| front |
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history |
| Salpingectomy |
removal of fallopian tube |
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mcs5109 Sat, 10 Jul 2010 21:31:43 GMT |
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| Photophobia |
light sensitivity |
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mcs5109 Sat, 10 Jul 2010 19:25:29 GMT |
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| Diplopia |
double vision |
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mcs5109 Sat, 10 Jul 2010 19:25:29 GMT |
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| Pleuritic chest pain |
inflammation of the membrane that surrounds and protects the lungs (the pleura). |
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mcs5109 Sat, 10 Jul 2010 19:24:47 GMT |
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| Who can read a CT scan? |
NOT a regular MD |
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mcs5109 Sat, 10 Jul 2010 19:22:56 GMT |
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| HCG |
Human chorionic gonadotropin; preggers test |
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mcs5109 Sat, 10 Jul 2010 19:22:56 GMT |
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| Troponin |
most preferred test used to diagnose cardiac injury. Troponin is an enzyme release into the blood stream by the heart when under stress; if critical, TELL MD!! |
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mcs5109 Sat, 10 Jul 2010 19:21:22 GMT |
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| hematochezia |
bright red, bloody stools; indicates lower gastrointestinal bleeding |
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mcs5109 Sat, 10 Jul 2010 19:20:00 GMT |
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| melena |
black, bloody BMs; A black stool usually means that the blood is coming from the upper part of the gastrointestinal (GI) tract. This includes the esophagus, stomach, and the first part of the small intestine; blood becomes blacks after exposure to digestive juices |
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mcs5109 Sat, 10 Jul 2010 19:20:00 GMT |
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| Peritoneal signs |
rebound tenderness, guarding; inflammation of the peritoneal (abdominal) cavity; if +, possible need for abdominal surgery |
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mcs5109 Sat, 10 Jul 2010 19:16:46 GMT |
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| Positive GI exam example |
MD will indicate which area of the abd demonstrates tenderness (RLQ, etc.) followed by +/- guarding or rebound.
Positive peritoneal signs may be an indication for a surgical abdomen |
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mcs5109 Sat, 10 Jul 2010 19:16:46 GMT |
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| Negative GI exam example |
abdomen is non-tender, normal bowel sounds, no organomegaly |
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mcs5109 Sat, 10 Jul 2010 19:16:46 GMT |
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| Epigastric pain |
Possible reflux-GERD, or worse yet cardiac in origin |
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mcs5109 Sat, 10 Jul 2010 19:13:41 GMT |
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| gastroenteritis |
inflammation of the gastrointestinal tract, involving both the stomach and the small intestine |
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mcs5109 Sat, 10 Jul 2010 19:13:22 GMT |
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| gastritis |
inflammation of the lining of the stomach |
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mcs5109 Sat, 10 Jul 2010 19:13:22 GMT |
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| Periumbilical pain |
Possible gastritis or gastroenteritis- usually viral and resolves on its own. Possible food poisoning |
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mcs5109 Sat, 10 Jul 2010 19:13:22 GMT |
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| PID |
Pelvic inflammatory disease; inflammation of the uterus, fallopian tubes, and/or ovaries |
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mcs5109 Sat, 10 Jul 2010 19:13:22 GMT |
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| Suprapubic pain |
Possible UTI, ovarian cyst, STD’s including PID, urinary retention |
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mcs5109 Sat, 10 Jul 2010 19:13:22 GMT |
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| paresis |
partial paralysis |
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mcs5109 Sat, 10 Jul 2010 19:10:06 GMT |
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| Gastroparesis |
paresis (partial paralysis) of the stomach, resulting in food remaining in the stomach for a longer period of time than normal. The vagus nerve controls stomach contractions. If vagus nerve is damaged, Food then moves slowly through the digestive tract. |
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mcs5109 Sat, 10 Jul 2010 19:10:06 GMT |
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| NG tube |
Nasogastric intubation; plastic tube through the nose, past the throat, and down into the stomach |
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mcs5109 Sat, 10 Jul 2010 19:07:56 GMT |
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| Colitis |
welling (inflammation) of the large intestine (colon) |
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mcs5109 Sat, 10 Jul 2010 19:07:00 GMT |
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| SBO |
Small Bowel Obstruction |
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mcs5109 Sat, 10 Jul 2010 19:06:00 GMT |
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| diverticultitis vs. diverticulosis |
inflammation vs. presence |
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mcs5109 Sat, 10 Jul 2010 19:05:11 GMT |
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| diverticulosis |
presence of the pouches themselves |
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mcs5109 Sat, 10 Jul 2010 19:05:11 GMT |
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| diverticultitis |
Diverticulitis is inflammation of an abnormal pouch (diverticulum) in the intestinal wall. The presence of the pouches themselves is called diverticulosis. |
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mcs5109 Sat, 10 Jul 2010 19:05:11 GMT |
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| How is appendicitis diagnosed? |
US or CT Abd depending on age/fertility of the patient |
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mcs5109 Sat, 10 Jul 2010 19:02:23 GMT |
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| Signs of appendicitis (a point and 2 signs) |
McBurny’s point tenderness/Rovsing’s signs/Psoas sign |
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mcs5109 Sat, 10 Jul 2010 19:01:42 GMT |
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| Psoas sign |
PE maneuver where patient feels abd pain when externally rotating the hip; indicates appendicitis |
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mcs5109 Sat, 10 Jul 2010 19:01:42 GMT |
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| Rovsing's sign |
PE maneuver where pain is elicited in the RLQ when palpating the LLQ |
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mcs5109 Sat, 10 Jul 2010 19:00:09 GMT |
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| McBurney's point |
1/3 of way from right hip bone to belly button |
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mcs5109 Sat, 10 Jul 2010 18:57:47 GMT |
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| RLQ pain: What does it mean? What test? |
Possible Appendicitis --> McBurny’s point tenderness/Rovsing’s signs/Psoas sign. Diagnosed with US or CT Abd depending on age/fertility of the patient |
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mcs5109 Sat, 10 Jul 2010 18:57:47 GMT |
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| lipase/amylase |
diagnoses pancreatitis |
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mcs5109 Sat, 10 Jul 2010 18:51:37 GMT |
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| LUQ pain: What does it mean? What test? |
Possible pancreatitis; diagnosed by lipase/amylase. |
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mcs5109 Sat, 10 Jul 2010 18:51:37 GMT |
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| Murphy's test |
diagnoses possible cholecystitis |
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mcs5109 Sat, 10 Jul 2010 18:51:37 GMT |
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| RUQ pain: What does it mean? What test? |
Possible cholecystitis --> Murphy’s test and diagnosed by US |
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mcs5109 Sat, 10 Jul 2010 18:51:37 GMT |
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| suprapubic |
above the pubis |
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mcs5109 Sat, 10 Jul 2010 18:47:38 GMT |
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| Epigastric |
area above the stomach |
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mcs5109 Sat, 10 Jul 2010 18:47:38 GMT |
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| Periumbilical |
round the umbilicus |
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mcs5109 Sat, 10 Jul 2010 18:47:38 GMT |
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| Why is coumadin used? What is the risk? |
used as prophylactic treatment for clots or ischemia (to help prevent possible CVA) but also increases the patient’s risk of a “bleed” especially in the older population |
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mcs5109 Sat, 10 Jul 2010 18:45:40 GMT |
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| TPA candidacy is only for people having ______ stroke. |
non-hemorrhagic |
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mcs5109 Sat, 10 Jul 2010 18:45:40 GMT |
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| TPA |
Tissue Plasminogen Activator; "coumadin x 10"; clot-busting drug; dissolve blood clots for patients having stroke |
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mcs5109 Sat, 10 Jul 2010 18:43:30 GMT |
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| Non-hemorrhagic stroke |
caused by thrombus or embolus blocking blood supply to a portion of the brain. Patients with non-hemorrhagic stroke are evaluated for potential TPA candidacy. Important to note if “This patient is not a candidate for thrombolytics/TPA |
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mcs5109 Sat, 10 Jul 2010 18:43:30 GMT |
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| Hemorrhagic stroke |
induced by spontaneous eruption of aneurysm, or trauma. Patient’s susceptible to traumatic bleed are elderly patients on blood thinners |
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mcs5109 Sat, 10 Jul 2010 18:43:30 GMT |
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| 2 types of stroke |
Hemorrhagic, non-hemorrhagic |
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mcs5109 Sat, 10 Jul 2010 18:43:30 GMT |
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| paresthesias |
A skin sensation, such as burning, prickling, itching, or tingling, with no apparent physical cause |
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mcs5109 Sat, 10 Jul 2010 18:39:08 GMT |
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| CVA signs |
paresthesias, change in speech, vision, mentation, changes in motor function ( facial droop, weakness, paralysis), etc. |
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mcs5109 Sat, 10 Jul 2010 18:39:08 GMT |
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| CVA |
Cerebrovascular accident; abnormal neurological manifestations due to vascular malfunction in the brain |
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mcs5109 Sat, 10 Jul 2010 18:39:08 GMT |
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| Multiple TIAs are a risk for a... |
CVA |
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mcs5109 Sat, 10 Jul 2010 18:37:23 GMT |
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| Carotid Bruit |
abnormal whoosing sound when auscultating the carotid artery; indicates a fatty buildup; sign of higher stroke risk |
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mcs5109 Sat, 10 Jul 2010 18:36:36 GMT |
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| Endarterectomy |
removal of material on the inside of an artery |
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mcs5109 Sat, 10 Jul 2010 18:34:39 GMT |
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| Carotid endarterectomy |
surgical procedure used to prevent stroke, by scraping out plaque in the carotid artery |
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mcs5109 Sat, 10 Jul 2010 18:34:39 GMT |
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| How is carotid artery disease diagnosed? |
carotid duplex |
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mcs5109 Sat, 10 Jul 2010 18:33:05 GMT |
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| carotid duplex |
procedure that uses ultrasound to look for blood clots, plaque buildup, and other blood flow problems in the carotid arteries |
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mcs5109 Sat, 10 Jul 2010 18:33:05 GMT |
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| Carotid artery |
artery that supplies the head and neck with oxygenated blood |
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mcs5109 Sat, 10 Jul 2010 18:31:57 GMT |
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| TIAs usually caused by... |
carotid artery disease |
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mcs5109 Sat, 10 Jul 2010 18:31:57 GMT |
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| TIA symptoms |
difficulty in speaking, dizziness, confusion, or changes in sensation |
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mcs5109 Sat, 10 Jul 2010 18:30:41 GMT |
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| TIA |
Transient Ischemic Attack; momentary/relatively prolonged difficulty in speaking, dizziness, confusion, or changes in sensation that resolves with no medical intervention |
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mcs5109 Sat, 10 Jul 2010 18:30:41 GMT |
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| Seizure alerts |
aura: any missed doses of anti-sz meds?, recent illness, sleep deprivation
febrile sz: rapid increase in body temperature that initiates the sz, not the fever itself
WD sz: induced by recent alcohol cessation |
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mcs5109 Sat, 10 Jul 2010 18:29:31 GMT |
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| After syncope, what has to be rechecked? |
orthostats |
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mcs5109 Sat, 10 Jul 2010 18:26:15 GMT |
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| ictal |
headaches associated with seizure activity |
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mcs5109 Sat, 10 Jul 2010 18:25:51 GMT |
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| febrile |
w/ fever |
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mcs5109 Sat, 10 Jul 2010 18:25:51 GMT |
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| Seizure types |
epileptic, febrile, withdrawal, and pseudo |
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mcs5109 Sat, 10 Jul 2010 18:25:51 GMT |
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| Seizures |
Electrical malfunction in the brain typically causing convulsions. Types include epileptic, febrile, withdrawal, and pseudo |
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mcs5109 Sat, 10 Jul 2010 18:25:51 GMT |
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| Syncope HPI (3 things) |
1. What was happening before?
2. What happened during?
3. How feeling now? |
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mcs5109 Sat, 10 Jul 2010 18:23:31 GMT |
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| During syncope LOC... |
...possible resulting injuries (headache/confusion/memory loss, etc.) |
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mcs5109 Sat, 10 Jul 2010 18:23:31 GMT |
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| 2 types of syncope |
witnessed/unwitnessed |
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mcs5109 Sat, 10 Jul 2010 18:23:31 GMT |
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| near syncope |
felt light headed and almost went unconscious |
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mcs5109 Sat, 10 Jul 2010 18:23:31 GMT |
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| etiology |
causes or origin of disease |
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mcs5109 Sat, 10 Jul 2010 18:19:58 GMT |
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| Prodromal |
early symptom indicating the onset of an attack or a disease |
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mcs5109 Sat, 10 Jul 2010 18:19:58 GMT |
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| Syncope |
momentary loss of consciousness due to transient lack of blood supply to the brain |
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mcs5109 Sat, 10 Jul 2010 18:19:58 GMT |
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| CTA Chest |
-diagnose a PE
-injection of contrast tracked at the pulmonary artery to highlight a PE |
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mcs5109 Sat, 10 Jul 2010 08:12:00 GMT |
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| D-dimer |
diagnoses thrombosis |
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mcs5109 Sat, 10 Jul 2010 08:12:00 GMT |
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| If patient has SOB, what is the concern? What do you do? |
PE! r/o w/ D-dimer --> if +, CTA Chest |
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mcs5109 Sat, 10 Jul 2010 08:12:00 GMT |
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| 3 types of blood thinners |
1. aspirin
2. coumadin/warfarin
3. lovenox |
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mcs5109 Sat, 10 Jul 2010 08:07:35 GMT |
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| How is DVT treated? |
blood thinners! |
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mcs5109 Sat, 10 Jul 2010 08:07:35 GMT |
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| thrombophlebitis |
blood clot in superficial vein |
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mcs5109 Sat, 10 Jul 2010 08:07:35 GMT |
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| venous doppler |
diagnoses DVT |
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mcs5109 Sat, 10 Jul 2010 08:07:35 GMT |
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| What are risk factors for DVT? |
-long periods of immobilization
-recent prolonged travel
-recent surgeries
-history of blood clots
-pregnancy
-birth control
-smoking |
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mcs5109 Sat, 10 Jul 2010 08:05:17 GMT |
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| thoracentesis |
drains fluid in pleural cavity if pleural effusion occurs |
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mcs5109 Sat, 10 Jul 2010 08:04:16 GMT |
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| Pleural Effusion |
accumulation of fluid between the layers of tissue that line the lungs and chest cavity |
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mcs5109 Sat, 10 Jul 2010 08:04:16 GMT |
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| Nebulizer |
device used to administer medication in the form of a mist inhaled into the lungs |
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mcs5109 Sat, 10 Jul 2010 08:01:04 GMT |
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| COPD |
Chronic obstructive pulmonary disease; emphysema |
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mcs5109 Sat, 10 Jul 2010 08:01:04 GMT |
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| Chest Wall Pain |
muscular pain; result of recent trauma |
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mcs5109 Sat, 10 Jul 2010 08:01:04 GMT |
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| Pleurisy |
Inflammation of the pleura (thin layers of tissue covering the lungs) usually as a result of lower respiratory infection |
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mcs5109 Sat, 10 Jul 2010 07:56:44 GMT |
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| What is presentation of Costrochondritis/Pleurisy? |
Pain with inspiration, coughing or pain reproduced with movement. Breathing limited by pain |
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mcs5109 Sat, 10 Jul 2010 07:56:44 GMT |
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| Costrochondritis |
Inflammation of the cartilage around the ribs; pleuritic pain |
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mcs5109 Sat, 10 Jul 2010 07:56:44 GMT |
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| Orthopnea |
dyspnea when lying flat; has to sleep propped up in a chair |
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mcs5109 Sat, 10 Jul 2010 07:53:10 GMT |
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| PND |
paroxysmal nocturnal dyspnea; sudden, severe shortness of breath at night that awakens a person from sleep; closely associated with CHF |
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mcs5109 Sat, 10 Jul 2010 07:51:44 GMT |
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| How is CHF treated? |
Commonly treated w/ diuretics |
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mcs5109 Sat, 10 Jul 2010 07:51:44 GMT |
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| CHF |
-Congestive heart failure
Pulmonary edema/congestion, low EF (ejection fraction), and increased peripheral vascular resistance combine to cause notably decreased efficiency of the body’s circulatory system
-the heart can't pump enough blood to the body's other organs.
-can result from: narrowed arteries (CAD), past heart attack (scar tissue that interferes with the heart muscles), high blood pressure, cardiomyopathy |
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mcs5109 Sat, 10 Jul 2010 07:51:44 GMT |
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| EF |
ejection fraction |
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mcs5109 Sat, 10 Jul 2010 07:51:44 GMT |
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| Adenosine |
Vasodilator for stress test |
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mcs5109 Sat, 10 Jul 2010 07:15:54 GMT |
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| Thallium |
radioactive tracer used in stress tests before treadmill |
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mcs5109 Sat, 10 Jul 2010 07:15:54 GMT |
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| types of stress tests |
Stress tests: Treadmill or Nuclear |
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mcs5109 Sat, 10 Jul 2010 07:16:08 GMT |
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| Chest pain may be diagnosed as... (2 things) |
ACS or stable/unstable angina |
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mcs5109 Sat, 10 Jul 2010 07:15:54 GMT |
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| Angina |
heart pain; symptom of CAD |
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mcs5109 Sat, 10 Jul 2010 07:13:07 GMT |
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| ACS |
Acute Coronary Syndrome |
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mcs5109 Sat, 10 Jul 2010 07:13:07 GMT |
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| STEMI |
ST Elevation Myocardial Infarction: Active MI. Shown in morphological changes of EKG |
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mcs5109 Sat, 10 Jul 2010 07:13:07 GMT |
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| Upon MI, what is always given (unless allergy)? |
ASA (Aspirin) |
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mcs5109 Sat, 10 Jul 2010 07:13:07 GMT |
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| SL |
sublingual |
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mcs5109 Sat, 10 Jul 2010 07:01:21 GMT |
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| What can NTG cause? |
-vasodilator & decreases pain (drops BP and can cause light-headedness and headache)
-administered by SL spray or 1” patch (paste) |
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mcs5109 Sat, 10 Jul 2010 07:01:21 GMT |
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| MI |
-Myocardial Infarction
- |
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mcs5109 Sat, 10 Jul 2010 07:01:21 GMT |
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| hypercholesterolemia |
high cholesterol |
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mcs5109 Sat, 10 Jul 2010 06:57:17 GMT |
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| hyperlipidemia |
high cholesterol |
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mcs5109 Sat, 10 Jul 2010 06:57:17 GMT |
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| CAD |
Coronary Artery Disease; compromised coronary artery function causing an increased risk of MI. Risk factors include: age, hypertension, hyperlipidemia, history of smoking, obesity, diabetes, ethnicity, family history of cardiac disease |
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mcs5109 Sat, 10 Jul 2010 06:57:17 GMT |
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| AICD |
Implantable Cardioverter Defibrillator/ pacemaker; sense an abnormally slow heartbeat (bradycardia) and send small electrical signals to pace the heart |
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mcs5109 Sat, 10 Jul 2010 06:38:58 GMT |
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| Stents |
wire metal mesh tube used to prop open an artery during angioplasty |
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mcs5109 Sat, 10 Jul 2010 06:38:58 GMT |
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| Angiogram |
visualizes heart lumen; injects a contrast agent into the blood vessel and images using X-ray |
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mcs5109 Sat, 10 Jul 2010 06:36:41 GMT |
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| CABG |
coronary artery bypass graft; Arteries from elsewhere in the body are grafted to the coronary arteries to bypass atherosclerotic narrowings |
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mcs5109 Sat, 10 Jul 2010 06:36:41 GMT |
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| Hypocapnia |
lower-than-normal concentration of carbon dioxide in the blood |
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mcs5109 Sat, 10 Jul 2010 06:33:33 GMT |
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| Hyponatremia |
lower-than-normal concentration of sodium in the blood |
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mcs5109 Sat, 10 Jul 2010 06:33:33 GMT |
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| Hypokalemia |
lower-than-normal amount of potassium in the blood |
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mcs5109 Sat, 10 Jul 2010 06:33:33 GMT |
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| GERD |
Gastroesophageal reflux disease; heart burn |
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mcs5109 Sat, 10 Jul 2010 06:33:33 GMT |
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| Cholecystolithiasis |
stone formation within the gall bladder |
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mcs5109 Sat, 10 Jul 2010 06:30:57 GMT |
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| nephrolithiasis |
condition of having kidney stones |
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mcs5109 Sat, 10 Jul 2010 06:30:57 GMT |
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| splenectomy |
removal of spleen |
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mcs5109 Sat, 10 Jul 2010 06:28:32 GMT |
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| nephrectomy |
removal of kidney |
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mcs5109 Sat, 10 Jul 2010 06:28:32 GMT |
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| kidney prefixes |
renal, nephro |
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mcs5109 Sat, 10 Jul 2010 06:28:32 GMT |
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| Bowel Resection |
art of the large or small intestine is removed; "had 8 feet of bowel removed" |
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mcs5109 Sat, 10 Jul 2010 06:27:10 GMT |
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| Partial Hysterectomy |
the uterus is surgically removed but the cervix is left in place |
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mcs5109 Sat, 10 Jul 2010 06:26:14 GMT |
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| TAH |
total abdominal hysterectomy; |
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mcs5109 Sat, 10 Jul 2010 06:26:14 GMT |
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| Mastectomy |
surigcal removal of breast(s) |
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mcs5109 Sat, 10 Jul 2010 06:20:16 GMT |
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| Colectomy |
surgical resection of any extent of the large intestine (colon) |
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mcs5109 Sat, 10 Jul 2010 06:20:16 GMT |
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| Tonsillectomy |
surgical removal of the tonsils and adenoids |
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mcs5109 Sat, 10 Jul 2010 06:21:22 GMT |
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| D&C |
dilation of the cervix and surgical removal of part of the lining of the uterus and/or contents of the uterus by scraping and scooping (curettage). |
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mcs5109 Sat, 10 Jul 2010 06:20:16 GMT |
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| Tubal ligation |
"tubes tied" |
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mcs5109 Sat, 10 Jul 2010 06:20:16 GMT |
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| Salpingo-oophorectomy |
removal of an ovary together with the fallopian tube |
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mcs5109 Sat, 10 Jul 2010 06:20:16 GMT |
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| Oophorectomy |
surgical removal of an ovary or ovaries |
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mcs5109 Sat, 10 Jul 2010 06:20:16 GMT |
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| Hysterectomy |
surgical removal of the and cervix |
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mcs5109 Sat, 10 Jul 2010 06:25:24 GMT |
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| Cholecystectomy |
urgical removal of the gallbladder |
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mcs5109 Sat, 10 Jul 2010 06:20:16 GMT |
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| Appendectomy |
surgical removal of the appendix |
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mcs5109 Sat, 10 Jul 2010 06:20:16 GMT |
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| Differentials |
MD's mental "list" of possible diagnoses; MD rules out differentials based on PE |
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mcs5109 Sat, 10 Jul 2010 06:12:03 GMT |
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| MDM |
Medical Decision Making |
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mcs5109 Sat, 10 Jul 2010 06:12:03 GMT |
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| What is subjective? Objective? |
Sub: HPI, ROS, PMH
Ob: PE |
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mcs5109 Sat, 10 Jul 2010 06:12:03 GMT |
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| Possible dispositions |
discharge, admit, transfer, expired, AMA (against medical advice) |
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mcs5109 Sat, 10 Jul 2010 05:35:19 GMT |
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| What 5 thing do MD/scribe do? |
HPI: history of present illness (what brought patient in today)
ROS: review of systems (other symptoms, not related)
PMH: past medical history
FSHx: family/social history (smoke, drink, etc.)
PE: physical exam (full body)
(MDM)
(Differential Diagnosis) |
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mcs5109 Sat, 10 Jul 2010 06:06:59 GMT |
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| What are the vitals? |
1. blood pressure
2. O2 saturation
3. body temp
4. heart rate
5. resp rate |
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mcs5109 Sat, 10 Jul 2010 05:24:17 GMT |
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| What does triage nurse do? |
vitals, CC, short hx, level of acuity assigned |
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mcs5109 Sat, 10 Jul 2010 05:24:17 GMT |
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| Door to Dispo stops |
1. Triage (RN): vitals, CC, short hx, level of acuity assigned
2. Bed assignment
3. Primary nurse assessment
4. MD/Scribe
5. Waiting for labs and test results
6. Determine the disposition: discharge, admit, transfer, expired, AMA |
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mcs5109 Sat, 10 Jul 2010 05:24:17 GMT |
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