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Addisons Disease - bronze pigmentation of skin Angina Pectoris - pain upon exertion Appendicitis - Mc Burneys sign Atrial Septal Defect - murmur heard high on chest Autism - rocking, spinning, routines
B Bacterial Vaginosis - grayish white discharges Basilar Fracture - raccoons eye Breech Birth - meconium staining Bulimia Nervosa - Binge eating
C Carbon Monoxide Poisoning - cherry pink flushed face, carbon in the secretions, non-productive cough Carpal Tunnel Syndrome - Jack Hammer Syndrome (TINELs sign) Cataract - cloudy vision Celiac Disease - gluten sensitivity, foul smelling stool
Chicken Pox - maculopopular rash Cholera - rice water stools Colic - pulling up of arms and legs, red-faced crying COPD - barrel chest, clubbing of fingers
Cushings Syndrome - moon face, buffalo hump CVA - homonymous hemianopsia Cystocele & Rectocele - feeling of fullness at vagina
Delirium - recent and past memory defect Dementia - recall or learning memory impairment Detached Retina - flashes of light, shadow/ curtain across the vision DM - polydipsia, polyuria, polyphagia
Diptheria - pseudomembrane Diverticular Disease - cramping, colicky pain in left lower abdominal quadrant Down Syndrome (Trisomy 21) - saddle nose, brushfields spots
E Ectopic pregnancy - Cullen sign Endometriosis - premenstrual pain decreasing as menstrual flow decreases
F Failure to Thrive (FTT) - Radar gaze G GERD - Barret esophagus Glaucoma - halos around the light, tunnel vision
Hirschprungs Disease - ribbon-like, foul smelling stool H-mole - grapelike growth, large abdomen Hydrocephalus - Setting sun eyes Hypocalcemia - Trousseau sign, Chvostek Sign, Hyperreflexia
I Increased ICP - high pitch cry Increased IOP - Dolls eye Intestinal Obstruction - no passage of meconium IDA - activity intolerance
K Kawasaki - strawberry tongue Kleibsiella Pneumonia - red gelatinous sputum L Left-sided Heart Failure - pulmonary manifestations
Low birth weight - less than 2.5kg or 5 1/2lbs Lyme Disease - red-tinged circular rash (erythema chronicum migrans) M Malaria - blackwater fever
Menieres Disease - whirling vertigo, tinnitus Meningitis - Kernigs sign, Brudzinskis sign Moniliasis - white cheesy discharge
Multiple Sclerosis - descending weakness, Charcots Sign (intention tremor, nystagmus, scanning speech) Myasthenia Gravis - nasal smile Mycoplasmal Pneumonia - nonproductive that progresses to mucoid sputum
Myocardial Infarction - Levine sign, viselike or crushing pain radiating to shoulder, arms, jaw or back O Opthalmia Neonatorum - purulent conjunctivitis Oral Thrush - white patches on tongue
Osteoporosis - kyphosis Otosclerosis - ringing or buzzing, longer bone conduction than air conduction P Pancreatitis - steatorrhea
PDA - machinery-type murmur throughout the heartbeat in the left 2nd or 3rd interspace Parkinsons Disease - pill rolling, bradykinesia, rigidity Peritonitis - board-like abdomen Pernicious Anemia - Beefy red tongue
Pertusis - paroxysmal cough ending with a whoop PID - fever, vaginal discharges, lower abdominal cramping
Placenta Previa - painless bright red bleeding Pneumococcal Pneumonia - purulent rusty sputum Pneumothorax (Flail Chest) - paradoxical respiration loose chest segment moves inward during respiration and outward during expiration
PIH - edema, proteinuria, hypertension Preterm infant - 36 weeks or less Prolapse Uterus - pelvic heaviness Pulmonary Embolism - sudden dyspnea, sharp pleuritic pain
Pyloric Stenosis - projectile vomiting, non bile stained vomitus, R Rabies - hydrophobia Retinoblastoma - diminished vision, strabismus, retinal detachment, abnormal pupilary reflex
Right Ventricular Failure - Systemic manifestation Rocky-Mountain Spotted Fever - rose colored macules Rubella (German Measles) - Foreschimers Spot (small red macules on soft palate) Rubeola (Measles) - Koplik spots
S Schizophrenia - Association, affect, ambivalence, autistic thinking Sickle Cell Anemia - painful episodes or vaso-occlusive crisis Staphyloccocal Pneumonia - yellow-blood streaked sputum
SIDS - frothy, blood-tinged fluid fills mouth and nose Syphilis - chancre on genitalia, mouth, anus SLE - butterfly rash on face
T Tetanus (lockjaw) - spasms TOF - Pulmonary valve stenosis, RVH, Overriding of the Aorta, VSD Thrombophlebitis - Homans sign Tracheoesophageal Fistula - coughing, choking, cyanosis
Trichomoniasis - malodorous thin yellow discharges Typhoid fever - rose-colored papules on the abdomen Tuberculosis - low grade fever, night sweats, hemoptysis
U Ulcerative Colitis - bloody, watery, purulent, mucoid stools V Varicosities - tortous veins
AST, SGOT Male: 8-46U/L Female: 7-34U/L Bilirubin Total: up to 1.0mg/100ml Bleeding Time 3-7 min BUN 8-25mg/ml
Creatinine Kinase (CK) Male: 17-148U/L Female: 10-79U/L CPK <150U/L CPK-MB 0-5ng/ml Creatinine 0.6-1.5mg/100ml
ESR
Male: 1-13mm/Hr Female: 1-20mm/Hr Fibrinogen 160-450mg/dl Glucose 70-110mg/100ml HCO3 22-26mmol/L
HDL
30-75mg/dl Hemoglobin Male: 13-18g/ 100ml Female: 12-16g/ 100ml Hematocrit Male: 45-52% Female: 37-48%
Iron
50-150u/100 ml WBC -10,000-15,000/mm3 LDH 70-180 Lipase 2 units/ml or less
Phosphorus 3.0-4.5mg/ 100ml Platelets 150,000-400,000/mm3 Potassium 3.5-5mEq/l Protein 6.0-8.4g/ 100ml
PT
10-12 sec PTT 30-45 sec RBC
T3
75-195 ng/ 100ml T4, total 4-12 u/ml Thrombin Time 11-15 sec Triglycerides 40-150mg/ 100ml
TSH
0.5-5U/ml Urea Nitrogen 8-25mg/ 100ml Uric Acid Male: 4-9 mg/dl Female: 3-6.6 mg/dl
Cardiovascular System
Electrocardiography - noninvasive test - graphical representation of the hearts electrical activity - interpret EKG for changes
Holter Test Monitoring(Ambulatory EKG) - noninvasive test - records the hearts electrical activity and cardiac events for 24 hours - advise the patient on activity limitations while wearing monitor
Cardiac Catheterization - invasive, fluoroscopic procedure - examines intracardiac structure, pressure, oxygenation and cardiac output. - Note the patients allergies before testing - Report immediately if with chest pain
Echocardiography - noninvasive test - uses echoes from sound waves to visualize intracardiac structures and blood flow - Determine the patients ability to lie still.
Stress Testing - noninvasive test - study of the hearts electrical activity and ischemic events during levels of exercise. - Light breakfast before the test - STOP the test if patient develops cardiopulmonary symptoms
Respiratory System
Bronchoscopy - invasive test - allows for visualization of the trachea and bronchial tree - Check cough and gag reflex AFTER procedure
Pulmonary Angiography - invasive test involving injection of radiopaque dye - allows for radiographic examination of pulmonary circulation -NOTE allergies to iodine, seafoods, and radiopaque dyes BEFORE test
Thoracentesis - invasive procedure using needle aspiration - allows removal of pleural fluid and specimen examination - PLACE the patient in proper position
Pulmonary Function Tests (PFTs) - noninvasive test - measures lung capacity - Document bronchodilators or narcotics used before testing
Arterial Blood Gas analysis (ABG) - blood test - arterial blood measurements of tissue oxygenation, ventilation and acid-base balance. - APPLY pressure to the site 5 minutes after procedure
Lung Biopsy - invasive test - removal of a small amount of lung tissue for histologic evaluation - OBSERVE for signs of pneumothorax and air embolism after procedure
Nervous System
Electroencephalography (EEG) - noninvasive test - graphic representation of the brains electrical activity - WITHHOLD medications and caffeine 8 hours before the procedure
Cerebral Angiogram - invasive procedure using a radiopaque dye - allows examination for the cerebral arteries - NOTE patients allergies before the procedure
Lumbar Puncture - invasive test - collection of CSF for analysis - CONTRAINDICATED in the presence of increased ICP
Gastrointestinal System
Upper GI Series (Barium Swallow) - allows for examination of the esophagus, stomach, duodenum and other portions of the small bowel after swallowing - BEFORE procedure, administer fluids, cathartics, and enema, as prescribed
Lower GI Series (Barium Enema) - Allows for examination of the large intestine after administration of a barium enema - BEFORE procedure, withhold food
Endoscopy - procedure using an endoscope for visualization - WITHHOLD food and fluids 6 to 12 hours before the test
Fecal Occult Blood Test - laboratory test using a reagent - analysis of stool for blood - ADVISE the patient to AVOID red meat, iron and high fiber for 1 to 3 days prior to the procedure
Fecal Fat Test - laboratory test using a stain - analysis of stool for fat - ADVISE the patient to restrict alcohol intake and maintain a high-fat diet for 72 hours before examination
Cholangiography - invasive procedure using an injection of a radiopaque dye through a catheter - allows for examination of the biliary duct system - BEFORE the procedure, note the patients allergies
Liver Scan - invasive procedure using an IV injection of a radioisotope - provides an image of blood flow in the liver - Assess the patient for allergic reaction after the procedure
Gastric Analysis - aspiration of the contents of the stomach through an NG tube - measures the acidity of gastric secretions - Instruct NOT TO SMOKE for 8 to 12 hours before the test
Ultrasonography - noninvasive procedure that uses echoes from sound waves - provides visualization of body organs - WITHHOLD food and fluids for 8 to 12 hours before the procedure
Liver Biopsy - invasive procedure using needle for the percutaneous removal of a small amount of liver tissue - Before the test, assess clotting studies - During the test, hold the breath - After the test, Right lateral position
Urinary System
Urinalysis - laboratory test for urine - examines the color, appearance, pH, specific gravity, protein, glucose, ketones, RBCs, WBCs and casts - OBTAIN first morning urine specimen
Urine Culture and Sensitivity - laboratory test for urine - detects bacteria - Collect midstream sample in sterile container
24-hour Urine Collection - laboratory test for urine - samples collected over 24 hours to determine kidney function - instruct the patient to void and note time - discard the first urine collected
Blood Chemistry - laboratory test of blood sample - analysis for potassium, sodium, calcium, phosphorus, glucose, bicarbonate, BUN, creatinine, protein, albumin, and osmolality - check the site for bleeding
Cystoscopy - procedure using cystoscope to visualize the bladder - Check the patients urine for blood clots after the procedure
Renal Angiography - procedure using injection of radiopaque dye through a catheter - examination of the renal arterial supply - NOTE the patients allergies before the procedure
Hematopoietic System
Bone Marrow Examination - percutaneous removal of bone marrow - examines erythrocytes, leukocytes, thrombocytes, and precursor cells - GIVE analgesics or , as ordered.
Shilling Test - administration of oral radioactive cyanocobalamin and I.M. cyanocobalamin -microscopic examination of 24-hour urine sample of cyanocobalamin - WITHHOLD food and fluids post HS