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nsu_226 test#2

QuestionAnswer
Accommodation - adaptation of the eye for near vision by increasing the curvature of the lens
Anisocoria unequal pupil size
Arcus senilis gray-white arc or circle around the limbus of the iris that is common with aging
Argyll Robertson pupil pupil does not react to light; does constrict with accommodation
Astigmatism refractive error of vision due to differences in curvature in refractive surfaces of the eyes (cornea and lens)
A-V crossing crossing paths of an artery and vein in the ocular fundus
Bitemporal hemianopsia loss of both temporal visual fields
Blepharitis - inflammation of the glands and eyelash follicles along the margin of the eyelids
Chalazion- - infection or retention cyst of a meibomian gland, showing as a beady nodule on the eyelid
Cataract - opacity of the lens of the eye that develops slowly with aging and gradually obstructs vision
Conjunctivitis infection of the conjunctiva, “pinkeye”
Microaneurysm- abnormal finding of around red dots on the ocular fundus that are localized dilations of small vessels
Miosis- constricted pupils
Mydriasis- dilated pupils
Myopia- “nearsighted”; refractive error in which near vision is better than far vision
Nystagmus- involuntary, rapid, rhythmic movement of the eyeball
OD- oculus dexter, or right eye
Optic disc- area of ocular fundus in which blood vessels exit and enter
OS- oculus sinister, or left eye
Papilledema- stasis of blood flow out of the ocular fundus; sign of increased intracranial pressure
Presbyopia- decrease in power of accommodation that occurs with aging
Pterygium- triangular opaque tissue on the nasal side of the conjunctiva that grows toward the center of the cornea
Ptosis- drooping of upper eyelid over the iris and possibly covering pupil
Red reflex- red glow that appears to fill the person’s pupil when first visualized through the ophthalmoscope
Strabismus- (squint, crossed eye) disparity of the eye axes
Xanthelasma- soft, raised yellow plaques occurring on the skin at the inner corners of the eyes
annulus- outer fibrous rim encircling the eardrum
atresia- congenital absence or closure of ear canal
cerumen- yellow waxy material that lubricates and protects the ear canal
cochlea- inner ear structure containing the central hearing apparatus
Eustachian tube- connects the middle ear with the nasopharynx and allows passage of air
Helix- superior, posterior free rim of the pinna
Incus- “anvil,” middle of the 3 ossicles of the middle ear
Malleus- “hammer,” first of the 3 ossicles of the middle ear
Mastoid- bony prominence of the skull located just behind the ear
Organ of Corti- sensory organ of hearing
Otalgia- pain in the ear
Otitis externa- inflammation of the outer ear and ear canal
Otitis media- inflammation of the middle ear and tympanic membrane
Otorrhea- discharge from the ear
Pars flaccida- small, slack, superior section of tympanic membrane
Pars tensa- thick, taut, central/inferior section of tympanic membrane
Pinna- auricle, or outer ear
Stapes- “stirrup,” inner of the ossicles of the middle ear
Tinnitus- ringing in the ears
Tympanic membrane- “eardrum,” thin, translucent, oval membrane that stretches across the ear canal and separates the middle ear from the outer ear
Umbo- knob of the malleus that shows through the tympanic membrane
Vertigo- a spinning, twirling sensation
Aphthous ulcers- “canker sores,” – small, painful, round ulcers in the oral mucosa of unknown cause
Buccal- pertaining to the cheek
Candidiasis- (moniliasis) white, cheesy, curdlike patch on buccal mucosa due to superficial fungal infection
Caries - decay in the teeth
Crypts- indentations on surface of tonsils
Cheilitis- red, scaling, shallow, painful fissures at corners of mouth
Choanal atresia- closure of nasal cavity due to congenital septum between nasal cavity and pharynx
Epistaxis- nosebleed, usually from anterior septum
Epulis- nontender, fibrous nodule of the gum
Fordyce’s granules- small, isolated, white or yellow papules on oral mucosa
Gingivitis- red swollen gum margins that bleed easily
Herpes simplex- “cold sores,” clear vesicles with red base that evolve into pustules, usually at lip-skin junction
Koplik’s spots - small, blue-white raised patch on sides of tongue; precancerous
Malocclusion- upper or lower dental arches out of alignment
Papillae- rough bumpy elevation on dorsal surface of tongue
Parotid glands- pair of salivary glands in the cheeks in front of the ears
Pharyngitis- inflammation of the throat
Plaque- soft whitish debris on teeth
Polyp- smooth, pale gray nodules in the nasal cavity due to chronic allergic rhinitis
Rhinitis- red swollen inflammation of nasal mucosa
Thrush- Oral candidiasis in the newborn
Turbinate- one of the 3 bony projections into nasal cavity
Uvula- Free projection hanging down from the middle of the soft palate
Alveoli- functional units of the lung; the thin-walled chambers surrounded by networks of capillaries that are the site of respiratory exchange of carbon dioxide and oxygen
Angle of louis- Manubriosternal angle, the articulation of the manubrium and body of the sternum, continuous with the second rib
Apnea- cessation of breathing
Asthma- an abnormal respiratory condition associated with allergic hypersensitivity to certain inhaled allergens, characterized by bronchospasm, wheezing, and dyspnea
Atelectasis- an abnormal respiratory condition characterized by collapsed, shrunken, deflated section of alveoli
Bradypnea- slow breathing, <10 breaths per minute, regular rate
Bronchiole- one of the smaller respiratory passageways into wich the segmental bronchi divide
Bronchitis- inflammation of the bronchi with partial obstruction of bronchi due to excessive mucus secretion
Bronchophony- the spoken voice sound heard through the stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue
Chronic obstructive pulmonary disease (COPD)- a functional category of abnormal respiratory conditions characterized by airflow obstruction (E.G. emphysema, chronic bronchitis)
Cilia- millions of hairlike cells lining the tracheobronchial tree
Consolidation- the solidification of portions of ling tissue as it fills up with infectious exudate, as in pneumonia
Crackles- (rales) abnormal, discontinuous, adventitious lung sounds heard on inspiration
Crepitus- coarse cracking sensation palpable over the skin when air abnormally escapes from the lung and enters the subcutaneous tissue
Dead space- passageways that transport air but are not available for gaseous exchange, (e.g. trachea and bronchi)
Dyspnea- difficult, labored breathing
Egophony- the voice sound of “eeeeeee” heard through the stethoscope
Emphysema- the chronic obstructive pulmonary disease characterized by enlargement of alveoli distal to terminal bronchioles
Fissure- the narrow crack dividing the lobes of the lungs
Fremitus- a palpable vibration from the spoken voice felt over the chest wall
Friction rub- a coarse, grating, adventitious lung sound heard when the pleurae are inflamed
Hypercapnia- (hypercarbia) increased levels of carbon dioxide in the blood
Hyperventilation- increased rate and depth of breathing
Hypoxemia- Decreased level of oxygen in the blood
Intercostal space- space between the ribs
Kussmaul’s respiration- a type of hyperventilation that occurs with diabetic ketoacidosis
Orthopnea- ability to breathe easily only in an upright position
Paroxysmal nocturnal dyspnea- sudden awaking from sleeping with shortness of breath
Percussion- striking over the chest wall with short sharp blows of the fingers in order to determine the size and density of the underlying organ
Pleural effusion- abnormal fluid between the layers of the pleura
Rhonchi- low-pitched, musical, snoring, adventitious lung sound caused by air-flow obstruction from secretions
Tachypnea- rapid shallow breathing, > 24 breaths per minute
Vesicular- the soft, low-pitched, normal breath sounds heard over peripheral lung fields
Vital capacity- the amount of air, following maximal inspiration, that can be exhaled
Wheeze- high-pitched, musical, squeaking adventitious lung sound
Whispered pectoriloquy- a whispered phrase heard through the stethoscope that sounds faint and inaudible over normal lung tissue
Xiphoid process- sword-shaped lower tip of the sternum
Angina pectoris- acute chest pain that occurs when myocardial demand exceeds its oxygen supply
Aortic regurgitation- (aortic insufficiency) incompetent aortic valve that allows backward flow of blood into left ventricle during diastole
Aortic stenosis- calcification of aortic valve cusps that restricts forward flow of blood during systole
Aortic valve- the left semilunar valve separating the left ventricle and the aorta
Apex of the heart- tip of the heart pointing down toward the 5th left intercostal space
Apical impulse- (point of maximal impulse, PMI) pulsation created as the left ventricle rotates against the chest wall during systole, normally at the 5th left intercostal space in the midclavicular line
Base of the heart- broader area of heart’s outline located at the 3rd right and left intercostal space
Bell (of the stethoscope) cup- shaped endpiece used for soft, low-pitched heart sounds
Clubbing- bulbous enlargement of distal phalanges of fingers and toes that ovvurs with chronic cyanotic heart and lung conditions
Coarctation of aorta- severe narrowing of the descending aorta, a congenital heart defect
Cor pulmonale right ventricular hypertrophy and heart failure due to pulmonary hypertension
Cyanosis- dusky blue mottling of the skin and mucous membranes due to excessive amount of reduced hemoglobin in the blood
Diaphragm (of the stethoscope)- flat endpiece of the stethoscope used for hearing relatively high-pitched heart sounds
Diastole- the heart’s filling phase
Dyspnea- difficult, labored breathing
Edema- swelling of legs or dependent body part due to increased interstitial fluid
Erb’s point- traditional auscultatory area in the 3rd left intercostal space
First heart sounds (S1)- occurs with closure of the atrioventricular (AV) valves signaling the beginning of systole
Fourth heart sound (S4)- (S4 gallop; atrial gallop) very soft, low-pitched, ventricular filling sound that occurs in late diastole
Gallop rhythm- the addition of a 3rd or a 4th heart sound makes the rhymun sound like the cadence of a galloping horse
Inching- technique of moving the stethoscope incrementally across the precordium through the auscultatory areas while listening to the heart sounds
LVH (left ventricular hypertrophy)- increase in thickness of myocardial wall that occurs when the heart pumps against chronic outflow obstruction, e.g. aortic stenosis
MCL(midchavicular line) – imaginary vertical line bisecting the middle of the clavicle in each hemithorax
Mitral regurgitation- (mitral insufficiency) incompetent mitral valve allows regurgitation of blood back into left atrium during systole
Mitral stenosis- calcified mitral valve impedes forward flow of blood into left ventricle during diastole
Mitral valve- left AV valve separating the left atria and ventricle
Palpitation- uncomfortable awareness of rapid or irregular heart rate
Paradoxical splitting- opposite of a normal split S2 so that the split is heard in expiration, and in inspiration the sounds fuse to one sound
Pericardial friction rub- high-pitched scratchy extracardiac sound heard when the precorium is inflamed
Physiologic splitting- normal variation in S1 heard as two separate components during inspiration
Precordium- area of the chest wall overlying the heart and great vessels
Pulmonic regurgitation- (pulmonic insufficiency) backflow of blood through incompetent pulmonic valve into the right ventricle
Pulmonic stenosis- calcification of pulmonic valve that restricts forward flow of blood during systole
Pulmonic valve- right semilunar valve separating the right ventricle and pulmonary artery
Second heart sound (S2)- occurs with closure of the semilunar valves, aortic and pulmonic, and signals the end of systole
Summation gallop- abnormal mid-diastolic heart sound heard when both pathologic S3 and S4 are present
Syncope- temporary loss of consciousness due to decrease cerebral blood flow (fainting), caused by ventricular asystole, pronounced bradycardia, or ventricular fibrillation
Systole- the heart’s pumping phase
Tachycardia- rapid heart rate, > 100 beats per minute in the adult
Third heart sound (S3) soft, low-pitched, ventricular filling sound that occurs in early diastole (S3 gallop) and may be an early sign of heart failure
Thrill- palpable vibration on the chest wall accompanying severe heart murmur
Tricuspid valve- right AV valve separating the right atria and ventricle
Allen test- determining the patency of the radial and ulnar arteries by compressing one artery site and observing return of skin color as evidence of patency of the other artery
Aneurysm- defect or sac formed by dilation in artery wall due to atherosclerosis, trauma, or congenital defect
Arrhythmia- variation from the heart’s normal rhythm
Arteriosclerosis- thickening and loss of elasticity of the arterial walls
Atherosclerosis- plaques of fatty deposits formed in the inner layer( intima) of the arteries
Bradycardia- slow heart rate, <50 beats per minute in the adult
Bruit- blowing, swooshing sound heard through a stethoscope when an artery is partially occluded
Diastole- the heart’s filling phase
Homans’ sign- calf pain that occurs when the foot is sharply dorsiflexed (Pushed up, toward the knee); may occur with deep vein thrombosis, phlebitis, Achilles tendinitis, or muscle injury
Ischemia- deficiency of arterial blood to a body part, due to constriction or obstruction of a blood vessel
Lymphedema- swelling of extremity due to obstructed lymph channel, nonpitting
Lymph nodes- small oval clumps of lymphatic tissue located at grouped intervals along lymphatic vessels
Pitting edema- indentation left after examiner depresses the skin over swollen edematous tissue
Profile sign- Viewing the finger from the side in order to detect early clubbing
Pulse- pressure wave created by each heartbeat, palpable at body sites where the artery lies close tot the skin and over a bone
Pulsus alternans- regular rhythm, but force of pulse varies with alternating beats of large and small amplitude
Pulsus bigeminus- irregular rhythm, every other beat is premature, premature beats have weakened amplitude
Pulses paradoxus- beats have weaker amplitude with respiratory inspiration, stronger with expiration
Systole- the heart’s pumping phase
Tachycardia- rapid heart rate, >100 beats per minute in the adult
Thrombophlebitis- inflammation of the vein associated with thrombus formation
Varicose vein- dilated tortuous veins with incompetent valves
Ulcer- open skin lesion extending into dermis with sloughing of necrotic inflammatory tissue
Created by: mallory043
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