atypical pigmentation;
red/white/grey/blue/black/brown; geriatric population
malignant melanoma
prolonged horizontal growth or vertical, can spread to
lentigo maligna melanoma other organs
most common skin malignancy, malignant neoplasm
of the basal cells of the epidermis, lesions almost
basal cell carcinoma always occur on face; pearly, rolled, well-defined
margins, ulceration in center
malignant neoplasm of keratocytes in the epidermis;
scaling, crusting, plaque appearance, can ulcerate
squamous cell carcinoma and bleed
frequently encountered in patients with HIV infection;
mouth and nose; vesicular at first then dries/crusts up
herpes simplex
before rash erupts patient will describe burning,
tingling sensation on skin then eruption of vesicular
herpes zoster rash along dermatome; can come out along a spinal
nerve or cranial nerve (body or face)
less than 1 cm; filled with serous fluid; blister, herpes
vesicle simplex
greater than 1 cm; filled with serous fluid; blister,
bullae vulgaris
papule smaller than 1 cm; nevus, wart
would cause enlargement of submaxillary or
dental abscess submental
1 or more enlargement of lymph node; post auricular
and post cervical nodes would be enlarged; viral or
lymphadenopathy bacterial etiology
bacterial exudate, fever, tonsils 3+ is what type of pharyngitis?
tonsils 2-3+ (may be 4+), absence of fever is what
viral type of pharyngitis? (most common cause)
, measurement of fluid overload, heart, strain, flow is
jugular venous pressure what assessment?
covered with exudate pockets in the tonsils are normal unless ?
what type of conjunctivitis? both eyes affected,
viral conjunctivitis generally no pain, URI, fever
what type of conjunctivitis? usually 1 eye, generally
bacterial conjuctivitis no pain, discharge
difference between conjunctivitis and retinal issue is ?
pain
what type of eye condition- both eyes are itchy,
allergic reaction tearing, shiners, allergy symptoms
hyperthyroidism thyroid gland enlargement (graves disease)
weight loss, anxiety, fast metabolism can be related to
Hyperthyroidism ?
weight gain, fatigue, dry skin, brittle nails can be
hypothyroid related to ?
chief complaint main symptom and time frame
history of present illness further explain chief complaint
summarizes in terms of body systems all the
review of symptoms symptoms that may have been overlooked in the HPI,
(subjective) yes or no questions
preparation of equipment; inspection, palpation,
auscultation, percussion; conduct by body regions
physical exam (objective) from head to toe
painless; floaters, flushing, curtain or shadow across
retinal tear the peripheral vision; can cause retinal detachment
a tumor on the ocular fundus in children, white pupil=
retinoblastoma
(most common malignant tumor of the sensory retina)
retinoblastoma
red/white/grey/blue/black/brown; geriatric population
malignant melanoma
prolonged horizontal growth or vertical, can spread to
lentigo maligna melanoma other organs
most common skin malignancy, malignant neoplasm
of the basal cells of the epidermis, lesions almost
basal cell carcinoma always occur on face; pearly, rolled, well-defined
margins, ulceration in center
malignant neoplasm of keratocytes in the epidermis;
scaling, crusting, plaque appearance, can ulcerate
squamous cell carcinoma and bleed
frequently encountered in patients with HIV infection;
mouth and nose; vesicular at first then dries/crusts up
herpes simplex
before rash erupts patient will describe burning,
tingling sensation on skin then eruption of vesicular
herpes zoster rash along dermatome; can come out along a spinal
nerve or cranial nerve (body or face)
less than 1 cm; filled with serous fluid; blister, herpes
vesicle simplex
greater than 1 cm; filled with serous fluid; blister,
bullae vulgaris
papule smaller than 1 cm; nevus, wart
would cause enlargement of submaxillary or
dental abscess submental
1 or more enlargement of lymph node; post auricular
and post cervical nodes would be enlarged; viral or
lymphadenopathy bacterial etiology
bacterial exudate, fever, tonsils 3+ is what type of pharyngitis?
tonsils 2-3+ (may be 4+), absence of fever is what
viral type of pharyngitis? (most common cause)
, measurement of fluid overload, heart, strain, flow is
jugular venous pressure what assessment?
covered with exudate pockets in the tonsils are normal unless ?
what type of conjunctivitis? both eyes affected,
viral conjunctivitis generally no pain, URI, fever
what type of conjunctivitis? usually 1 eye, generally
bacterial conjuctivitis no pain, discharge
difference between conjunctivitis and retinal issue is ?
pain
what type of eye condition- both eyes are itchy,
allergic reaction tearing, shiners, allergy symptoms
hyperthyroidism thyroid gland enlargement (graves disease)
weight loss, anxiety, fast metabolism can be related to
Hyperthyroidism ?
weight gain, fatigue, dry skin, brittle nails can be
hypothyroid related to ?
chief complaint main symptom and time frame
history of present illness further explain chief complaint
summarizes in terms of body systems all the
review of symptoms symptoms that may have been overlooked in the HPI,
(subjective) yes or no questions
preparation of equipment; inspection, palpation,
auscultation, percussion; conduct by body regions
physical exam (objective) from head to toe
painless; floaters, flushing, curtain or shadow across
retinal tear the peripheral vision; can cause retinal detachment
a tumor on the ocular fundus in children, white pupil=
retinoblastoma
(most common malignant tumor of the sensory retina)
retinoblastoma
