68 Questions
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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