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Chapter 15
Ch 15
72
Medical
Undergraduate 1
09/18/2011

Additional Medical Flashcards

 


 

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Term
Dyspnea
Definition
Occurs when the work of breathing is too high and/or when the drive to breathe is elevated
Term
Platypnea
Definition
Dyspnea when moved to the upright position
Term
Cough
Definition
Occurs when the cough receptors in the airways are stimulated by inflammation, mucus, foreign material, or noxious gases. Weak cough is often due to high Raw, poor lung recoil, or weak muscles. Pts with airways disease often have a loose, productive cough.
Term
Sputum
Definition
Mucus that comes from the lower airways but is expectorated thru the mouth
Term
Fetid
Definition
Foul smelling
Term
Hemoptysis & causes of
Definition
Coughing up bloody sputum from the airways. Most often occurs in pts with history of lung disease. Common causes: bronchitis, lung cancer, TB, trauma, and pulmonary embolism
Term
Angina
Definition
A pressure sensation with exertion or stress and results from coronary artery occlusion
Term
Pedal edema
Definition
Swelling of the ankles (due to heart failure and may indicate the need for oxygen therapy)
Term
Tripodding
Definition
When a pt sits upright and braces his/her elbows on a table. This helps the accessory muscles gain a mechanical advantage for breathing
Term
Febrile
Definition
Temperature elevation caused by disease is fever and the pt is said to be febrile
Term
Hyperthermia
Definition
An elevated body temp
Term
Bradycardia
Definition
A condition in which the pulse rate is 60 beats/min
Term
Pulsus Paradoxus
Definition
A significant decrease in pulse strength during spontaneous inhalation
Term
Tachypnea
Definition
Abnormally high respiratory rate
Term
Systolic Pressure
Definition
The peak force exerted in the major arteries during contraction of the left ventricle
Term
Hypertension
Definition
A condition in which the BP is persistently higher than 140/90 mm Hg
Term
Postural hypotension
Definition
A sudden drop in arterial BP due to a change in position (most often occurs when the hypovolemic pt moves from reclining pos to the upright position
Term
Korotkoff sounds
Definition
Sounds heard during the taking of BP using a sphygmomanometer & stethoscope
Term
Jugular Vein distension
Definition
Present when the jugular vein is enlarged and can be seen more than 3-4 cm above the sternal angle
Term
Lymphadenopathy
Definition
Enlarged lymph nodes
Term
Retraction
Definition
An intermittent sinking inward of the skin overlying the chest wall during inspiration
Term
Vocal fremitus
Definition
Refers to the vibrations created by the vocal cords during speech (These vibrations are transmitted down the tracheobronchial tree & thru the lung to the chest wall)
Term
Subcutaneous Emphysema
Definition
Condition that happens when air leaks from the lung into the subcutaneous tissues,fine air bubbles produce a crackling sound & sensation when palpated
Term
Auscultation
Definition
Process of listening for bodily sounds
Term
Adventitous breath sounds
Definition
Added sounds or vibrations produced by the movement of air thru abnormal airways
Term
Crackle
Definition
Discontinuous types of adventitious lung sounds
Term
Rales
Definition
Discontinuous types of lung sounds heard on auscultation of the chest; usually heard during inspiration
Term
Bronchophony
Definition
An increase in the intensity & clarity of vocal resonance produced by enhanced transmission of vocal vibrations
Term
Hepatomegaly
Definition
An enlarged liver
Term
Orthopnea
Definition
Dyspnea in the reclining position; associated w/ CHF
Term
Orthodeoxia
Definition
Decrease in PaO2 due to changes in position
Term
Phlegm
Definition
Mucus from the tracheobronchial tree that has not been contaminated by oral secretions
Term
Purulent
Definition
Sputum that has pus cells in it
Term
Mucoid
Definition
Sputum that is clear and thick
Term
Hematemesis
Definition
Vomitting bld from the gastrointestinal tract
Term
Fever
Definition
An elevation of body temperature due to disease. Most often due to viral infection; also seen with pneumonia, TB, & some cancers.Fever increases the body's need for oxygen.
Term
Diaphoresis
Definition
Sweating (Can indicate fever, pain, severe stress, increased metabolism, or acute anxiety)
Term
Sensorium
Definition
Assessing the pts orientation to time, place, and person
Term
Hypothermia
Definition
Body temp below normal
Term
Tachycardia
Definition
A condition in which the pulse rate exceeds 100 beats/min
Term
Pulse pressure
Definition
Term
Pulsus Alternans
Definition
An alternating succession of strong and weak pulses (Suggests left sided heart failure)
Term
Bradypnea
Definition
A slow respiratory rate
Term
Diastolic Pressure
Definition
The force in the major arteries remaining after relaxation of the ventricles
Term
Hypotension
Definition
BP less than 95/60 mm Hg
Term
Syncope
Definition
Fainting
Term
Cyanosis
Definition
A bluish discoloration of the tissues
Term
Kussmaul's Sign
Definition
When the jugular venous pressure rises during inhalation
Term
Barrel chest
Definition
Abnormal increase in the anteroposterior diameter of the thorax (Associated w/emphysema)
Term
Kussmaul's breathing
Definition
Breathing w/a deep & rapid pattern
Term
Tactile fremitus
Definition
When vibrations that are created by the vocal cords during speech are felt on the chest wall
Term
Pneumothorax
Definition
Presence of air or gas in the pleural space of the thorax
Term
Bronchial breath sounds
Definition
Term
Wheeze
Definition
Continuous adventious lung sounds (associated w/asthma or bronchospasm)
Term
Stridor
Definition
Loud, high pitched sound which can sometimes be heard w/o a stethoscope(most common in infants and small children)Continuous type of adventious lung sounds primarily heard over the the larynx and trachea during inhalation
Term
Rhonchi
Definition
Low-pitched , continuous adventious lung sound most often heard on exhalation
Term
Murmur
Definition
An abnormal heart sound most often heard over the precordium
Term
Clubbing
Definition
A painless enlargement of the terminal phalanges of the fingers & toes, which develops over time
Term
Fever w/a cough suggests
Definition
Respiratory infection
Term
Pectus carinatum
Definition
Abnormal protrusion of the sternum (pigeons chest)
Term
Pectus excavatum
Definition
Abnormal depression of the sternum
Term
Kyphoscoliosis
Definition
Abnormal curvature of the spine; often causes severe restrictive lung disease
Term
Precordium
Definition
The chest wall overlying the heart
Term
In what pt population is orthopnea most commonly seen & what is its cause?
Definition
Common in pts with congestive heart failure and appears to be caused by the sudden increase in venous return that occurs w/reclining
Term
What is the difference b/t mucous & phlegm
Definition
Term
What is the difference b/t pleuritic vs nonpleuritic chest pain?
Definition
Pleuritic-usually located laterally or posteriorly. worsens when the pt takes a deep breath and is described as a sharp, stabbing type of pain (associated w/ diseases of the chest that cause the pleural lining of the chest to become inflamed such as pneumonia)
-Nonpleuritic-located typically in the center of the anterior chest and may radiate to the shoulder or back. Not affected by breathing. Described as a dull ache or pressure type of pain.
Term
What is a complete health history?
Definition
Term
How can you check for postural hypotension?
Definition
by measuring the BP in both the supine and sitting positions or on standing up
Term
How is pulsus paradoxus measured?
Definition
W/a BP cuff
Term
What causes subcutaneous emphysema?
Definition
When air leaks from the lung into the subcutaneous tissues, fine air bubbles produce a crackling sound and sensation when palpated
Term
What is normal temp, RR, diastolic & systolic BP?
Definition
temp=98.6 degrees F (37 C)
RR=12-18 bpm
Systolic=90-140 mm Hg
Diastolic=60-90 mm Hg
Term
Common cause of nonpleuritic chest pain
Definition
Angina
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