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Med Terms 2

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deep, rapid respiration characteristic of diabetic or other causes of acidosis  HALITOSIS - offensive odor of the breath.

KUSSMAUL’s breathing

offensive odor of the breath.

HALITOSIS

a characteristic “fruity” or acetone breath odor that occurs with a life-threatening condition of diabetic ketoacidosis

Acetone breath odor

also described as urine-like or "fishy" in people with chronic kidney failure.

Ammonia odor

fabrication of information that often occurs during hypnosis, when the unconscious encounters a memory gap and fills it with incorrect information

Confabulation

A rapid succession of thoughts manifested by continuous and constantly shifting verbalization or loosely linked play on words. The ideas are generally connected. Flight of ideas is a feature of manic mood disorders

Flight of ideas

paleness, as of the skin or mucosae. Although it is commonly associated with anemia, many long-term cases show mucosae of normal color; pallor is also a common sign in shock.

Pallor

a condition in which a person's skin and the whites of the eyes are discolored yellow due to an increased level of bile pigments in the blood resulting from liver disease

Jaundice

redness of the skin caused by congestion of the capillaries in the lower layers of the skin. It occurs with any skin injury, infection, or inflammation.

Erythema

bluish discoloration of the skin and mucous membranes

Cyanosis

generalized, gray-brown discoloration of the skin

Hemochromatosis

white patches in the skin surrounded by areas of normal pigmentation

Vitiligo

generalized

Albinism

spoon nail (concave nail)

Koilonychia

if nails meet and angle of attachment is 180 degrees or greater

Clubbing of fingers

separation of the nail from the nailbed

Onycholysis

transverse ridges; may indicate serious illness causing nail growth to halt

Beau’s lines

inflammation

Parenchyma

flat nonpalpable lesion; < 1cm

Macule

flat nonpalpable lesion; >1cm

Patch

palpable, raised but superficial lesion < 1cm

Papule

raised, superficial, temporary lesion

Wheal

palpable, solid with depth in to dermis < 2cm; if it is fluid-filled & encapsulated it is referred as cyst

Nodule

palpable, solid with depth in to dermis > 2cm

Tumor

palpable, fluid-filled serous lesion <1cm

Vesicle

palpable, fluid-filled serous lesion >1cm

Bullae

palpable; pus-filled lesion

Pustule

hives

Urticaria

white nails

Leukonychia

athlete’s foot; fungal skin diseases occurring in the foot

Tinea pedis

ringworm, fungal skin disease occurring anywhere in the body

Tinea corporis

thinning of hair growth

Alopecia

excessive hair growth

Hirsutism

the presence of lice on the scalp, seen especially in children, with nits attached to hairs

Pediculosis capitis

Referring to a head of normal shape and of normal size for the person’s age.

Normocephalic

Abnormal protrusion of the eyeball

Exophthalmos

an abnormal condition in which cerebrospinal fluid collects in the ventricles of the brain

Hydrocephalus

A chronic disease of adults marked by enlargement of the bones of the extremities, face, and jaw that is caused by overactivity of the pituitary gland

Acromegaly

drooping of upper eyelid

Ptosis

visible sclera between iris and eyelid; setting-sun eyes

Exophthalmos

outward turning or sagging of lower eyelid that leaves the eye exposed & dry

Extropion

inversion of the eyelid, so that the lashes rub against the globe of the eye

Entropion

accumulation of fluid

Edema

a whitish deposit in the shape of an arc that is sometimes seen in the cornea

Arcus senilis

dilatation of the pupil of the eye

Mydriasis

constriction of the pupil of the eye

Miosis

PERRLA

Pupils Equally Round and Reactive to Light and Accommodation

inability of both eyes to gaze at the same point in space

Strabismus

oscillating, rapid involuntary rhythmic eye movement

Nystagmus

disorder of the sebaceous gland causing increase in the sebaceous secretion

Seborrhea

An abnormal mass of tissue arising from the conjunctiva of the inner corner of the eye that obstructs vision by growing over the cornea

Pterygium

a slightly elevated elastic tissue deposit in the conjunctiva that may extend to the cornea but does not cover it

Pinguecula

unequal pupils

Anisocoria

ears greater than 10cm vertical height in adults

Macrotia

ears less than 4cm vertical height in adults

Microtia

diminished hearing acuity in older adults

Presbycusis

elongated or rounded projections seen in the nasal cavity; usually benign

Nasal polyps

inflammation of the sinuses usually following an upper respiratory infection

Sinusitis

slight ingrowth of the lower nasal septum

Deviated nasal septum

nosebleed

Epistaxis

white patches seen in the mucous membrane in the mouth or tongue

Leukoplakia

bony growths in hard palate

Exostoses

inflammation of the lips, drying and cracking

Cheilisis

fissures at the corners of the lips (vitamin B deficiency)

Cheilosis

reddened, smooth painful tongue with or w/o ulcerations

Glossitis

caused by inhibition of normal bacteria & overgrowth of fungus; usually associated with antibiotic use

Black hair tongue

enlargement of gums frequently seen in pregnancy, leukemia or prolonged use of phenytoin (Dilantin)

Gingival/gum hyperplasia

deviation of the neck to one side caused by spasmodic contraction of neck muscles

Torticollis

Study Notes

Respiratory System

  • Deep, rapid respiration is characteristic of diabetic or other causes of acidosis
  • Fruity or acetone breath odor is a characteristic of diabetic ketoacidosis
  • Halitosis is an offensive odor of the breath
  • Urine-like or "fishy" breath odor is characteristic of chronic kidney failure

Skin and Hair

  • Pallor is paleness of the skin or mucosae, often associated with anemia
  • Jaundice is a condition in which the skin and whites of the eyes are discolored yellow due to liver disease
  • Erythema is redness of the skin caused by congestion of the capillaries in the lower layers of the skin
  • Cyanosis is bluish discoloration of the skin and mucous membranes
  • Arg mas is generalized, gray-brown discoloration of the skin
  • Vitiligo is characterized by white patches in the skin surrounded by areas of normal pigmentation
  • Koilonychia is a spoon-shaped nail
  • Onycholysis is separation of the nail from the nailbed
  • Beau's lines are transverse ridges on the nail

Lesions

  • Macule is a flat, non-palpable lesion, less than 1cm
  • Patch is a flat, non-palpable lesion, greater than 1cm
  • Papule is a palpable, raised, but superficial lesion, less than 1cm
  • Wheal is a raised, superficial, temporary lesion
  • Nodule is a palpable, solid lesion with depth into the dermis, less than 2cm
  • Cyst is a palpable, fluid-filled lesion, less than 1cm
  • Tumor is a palpable, solid lesion with depth into the dermis, greater than 2cm
  • Vesicle is a palpable, fluid-filled lesion, less than 1cm
  • Pustule is a palpable, pus-filled lesion
  • Hives are itchy, painful, or burning patches on the skin
  • White nails are seen in certain diseases, such as fungal infections
  • Athlete's foot is a fungal skin disease occurring in the foot
  • Ringworm is a fungal skin disease occurring anywhere in the body
  • Alopecia is thinning of hair growth
  • Hirsutism is excessive hair growth
  • Pediculosis is the presence of lice on the scalp, seen especially in children

Eyes and Face

  • Normocephaly is a head of normal shape and size for the person's age
  • Exophthalmos is abnormal protrusion of the eyeball
  • Hydrocephalus is an abnormal condition in which cerebrospinal fluid collects in the ventricles of the brain
  • Acromegaly is a chronic disease of adults marked by enlargement of the bones of the extremities, face, and jaw
  • Ptosis is drooping of the upper eyelid
  • Sclera show is visible sclera between iris and eyelid
  • Ectropion is outward turning or sagging of lower eyelid that leaves the eye exposed and dry
  • Entropion is inversion of the eyelid, so that the lashes rub against the globe of the eye
  • Chemosis is accumulation of fluid
  • Arcus senilis is a whitish deposit in the shape of an arc in the cornea
  • Mydriasis is dilatation of the pupil of the eye
  • Miosis is constriction of the pupil of the eye
  • PERRLA is equality of reaction to light and accommodation in both eyes
  • Strabismus is inability of both eyes to gaze at the same point in space
  • Nystagmus is oscillating, rapid, involuntary rhythmic eye movement
  • Meibomian cyst is a disorder of the sebaceous gland causing an increase in sebaceous secretion
  • Pterygium is an abnormal mass of tissue arising from the conjunctiva of the inner corner of the eye
  • Pinguecula is a slightly elevated elastic tissue deposit in the conjunctiva that may extend to the cornea but does not cover it
  • Anisocoria is unequal pupils

Ears, Nose, and Mouth

  • Macrotia is ears greater than 10cm vertical height in adults
  • Microtia is ears less than 4cm vertical height in adults
  • Presbyacusis is diminished hearing acuity in older adults
  • Nasal polyp is an elongated or rounded projection seen in the nasal cavity, usually benign
  • Sinusitis is inflammation of the sinuses, usually following an upper respiratory infection
  • Deviation of nasal septum is a slight ingrowth of the lower nasal septum
  • Epistaxis is nosebleed
  • Leukoplakia is white patches seen in the mucous membrane in the mouth or tongue
  • Torus palatinus is a bony growth in the hard palate
  • Cheilitis is inflammation of the lips, drying, and cracking
  • Angular cheilitis is fissures at the corners of the lips, often due to vitamin B deficiency
  • Glossitis is a reddened, smooth, painful tongue with or without ulcerations
  • Thrush is caused by inhibition of normal bacteria and overgrowth of fungus, usually associated with antibiotic use
  • Gingival hyperplasia is enlargement of the gums, frequently seen in pregnancy, leukemia, or prolonged use of phenytoin (Dilantin)
  • Torticollis is deviation of the neck to one side, caused by spasmodic contraction of neck muscles

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