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health assesment 1a
| Question | Answer |
|---|---|
| Tracheal Shift: | 1. Pushed to health side with an arotic aneurysm, tumor, unilateral thyroid lobe enlargement, and pneumothorax 2. Pulled toward diseased sid with large atelectasis, pleural adhesions, or fibrosis 3. Tugged to rhythmic downward pulloccurs w/ arotic a |
| Criteria for common lymph nodes | -Acute infection:bilateral, enlarged, warm, tender, and firm but freely movable -Chronic inflammation: tuberculosis the nodes are clumped -Cancerous: hard, unilateral, nontender, fixed -HIV: englarge, firm =, nontender, and mobile -Hodkins painless ru |
| Thyroid nodule | -Multiple: indicates inflammation or multinodular goiter rather than neoplasm -Single: solitary benign, greater mailgnancy and young person; suspect any painless, rapidly growing nodule: cancerous hard + fixed |
| Gingivitis | Gum margins are red, swalloen, + bleed easily -inflammation is usually due to poor hygiene or vit. C deficiency -occur in prego+ puberty bc of changin hormonal balance |
| Gingival hyperplasia | painless enlargement of gums, sometimes over reaching teeth -occur puberty, prego, leukemia,+ long use of dilantin |
| Hyperthroidism | nervousness, fatigue, weightloss, muscle cramps tachycardia, SOB, excessive sweating, thin silky hair and skin infrequent blinking |
| Hypothyrodism | Congenital: low hairline, hirsute forehead, swollen eyelids, narrow palpebral fissure, widely spaced eyelids, depressed nasal bridge, puffy face, thick protuding tongue 2. Mysedema: puffy edematous face, corse facial features; dry skn,coarse hair+eyebr |
| Basal cell carcinoma | colored papule (rounded pearly borders with central red ulcer or large open pore w/central yellowing) |
| Squamos Cell carcinoma | erythematous scaly patch w/sharp margins, >1cm -develops central ullcer, usually on hand/head (less common grows rapidly) |
| Malignant Melanom | arise from nevi, brown(tan,black,pink-red, purple, or mixed) may have scaling, flaking oozing |
| Epidemic Kaposi's Sarcoma | Patch stage: faint pink on temple + beard area (bruises or nevi) Advanced: widely disseminated lession (violet colored tumors over nose+face,tiny red nodule eye0 Plaque stage:raised papules or thickend plaques(oval +vary in color) |
| Tinea Corporis | ringworm of the body scales, on chest, abdomen, back of arms |
| Tinea Pedis | ringwoem of the foot "athlets foot" 1st appears on toes and sides of feet then gorws scaly +hard, found in chronically warm moist feet |
| Measles (rubeola) | red-purple, blochy rash: appears on ears, face, neck, trunk, arms Koplik's spot:bluish white, red-based elevations |
| Germen measles (rubella) | pink papular rash; face then spreads; presecene of lyphadenopathy and no koplik's spot |
| Cold sores (herpes simplex) | lesion erupts iwth tight vesicles followed by pustules than many painful ulcers |
| Shingles | caused by varicella, reaction of dormant virus of chickenpox -unilateral, does not cross midline, common in adults more than 50yrs |
| Fetal Alcohol syndrome | narrow palpebral fissures, epicanthal folds, and midfacial hypoplasia |
| Down Syndrom | upslanting eyes, flat nasal bridge, small broad flat nose, protuding thick tongue, ear dysplasia, short broad neck with webbing |
| Parkinson's | face is flat expressionless, "masklike" with elevated eyebrows, staring gaze, oily skin, drooling |
| Cushing's Syndrome | ACTh, "moonlike" face, prominent jowls, red cheeks, hirstuism upper lip, decreased cheeks and chin |
| Celft palate | congenital defect, failure of the fusion of the maxillary processes -upper lip, palate,uvula, cleft of nostril |
| Celft Lip | early treatment preserves functions of speech and language formation + deglutition(swallowing) |
| Marcoglossia | large protude impairs speeh -occurs with down syndrome,cretinism, myxedema, acromeagly |
| Black hairy tongue | elongated of papillae, painless overgrowth (fungus infection) -black, brown to yellow=antibiotics |
| Smoth Glossy Tongue (atrophic) | slick+ shiny mucosa thins and red from decreased papillae, dryness -vit B12 defiency, folic acid and iron deiciency |
| Migratory (geographic) | bright red, shiny, circular bald areas with pearly borders -chnages in few days (no known cause) |
| Fissured or scrotal | deep furrows divide papillae, small irregular rows -increased with age, down syndrome (5%), dehyradition |
| Atopic (allergic) facies | exhausted face, blue shadows below eyes, double or single creas on lower eyelids, open mouth breathing |
| allergic saluet crease | transverse line on nose, child pushes nose up and back to relieve itching |
| sinusitis | facial pain, red swollen nasla mucosa, swollen turbinates and purulent discharge |
| Bell's Palsey | decreased motor neuron lesion, rapid onset -complete paralysis of half face ( no wrinkle forehead, raise eyebrows, close eye, whistle, or show teeth rightside) -droling |
| Stroke (brain attack) | increased motor neuron (central) rupture in cerebral vessel -paralysis of lower facial muscles, Upper half not affected |
Created by:
xnyzlatinangelx
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