Health Assessment Exam 1

Acute glaucoma

________ occurs with sudden increase in intraocular pressure from blocked outflow from anterior chamber, patient has sudden clouding of vision, eye pain, and halos around lights, requires emergency treatment to avoid permanent vision loss.

Urticaria

________ (hives): collection of wheals forming an extensive pruritic reaction.

Hematoma

________ in one sternomastoid muscle, probably injured by intrauterine malposition, results in head tilt to one side and limited neck ROM to opposite side.

nodules

solid, elevated, extending deeper into dermis,> 1 cm.

Lichenifications

________: prolonged scratching, thickened skin, tightly packed papules.

O

________ Occurs with iritis and inflammation of anterior chamber.

Subconjunctival hemorrhage

________: looks alarming but not serious; d /t increased intraocular pressure from coughing, vomiting, heavy lifting, straining, or trauma.

Tumors

________: deep into dermis, benign or malignant, larger in diameter, firm or soft.

Hypopyon

________: layer of WBCs in anterior chamber; s /s pain, red eye, decreased vision.

Gyrate

________: twisted, coiled, or snakelike.

Cysts

________: encapsulated fluid filled cavity.

Pustules

________: pus in cavity; elevated.

Lanugo

________: fine downy hair of newborn infant.

Zosteriform

________: linear arrangement on nerve route (shingles)

Horners syndrome

________: unilateral small regular pupil, reacts to light and accommodation.

Vernix caseosa

________: cheesy substance on infant when fresh from the womb.

Tinea corporis

________: ringworm of the body.

Papules

________: thickened area of epidermis.

Blepharitis

________: inflammation of the eyelid.

Papilledema

________: venous stasis from increased ICP, redness congestion and elevation of disc.

Optic atrophy

________: disc pallor; from partial or complete death of the optic nerve, decreased visual acuity, decreased color vision, disc has white to gray color.

Chalazion

________: inflamed or infected oil gland on the lid.

epstein-barr virus Mononucleosis

________:"mono; "severe malaise and fatigue, chills, fever, stiffness and pain in the neck, enlargement of the spleen.

Hodgkins Lymphoma

________ : cancer of the immune system; rare; involves neck, armpits, and groin; swelling and enlargement of the lymph nodes; fever, chills, night sweats, fatigue, neck pain.

Internal factors

help maximize communication skills; Liking others, empathy, ability to listen, and self-awareness (implicit bias)

External factors

ensure privacy, avoid interruptions, equal status seating, dress, and limit note taking and give them your full attention

Macules

pigmented area

Patches

macules > 1cm

Papules

thickened area of epidermis

Plaques

papule > 1cm

Wheals

transient, erythematous, irregular in shape; bug bite

Urticaria (hives)

collection of wheals forming an extensive pruritic reaction

Tumors

deep into dermis, benign or malignant, larger in diameter, firm or soft

Vesicles (blister)

elevated cavity containing fluid

Bullas

blister > 1cm

Cysts

encapsulated fluid filled cavity

Pustules

pus in cavity; elevated

Telangiectasis

spider/ star angiomas, venous lake

Purpuric lesions

petechiae, ecchymosis, purpura

Zosteriform

linear arrangement on nerve route (shingles)

Gyrate

twisted, coiled, or snakelike

Arciform

bow shaped

Tinea corporis

ringworm of the body

Tinea pedis

ringworm of the foot (athletes foot)

non-Hodgkins Lymphoma

swollen nodes, fever, abdominal and chest pain; cancer of the immune system

Age-related macular degeneration (AMD)

breakdown of cells in macula; loss of central vision

o   Risk factors

cigarette smoking, HTN, hypercholesterolemia, family Hx, females

Diabetic retinopathy

causes blindness; leading cause age 25-74

o   Proliferative

worsening

Blepharitis

inflammation of the eyelid

Chalazion

inflamed or infected oil gland on the lid

Hordeolum

stye; inflamed hair follicle on eyelash

Anisocoria

unequal pupil size

Miosis

excessive constriction of pupils (glaucoma drops, narcotic use, brain damage)

Mydriasis

enlarged pupils (use of drugs, dilating drops, acute glaucoma, past or recent trauma)

Primary angle-closure glaucoma (PACG)

hazy pupil; Pupil is oval, dilated, cornea looks “steamy”. Acute glaucoma occurs with sudden increase in intraocular pressure from blocked outflow from anterior chamber, patient has sudden clouding of vision, eye pain, and halos around lights, requires emergency treatment to avoid permanent vision loss.

Subconjunctival hemorrhage

looks alarming but not serious; d/t increased intraocular pressure from coughing, vomiting, heavy lifting, straining, or trauma

Pterygium

overgrowth of conjunctiva toward the center of the cornea from chronic exposure to hot, dry, sandy climate

Hyphema

blood in anterior chamber d/t herpes infection, blunt trauma, or spontaneous hemorrhage

Hypopyon

layer of WBCs in anterior chamber; s/s pain, red eye, decreased vision

Papilledema

venous stasis from increased ICP, redness congestion and elevation of disc