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tact
discretion and sensitivity when dealing with patients
medical history
record of past and current health
chief complaint
a patient's overview of what they think is their main health problem
physical signs
observable signs of illness
found externally
current history
patient's main complaint, current health issues, treatments/tests that the patient just had or will have, allergies, medication, health habits
previous history
any past health problems, procedures, medications, vaccinations, and hospital visits
social history
aspects of the patient's lifestyle
family history
medical information about the patient's family
systolic
Blood pressure in the arteries during contraction of the ventricles.
diastolic
Blood pressure that remains between heart contractions.
blood pressure
measure force applied to artery walls as blood pumps and amount of blood pumped
mm Hg
less than 120/80
height
tape measure
ft and in
weight
scale
pounds
BMI
ratio of height to weight
calculator
weight * 703/height
breath sounds
stethoscope
oxygen saturation
amount of oxygen in blood
95-99%
SpO2
Oximeter
Low saturation = respiratory illness
temperature
How warm a patient's body is
97-99
Degrees F or C
Varied temp = infection
otoscope
tool used during an ear exam
opthalmoscope
tool used during an eye exam
melanoma
when UV rays damage DNA in melanocytes (pigment-producing cells) and they grow uncontrollably
develops on skin exposed to sun
mitral valve regurgitation
when the mitral valve doesn't close all the way, allowing blood to flow back into the left atrium from the left ventricle and making the heart work harder
brings extra heart sounds
cornea
outermost layer of the eye
shields eye from harmful matter
helps eye focus
retina
light-sensitive tissue at back of eye
converts processed images into nerve signals that the brain receives
ear
responsible for hearing and balance
skin
largest organ in the body
regulates internal temperature
repels water
synthesizes vitamin D
registers tactile sensations
physically blocks and biochemically detects invading bacteria and toxins
heart valves
prevent back flow of blood
middle ear infection
caused by a viral infection from another infection
pain, bad hearing
eardrum is red/bulging with fluid behind it
strep throat
bacterial infection
severe throat pain, pain while swallowing
red/inflamed tonsils and uvula
fever, aches
swollen lymph nodes
infected white tissue on tonsils
tonsillitis
caused by viral/bacterial infection
inflammation of tonsils
enlarged red tonsils
throat pain/pain while swallowing
swollen lymph nodes in neck
fever, headache
ABCDE system
asymmetry, border irregularity, color changes, diameter, evolving
heartbeat
first sound: mitral and tricuspid valves close
second sound: aortic and pulmonary valves close
snellen eye chart test
measures visual activity and clarity of vision
patient stands 20 ft away and tests each eye
snellen eye chart test numbers
first: distance you stood from the chart
second: distance at which a person with normal eyesight could read the same line you read correctly
clear
clear whoosh of air
wheezing
high-pitched whistling
caused by narrowed airways
crackles (rales)
when breathing through a fluid-filled airway
stridor
harsh, shrill sound
partially obstructed windpipe
rhonchi
snore-like sound
partially obstructed airways
complete blood count
count of all RBC, WBC, Hgb, hematocrit, and platelets
leukemia
cancer of white blood cells
sickle cell
shriveled, crescent-shaped red blood cell
cholesterol
a waxy, fatlike substance produced naturally from the liver and absorbed by food, in all cells
makes hormones and vitamins
glucose
simple sugar used for energy
electrolytes
minerals in blood
keep water balance, move nutrients, check function of major systems
Ex: calcium, potassium, sodium
metabolism
all chemical reactions in an organism
needs nutrients and makes energy and waste
RBC
erythrocytes
carry oxygen and CO2
WBC
leukocytes
protect the body against pathogens
high = infection
low = weak immune system
platelets
thrombocytes
help the body form clots on blood vessels to stop bleeding
hemoglobin
protein that carries oxygen in RBC
hematocrit
the proportion of RBC to plasma
saturated fats
solid at room temp
raises LDL, narrows arteries
no double carbon bond
unsaturated fats
liquid at room temperature
balance cholesterol
carbon double bond
telehealth
a way for people to remotely access health-related services using technology instead of in-person contact
ATP
adenosine triphosphate
energy compound that powers our activities
diabetes
a disease where the cells can't efficiently take glucose
RPM
remote patient monitoring
use technology to gather health data and send it to doctors
carbohydrates
sugar
first source of energy
found in potatoes, bread, candy
lipids
fats, oils, phospholipids
store energy, second source of energy
found in oil, butter, fatty fish
diabetes symptoms
fatigue, dizziness, thirst/dehydration, weight loss
can lead to stroke and cardiomyopathy
pre-diabetic lifestyle changes
healthy diet low in carbs
exercise
weight loss
positive feedback
causes a reinforcement in initial action
reaction increases
negative feedback
causes the system to stop the initial action and take no action/perform the opposite action
HIPAA
health insurance portability and accountability act
protects a patient's privacy
info protected under HIPAA
patient's physical mental health
patient's payment services
provided healthcare services
maintain privacy
can't speak about patient unless the person also works on the patient
can't leave patient records unattended in public
try not to be overheard
when info can be shared
controlling infectious disease
preventing injury
prevent abuse/neglect
prevent public health/safety threat
assisting for legal reasons
disaster relief
assisting a medical examiner
sound
travels through eardrum
through ossicles
into inner ear
phlebotomy
puncture a vein to draw blood
uses a tourniquet to slow the blood flow and find veins
anemia
low RBC, hemoglobin, hematocrit
ATP (adenosine triphosphate)
An adenine-containing nucleoside triphosphate that releases free energy when its phosphate bonds are hydrolyzed. This energy is used to drive endergonic reactions in cells.
Biomolecules
organic molecules which combine to form living organisms; includes carbohydrates, lipids, proteins and nucleic acids
cancer
A disease in which some body cells grow and divide uncontrollably, damaging the parts of the body around them.
chemical reaction
process that changes one set of chemicals into another set of chemicals
Cholesterol
A lipid that forms an essential component of animal cell membranes and acts as a precursor molecule for the synthesis of other biologically important steroids.
demeanor
behavior; manner of conducting oneself
diagnosis
Identification of an injury or disease
Diastole
relaxation phase of the heartbeat
diastolic pressure
occurs when the ventricles are relaxed; the lowest pressure against the walls of an artery
empathy
Identification with and understanding of another's situation, feelings, and motives
erythrocytes
another name for red blood cells
glucagon
A protein hormone secreted by pancreatic endocrine cells that raises blood glucose levels; an antagonistic hormone to insulin.
HDL
high density lipoproteins (healthy type of cholesterol)
Heartrate
beats per minute
HIPPA
Health Insurance Portability and Accountability Act
Hypertension
High Blood Pressure
homeostasis
process by which organisms maintain a relatively stable internal environment
hormones
Chemical messengers, mostly those manufactured by the endocrine glands, that are produced in one tissue and affect another
insulin
A protein hormone secreted by the pancreas that is essential for the metabolism of carbohydrates and the regulation of glucose levels in the blood.
LDL
low density lipoprotein (bad cholesterol)
Leukocytes
another name for white blood cells
negative feedback loop
A feedback loop in which a system responds to a change by returning to its original state, or by decreasing the rate at which the change is occurring.
plasma
liquid portion of blood
positive feedback loop
a feedback loop in which change in a system is amplified
pulse
The rhythmic expansion and recoil of arteries resulting from heart contraction; can be felt from the outside of the body.
respiratory rate
the number of breaths taken in one minute
risk factor
anything that increases the likelihood of injury, disease, or other health problems
sphygmomanometer
instrument used to measure blood pressure
symptoms
the conditions that together tell a doctor what is wrong
systole
contraction phase of the heartbeat
systolic pressure
Blood pressure in the arteries during contraction of the ventricles.