (Adie's) pupils
Term
lid lag is characteristic in...
Definition
hyperthyroidism
Term
poor convergence is seen in...
Definition
hyperthyroidism
Term
contraindications for mydriatic drops include...
Definition
-head injury and coma (need to monitor pupil responses
-narrow-angle glaucoma
Term
absence of red reflex suggest...
Definition
-opacity of lens (cataract)
-opacity of vitreous
less commonly
-detached retina
-retinoblastoma in kids
Term
if the lens has been removed surgically retinal structures appear______ and you can see _______ of the fundus
Definition
smaller; more
Term
enlarged cup suggests...
Definition
open-angle glaucoma
Term
in myopia light rays don't focus on the retina but _______ to it and retinal structures appear _______ than normal
Definition
anterior; larger
Term
loss of venous pulsations in pathologic conditions such as head trauma, meningitis or mass lesions is an early sign of...
Definition
elevated intracranial pressure
Term
macular degeneration is an important cause of __________ in the elderly
Definition
poor central vision
Term
types of macular degeneration
Definition
-dry atrophic (more common but less severe)
-wet exudative
-neovascular
Term
exostoses
Definition
-nontender nodular swellings covered by normal skin deep in the ear canal
-nonmalignant overgrowths
-may obscure the drum
Term
in otitis externa the canal is often...
Definition
swollen, narrowed, moist, pale and tnder and may be reddened
Term
chronic otitis externa the skin of the canal is often...
Definition
thickened, red and itchy
Term
red bulging drum indicates
Definition
acute purulen otitis media
Term
amber drum
Definition
serous effusion
Term
unusually prominent short process and prominent handle that looks more horizontal suggest...
Definition
retracted drum
Term
what decreases eardrum mobility
Definition
-serous effusion
-thickened drum
-purulent otitis media
Term
test for lateralization
Definition
weber test
Term
during weber test, in unilateral conductive hearing loss, sound is heard in ...
Definition
impaired ear
Term
during weber test, pt with unilateral sensorineural hearing loss will hear (sound will lateralize to )...
Definition
good ear
Term
Rinne test, if pt has conductive hearing loss sound is heard through bone...
Definition
as long or longer than air
Term
rinne test, if pt has sensorineural hearing loss air conduction...
Definition
lasts longer than bone conduction
Term
keloid
Definition
-firm, nodular
-hypertrophic mass of scar tissue extending beyond area of injury
-may develop on any scarred area but most comon in shoulders and upper chest
-more common in darker skinned people
-recurrence may follow treatment
-may result from ear piercing - ugly
Term
tophi
Definition
-deposit of uric acid crystals characteristic of chronic tophaceous gout
-hard nodules in helix or anithelix
-may discharge chalky white crystals through skin
-also may appear near joints: hands, feet, and other areas
-usually develops after chronic sustained high blood levels of uric acid
Term
basal cell carcinoma
Definition
-raised nodule
-lustrous surface and telangiectatic vessels
-slow-growing malignancy
-rarely metastasizes
-growth and ulceration may occur
-more frequent in fair-skinned people overexposed to sunlight
Term
cutaneous cyst
Definition
-formerly callled sebaceous cyst
-dome-shaped lump in dermis forms a benign closed sac attached to epidermis
-dark dot (blackhead) may be visible on surface
-histologically either
1. epidermoid cyst - common on face and neck
2. pilar (trichilemmal) cyst, common on scalp
-both may become inflamed
Term
cone of light fans...
Definition
anteriorly and downward
Term
part of eardrum superior to malleus
Definition
pars flaccida
Term
two types of perforations of eardrum
Definition
1. central - do not involve margin *more common
2. marginal - involve margin
-in both, drum loses landmarks
Term
tympanosclerosis
Definition
-large, chalky white patch with irregular borders
-deposition of hyaline material within layers of tympanic memb.
-sometimes follow a sever episode of otitis media
-does NOT impair hearing
Term
retracted drum
Definition
-retract medially (away from examiner)
-sharp outline of umbo, malleolar folds
-handle of malleus is more horizontal
Term
serous effusion
Definition
-usually caused by viral upper respiratory infection (otitis media with serous effusion)
-also caused by sudden changes in atmospheric pressure i.e. flying, diving (otitic barotrauma)
-eustachian tube can't equalize air pressure in middle ear with that of outside air -->air is partly or completely absorbed from the middle ear into bloodstream -->serous fluid accumulates there instead
-symptoms: fullness and popping sensations in ear
-mild conduction hearing loss
-air bubbles may be present
Term
acute otitis media with purulent effusion
Definition
-caused by bacterial infection
-symptoms:
-earache, fever, hearing loss
-eardrum reddens, loses landmarks and bulges laterally (toward dr's eye)
-diffuse redness develops
-may lead to rupture --->purulent discharge
-hearing loss is conductive
-much more common in children than adults
Term
bullous myringitis
Definition
-viral infection characterized by painful hemorrhagic vesicles
-vesicles appear on tympanic memb. or canal or both
-symptoms:earache
-blood-tinged discharge from ear
-conductive hearing loss
-drum is reddened
-landmarks obscured
-different viruses may cause it, including mycoplasma
Term
rhinorrhea
Definition
-drainage from nose
-associated with nasal congestion, stuffiness or obstruction
-accompanied by sneezing, watery eyes and itchy eyes, nose and throat
Term
causes of rhinorrhea
Definition
-viral infections
-allergic rhinitis "hay fever"
-vasomotor rhinitis
-itching indicates allergic response
Term
rhinorrhea related to seasons or environmental contact indicates...
Definition
allergy
Term
excessive use of decongestants can ____ symptoms, causing ______
Definition
worsen; rhinitis medicamentosa
Term
drugs that cause stuffiness
Definition
-oral contraceptives
-reserpine
-guanethidine
-alcohol
Term
pain and tenderness in face or sinuses, headache or fever associated with rhinorrhea indicate...
Definition
sinusitis
Term
if congestion is limited to one side only consider...
Definition
deviated septum
-foreign body
-tumor
Term
epistaxis
Definition
bleeding from the nose
Term
causes of epistaxis
Definition
-trauma
-inflammation
-drying and crusting of nasal mucosa
-tumors
-foreign bodies
*bleeding disorders may contribute
Term
tenderness of nasal tip or ala suggests..
Definition
local infection such as furuncle
Term
T/F when inspecting pts nose, you can see superior turbinate
Definition
false, you can normally only see middle and inf.
Term
in viral rhinitis, mucosa is ______ vs. in allergic rhinitis mucosa may be ______
Definition
red and swollen; pale, bluish or red
Term
T/F lower portion of nasal septum is common source of epistaxis
Definition
true dat!
Term
polyp (nasal)
Definition
-pale, semitranslucent masses
-usually come from middle meatus
Term
nasal septum perforation may be caused by...
Definition
trauma, surgery and cocaine use
Term
nasal ulcers may result from...
Definition
cocaine use
Term
afferent pupillary defect (marcus gunn pupil)
Definition
optic nerve is damaged and afferent impulse is diminished and pupil will dilate when light is shined into semi-constricted pupil
Term
transillumination of sinuses
Definition
absence of glow from light shone through nasal or maxillary sinus indicates thickened mucosa or secretions in sinus
Term
streptococcal pharyngitis (strep throat) symptoms
Definition
-fever
-pharyngeal exudates
-anterior lymphadenopathy esp. in absence of cough
Term
bleeding gums are most often caused by...
Definition
gingivitis
Term
sore tongue may be caused by local lesions as well as by systemic illness. i.e. apthous ulcers (canker sores) are ______ and smooth tongue is due to _____
Definition
viral infection; nutritional deficiency
Term
causes of chronic hoarseness
Definition
-smoking
-allergy
-voice abuse
-hypothyroidism
-chronic infections i.e. tuberculosis
-tumors
Term
t/f enlarged tender lymph nodes do not normally accompany pharyngitis
Definition
F
Term
with goiter, thyroid fxn may be _______
Definition
increased, decreased or normal
Term
intolerance to cold, preference for warm clothing and many blankets, decreased sweating all suggest...
Definition
hypothyroidism
Term
intolerance to heat, increased sweating, palpitations and involuntary weight loss suggest...
Definition
hyperthyroidism
Term
a black line is present on the gingiva in ...
Definition
lead poisoning
Term
swollen interdental papilla are seen in ...
Definition
gingivitis
Term
asymmetric protrusion of tongue is due to ...
Definition
lesion of CN XII
Term
in CN XII lesion, tongue protrude to _____ side
Definition
impaired
Term
most common cancers of the mouth
Definition
1. lip
2. tongue (occurs most often at side of tongue and then at base)
Term
soft palate fails to rise and uvula deviates to side in ...
Definition
CN X lesion
Term
in CN X lesion the ____ fails to rise and the uvula deviates to the ______ side
Definition
soft palate; good
Term
tender lymph nodes suggest...
Definition
inflammation
Term
hard or fixed lymph nodes suggest ...
Definition
malignancy
Term
tracheal deviation may signify...
Definition
important problems in thorax such as:
-mediastinal mass
-atelectasis (collapsed lung)
-large pneumothorax
Term
thyroid is ____ in graves disease
Definition
soft
Term
thyroid is ____ in hasimotos thyroiditis and malignancy
Definition
firm
Term
in thyroiditis, thyroid is...
Definition
tender, has benign and malignant nodules
Term
angular chelitis
Definition
-starts w/ softening of skin at angles of mouth, then fissuring
-may be due to nutritional deficiency/overclosure of mouth from no teeth/ill-fitting dentures
-saliva wets and macerates infolded skin -->secondary infection w/ candida
Term
actinic chelitis
Definition
-results from excessive exposure to sunlight
-affects primarily lower lip
-fair-skinned men who work outdoorsare most often afffected
-lip loses normal redness
-lip may become scaly, somwhat thickened and slightly everted
-b/c solar damage-->predisposition to carcinoma
Term
herpes simplex
Definition
-AKA cold sore, fever blister
-produces recurrent and painful vesicular eruptions of lips & surrounding skin
-small cluster of vesicles develops-->break forming yellow-brown crusts
-heal within 10-14 days
Term
angiodema
Definition
-diffuse, nonpitting, tense swelling of dermis and subcut. tissue
-develops rapidly
-typically disappears over subsequent hours or days
-usually allergic in nature (sometimes associated with hives) it does NOT itch
Term
hereditary hemorrhagic telangiectasia
Definition
-multiple, small red spots on lips
-spots may also be visible on face, hands and in mouth
-spots are dilated capillaries that may bleed when traumatized
-pts often have nosebleeds and GI bleeding
Term
puetz-jeghers syndrome
Definition
-pigmented spots on lips that are more prominent than on surrounding skin
-pigment in buccal mucosa helps confirm dx
-pigmented spots may be found on face and hands
-multiple intestinal polyps often associated
Term
chancre of syphillis
Definition
-lesion Primary syphilis
-may appear on lip rather than genitalia
-firm, button-like lesion that ulcerates and becomes crusted
-may resemble carcinoma or crusted cold sore
-infectious! use gloves
Term
carcinoma of the lip
Definition
-usually affects lower lip
-may appear as scaly plaque, ulcer w/o a crust, or as a nodular lesion
-fair skin & prolonged exposure to sun are common risk factors
Term
t/f if tonsils are large, then they must be infected
Definition
false
Term
exudative tonsilitis
Definition
-red throat with white exudates
-together with fever and enlarged cervical lymph nodes increase probability of group A strep infection or infectious mono (epstein-Barr virus)
Term
pharyngitis
Definition
-red, vascular pharynx
-due to several kinds of viruses and bacteria
-no fever/exudate/enlarged lymph nodes means no strep A or mono
Term
Diptheria
Definition
-rare b/c of vaccines
-acute infection caused by corynebacterium diphtheriae
-prompt dx may lead to life-saving treatment
-dull, red throat w/ gray exudate present on uvula, pharynx and tongue
-airway may become obstructed
Term
thrush on palate (candidiasis)
Definition
-scrapes off (leukoplakia does not)
-yeast infection due to candida
-may appear elsewhere besides palate
-thick, white plaques that are somewhat adherent to underlying mucosa
-predisposing factors are: prolonged antibiotic/corticosteroid treatment and/or AIDS
Term
Kaposi's sarcoma in AIDS
Definition
-deep purple color lesion (not necessarily present)
-lesion may be raised or flat
-pt's with AIDS - palate is common place for tumor
Term
torus palatinus
Definition
-midline bony growth in hard palate
-fairly common in adults
-size and lobulation vary
-harmless
Term
Fordyce spots (granules)
Definition
-normal sebaceous glands that appear as small yellowish spots on buccal mucosa or lips
-not to worry
Term
petechiae
Definition
-small red spots that result when blood escapes from capillaries into tissues
-often caused by biting cheek (buccal mucosa)
-may be due to infection, trauma, or decreased platelets
Term
leukoplakia
Definition
-thickened white patch
-Does NOT scrape off
-can occur anywhere in mouth
-example results from chewing tobacco
-this type of irritation leads to cancer
-painless
Term
marginal gingivitis
Definition
-common among teenagers and young adults
-gingival margins are reddened and swollen
-interdental papilla are blunted, swollen and red
-brushing teeth often makes gums bleed
-plaque-the soft white film that leads to gingivitis-is not readily visible
Term
acute necrotizing ulcerative gingivitis
Definition
-uncommon form of gingivitis
-occurs suddenly in adolescents and young adults
-accompanied by fever, malaise and enlarged lymph nodes
-ulcers develop in interdental papillae and then destructive (necrotizing) process spreads along gum margin
-gums bleed easily
-breath is foul
Term
gingival hyperplasia
Definition
-enlarged gums
-swollen into heaped up masses that can cover teeth
-can be caused by dilantin (anti-seizure) therapy, puberty, pregnancy and leukemia
Term
pregnancy tumor
Definition
-AKA epulis, pyogenic granuloma
-localized gingival enlargement
-forms tumorlike mass that usually originates in interdental papilla
-red, soft and bleeds easily
-about 1% of pregnancies
Term
attrition of teeth
Definition
-in elderly, worn-down teeth
-yellow-brown dentin is exposed
-gums also recede
Term
Hutchinson's teeth
Definition
-smaller, more widely spaced than normal
-notched along biting surfaces
-upper central incisors most often affected
-sign of CONGENITAL SYPHILLIS
Term
geographic tongue
Definition
-benign
-scattered smooth areas w/o papilla
-make maplike pattern w/ normal areas
Term
hairy tongue
Definition
-yellowish to brown or black elongated papilla
-benign
-may follow antibiotic therapy
-may also occur spontaneously
Term
fissured tongue
Definition
-aka scrotal tongue
-appear w/ increasing age
-benign
-may accumulate food
Term
smooth tongue
Definition
-aka atrophic glossitis
-smooth, often sore
-lost its papillae
-suggests deficiency in vitamins or treatment w/ chemotherapy
Term
candidiasis
Definition
-infection w/ candida
-thick white coating that CAN be scraped off
-may also occur w/o white coating
-seen in immunosuppressed conditions esp. AIDS
Term
hairy leukoplakia
Definition
-white raised area that CANNOT be scraped off
-seen in HIV and AIDS
-can lead to cancer
Term
vericose veins on tongue
Definition
not clinically significant
Term
aphthous ulcer
Definition
-aka canker sore
-painful
-round ulcer that has halo of reddened mucosa
-heals in 7-10 days but may recur
-viral in nature
Term
mucous patch of syphillis
Definition
-secondary syphillis
-painless
-highly infectious
-slightly raised and covered by gray memb.
Term
carcinoma in floor of mouth
Definition
-ulcerated lesion
-common location for carcinoma
-more reddened area of mucosa (erythroplakia) suggests possible malignancy
Term
diffuse enlargement of thyroid
Definition
-includes isthmus and lateral lobes
-no palpable nodes
-causes include: grave's disease, hashimoto's thyroiditis, endemic goiter
-autoimmune
Term
single nodule in thyroid
Definition
-may be cyst or benign tumor
-malignant?
-risk factors: irradiation, hardness, rapid growth, fixation, enlarged cervical nodes, occurrence in males
Term
multinodular goiter
Definition
-suggests metabolic rather than neoplastic process
-positive family hx and continuing nodular enlargement are risk factors for malignancy
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