NR 509 midterm
Cause of saddle numbness and urinary retention - ANS-Cauda equina syndrome
Presentation of retinal detachment - ANS-If sudden visual loss is unilateral and
painless,
Obtunded - ANS-patient opens the eyes and looks at you but responds slowly and is
somewhat confused. Alertness and interest in the environment are decreased.
Cranial nerve for lateral gaze - ANS-CN6: Abducens
Adult Illnesses - ANS-Medical: Illnesses such as diabetes, hypertension, hepatitis,
asthma, and human immunodeficiency virus (HIV); hospitalizations; number and gender
of sexual partners; and risk-taking sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception,
and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
Present Illness - ANS-chronologic description of the problems prompting the patient's
visit, including the onset of the problem, the setting in which it developed, its
manifestations, and any treatments to date.Each problem/symptom needs: (1) location;
(2) quality; (3) quantity or severity; (4) timing, including onset, duration, and frequency;
(5) the setting in which it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
Absence of red reflex - ANS-an opacity of the lens (cataract) or, possibly, the vitreous
(or even an artificial eye). Less commonly, a detached retina or, in children, a
retinoblastoma may obscure this reflex.
S/S of seasonal allergies - ANS-Itching, watery eyes, sneezing, ear congestion,
postnasal drainage
Presentation of optic neuritis - ANS-Enlarged blind spot, vision loss in 1 eye, loss of
color vision, hole in center of vision, trouble seeing to the side, eye pain
pityriasis rosea - ANS-Multiple round to oval scaling violaceous plaques on abdomen
and back
, Acromion - ANS-tip of shoulder
What to do for + finding on physical exam, but - workup - ANS-continue using test, but
less lab and diagnostics
Cause of falsely high BP - ANS--too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Check for nystagmus - ANS--involuntary jerking movement of the eyes with quick and
slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear
ophthalmoplegia
Jaundice - ANS-yellow sclera
how do get a patient to open up when upset - ANS-effective reassurance is simply
identifying and acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain - ANS--Slowly progressive, with temporary exacerbations after
periods of overuse
-usually insidious
- flexion and deviation deformities
How otosclerosis presents with Weber and Rinne test - ANS-- Weber: Sound lateralizes
to impaired ear. Room noise not well heard, so detection of vibrations improves
- Rinne: BC longer than or equal to AC. While air conduction through the external or
middle ear is impaired, vibrations through bone bypass the problem to reach the
cochlea.
Cherry angiomas - ANS-Benign
Cause of saddle numbness and urinary retention - ANS-Cauda equina syndrome
Presentation of retinal detachment - ANS-If sudden visual loss is unilateral and
painless,
Obtunded - ANS-patient opens the eyes and looks at you but responds slowly and is
somewhat confused. Alertness and interest in the environment are decreased.
Cranial nerve for lateral gaze - ANS-CN6: Abducens
Adult Illnesses - ANS-Medical: Illnesses such as diabetes, hypertension, hepatitis,
asthma, and human immunodeficiency virus (HIV); hospitalizations; number and gender
of sexual partners; and risk-taking sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception,
and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
Present Illness - ANS-chronologic description of the problems prompting the patient's
visit, including the onset of the problem, the setting in which it developed, its
manifestations, and any treatments to date.Each problem/symptom needs: (1) location;
(2) quality; (3) quantity or severity; (4) timing, including onset, duration, and frequency;
(5) the setting in which it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
Absence of red reflex - ANS-an opacity of the lens (cataract) or, possibly, the vitreous
(or even an artificial eye). Less commonly, a detached retina or, in children, a
retinoblastoma may obscure this reflex.
S/S of seasonal allergies - ANS-Itching, watery eyes, sneezing, ear congestion,
postnasal drainage
Presentation of optic neuritis - ANS-Enlarged blind spot, vision loss in 1 eye, loss of
color vision, hole in center of vision, trouble seeing to the side, eye pain
pityriasis rosea - ANS-Multiple round to oval scaling violaceous plaques on abdomen
and back
, Acromion - ANS-tip of shoulder
What to do for + finding on physical exam, but - workup - ANS-continue using test, but
less lab and diagnostics
Cause of falsely high BP - ANS--too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Check for nystagmus - ANS--involuntary jerking movement of the eyes with quick and
slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear
ophthalmoplegia
Jaundice - ANS-yellow sclera
how do get a patient to open up when upset - ANS-effective reassurance is simply
identifying and acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain - ANS--Slowly progressive, with temporary exacerbations after
periods of overuse
-usually insidious
- flexion and deviation deformities
How otosclerosis presents with Weber and Rinne test - ANS-- Weber: Sound lateralizes
to impaired ear. Room noise not well heard, so detection of vibrations improves
- Rinne: BC longer than or equal to AC. While air conduction through the external or
middle ear is impaired, vibrations through bone bypass the problem to reach the
cochlea.
Cherry angiomas - ANS-Benign
