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Nursing 305
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68
Medical
Undergraduate 3
09/24/2008

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Term
referred to the left shoulder pain due to blood accumulation in peritoneal cavity=splenic rupture, renal stones, ectopic pregnancy
Definition
kehr's sign
Term
Where can you find the Murphy's sign of the gallbladder?
Definition
By percussing the midclavicular line
Term
What are some tests and signs for appendicitis?
Definition
iliopsoas muscle test
obturator test
cutaneous hypersensitivity
rosvings sign
mcburney's sign
Term
What is the rosvings sign?
Definition
It is found by palpating in left lower quadrant and pain is found in right lower quadrant
Term
What is Mcburney's point
Definition
A third eye starting from the umbilicus towards the right side of the body
Term
Acute inflammation of vermiform appendix
Definition
appendicitis
Term
Acute or chronic inflammation of wall of gall bladder
Definition
Cholectitis
Term
Inflammation of diverticula
Definition
diverticulitis
Term
Breaks in mucosa of dudonum
Definition
Duodenal ulcer
Term
Implantation of blastocyte outside of the uterus, generally in the fallopian tube
Definition
ectopic pregnancy
Term
Inflammation of mucosal lining of the stomach
Definition
gastritis
Term
Backflow of gastric acid to the esophagus
Definition
gastrophageal reflux disorder
Term
blockage of normal movement of bowel contents
Definition
intestinal obstruction
Term
Inlammation of the pancreas
Definition
pancreatitis
Term
How many rib pairs are there?
Definition
12 ribs
Term
What are the functions of the nasal cavity?
Definition
It warms, humidifies, filters air.
Term
What is the function of a pharynx?
Definition
Passageway b/w nose and larynx, mouth, esophogus.
Term
What is the function of the larynx?
Definition
Passageway, voicebox
Term
What is the function of the trachea?
Definition
Aiway between larynx and bronchi
Term
What is the purpose of the bronchi?
Definition
Airway with primary, secondary, tertiery branches
Term
What is the purpose of bronchioles?
Definition
Transitional airways, some gas exchange occur
Term
what is the function of alveolar ducts and sacs?
Definition
perform gas exchange
Term
What is the purpose of the pleura?
Definition
It lines the lungs, reduces ffriction and helps maintaing negative pressure.
Term
An infant has what shpae of a chest?
Definition
round
Term
What are some symptoms of respiratory problems?
Definition
dyspnea
apnea
chest pain
cough
fatigue
edema
Term
abnormal respiratory sounds associated with wheezing
Definition
asthma
Term
abnormal respiratory sound associated with an area of the lung collapsed. alveoli are collapsed.
Definition
atelectisis
Term
abnormal respiratory sounds associated with bronchial inflammation and copious secretion
Definition
bronchitis
Term
Respiratory abnormal sound associated with hyperinflated lung and permanant enlargement of the alveoli sacs.
Definition
emphysema
Term
Respiratory abnormalities associated with fluid in the lungs
Definition
Lobar pneumonia
Term
Respiratory abnormalities associated with fluid in the lungs and compression of alveoli
Definition
pleural effusion
Term
Respiratory abnormalities associated with a hole in the lung which allows air to flood into the lungs.
Definition
pneumothorax
Term
respiratory abnormalities associated with pulmonary capillaries enlarged
Definition
congestive heart failure
Term
Type of chorionic obstructive airway disease, limitation in flow of air through airways, involves gradual destruction of alveoli in lungs
Definition
Emphysema
Term
What causes emphysema??
Definition
most commmon is smoking, long term exposure causes destruction of alveoli, decreases ability of lungs to provide oxygen to body
-increasingly difficult to breathe and excercise without discomfort
Term
What are some lung changes in emphysema?
Definition
1) chronic cough + sputum production
2) moderate Chorionic obstructive airway disease - shorness of breath
3) severe chorionic obstructive airway disease - severe airflow that impairs quality of life.
Term
What are signs and symptoms of disease?
Definition
shortness of breathe, difficulty breathing, unable to catch their breath with various levels of excercise, breathless even at rest, orthopnea
Term
Cannot catch breath when they lie down to sleep
Definition
orthopnea
Term
What are different positions for a person with orthopnea
Definition
sitting propped on pillow or sleeping in a chair
Term
Respiratory disease caused by a mycobacterium tuberculosis
Definition
Tuberculosis
Term
What does the PPD skin test indicate?
Definition
It indicates that the body has developed antibodies to the TB bacteria
Term
How is TB transmitted?
Definition
by person to person through droplets in the air
Term
What does active TB do to the person?
Definition
Weakened immune system allows bacteria to become active in system
Term
If there is a positive PPD , what is the follow up?
Definition
chest x ray needed to determine if its active or dormant.
treatment with antibiotics.
Term
What are the symptoms of active TB?
Definition
coughing lasting more than 3 weeks, coughing out blood, feeling tired all the time, fever + night sweats, loss of weight
Term
Pace of SA node
Definition
paces 60 - 100
Term
Pace of AV node
Definition
40 - 60
Term
Pace of bundle of his
Definition
Paces 20 - 40
Term
What are durations of heart sounds?
Definition
Short and long
Term
Timing of heart sounds
Definition
systolic diastolic both
Term
quality heart sounds
Definition
blowing, rumbling, sharp, snappy
Term
Rate of heart sounds
Definition
Bradycardia
tachycardia
Term
Pitch of heart sounds
Definition
high, medium, low
Term
Intensity of heart sounds
Definition
Soft to loud, 1 - 6
Term
Turbulent flow within the heart
Definition
murmur
Term
Turbulent flow outside the heart in arteries
Definition
bruits
Term
What can cause turbulent heart flow?
Definition
increased flow through normal valves
flow into dilated chamber
back-flow
shunting
Term
Chest landmarks
Definition
aortic valve
pulmonic valve
tricuspid valve
mitral valve
Term
Where is the base of the heart?
Definition
Top of the heart which is S2
Term
Which part of the heart is the apex?
Definition
the bottom point of the heart which is S1
Term
What are uncontrollable cardiac risk factors?
Definition
age, sex, heredity, race
Term
Cardiac risk factors
Definition
smoking, cholesterol, hypertension, physical inactivity, obesity
Term
What are 2 cardiac contributing risk factors
Definition
diabetes
stress
Term
What are cardiac related problems
Definition
chest pain
sputum
ankle swelling/edema, calf pain, nausea/vomiting, dyspnea, orthopnea, cough, fatigue, meds taken, palpitations
Term
"hardening of the arteries"
Definition
atherosclerosis
Term
What causes atherclerosis?
Definition
variety of conditions caused by fatty or calcium deposits in the artery walls
Term
What does atherosclerosis results to?
Definition
decrease flow of oxygen-rich blood through heart
Term
Disease thats starts in childhood and progresses with age. It damages the endothelium: innermost layer of artery
Definition
atherosclerosis
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