Key Terms HEENT, hematology, pulmonology PDF

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key terms for patient assessment; hematology, pulmonology, HEENT...

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Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III

Key Terms Syllabus Supplement-Revised Updated September 29, 20101 Updated February 5, 20112 Updated April 8, 20113

The terms below refer to physical findings or conditions associated with specific organ systems or regions. As the organ systems or anatomic regions are presented in the Patient Assessment courses, build your medical vocabulary. Be able to define each term and relate it to what would be observable during physical examination. Skin Abscess Acne Actinic keratosis Alopecia Angioma Annular Aphthous stomatitis Arciform Atopic dermatitis Atrophy Basal cell carcinoma Bulla Café-au-lait spots Candidiasis Carbuncle Carotenemia Cellulitis Cheilitis Cherry angioma Comedone Condyloma acuminata Contact dermatitis Crust Cyst Dermatofirobroma Ecchymosis/es Eczema

Erosion Erythema Excoriation Fissure Folliculitis Furuncle Geographic Heliotrope Hemangioma Herpes simplex Herpes Zoster Hirsutism Hyperkeratosis Hyperpigmentation Hyperplasia Hypopigmentation Impetigo Intertrigo Jaundice Kaposi’s sarcoma Keloid Lichenification Lichen Simplex Lipoma Macule Maculopapular Melanoma

Milia Miliaria Mole and Dysplastic Mole Morbilliform Neurodermatitis Nevus Nodule Onycholysis Onychomycosis Papule Paronychia Petechiae Plaque Pruritus Psoriasis Purpura Pustule Scale Seborrheic Keratosis Serpiginous Small pox Spider vein Spider angioma Squamous cell carcinoma

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Updated September 29, 2010 changes from original version are noted in red. Updated February 5, 2011 changes from original version are noted in blue. 2 3 Updated April 8, 2011 changes from original version are noted in green. 2

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Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III Thrush Tinea Tinea Versicolor Ulcer

Urticaria Vesicle Vitiligo

Ey

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Accommodation Amblyopia Anterior chamber Anisocoria Aqueous humor Arcus senilis Astigmatism Blepharitis Bulbar conjunctiva Cataract Consensual pupillary reaction Chalazion Choroidal crescent Cup: Disc ratio Coloboma Cornea Diplopia Direct pupillary reaction Ectropion Enophthalmos

Entropion Esotropia Exophthalmos Exotropia Extraocular movements Fovea centralis Glaucoma Hordeolum Hyperopia Hypertropia Hyphema Iritis Macula Limbus Miosis Mydriasis Myopia A-V nicking O.D. (oculus dexter) O.S. (ocular sinister) O.U. (both eyes)

Optic disk Palpebral conjunctiva PERRLA Phoria Photophobia Pinguecula Posterior chamber Presbyopia Proliferative retinopathy Pterygium Proptosis Tropia Red Reflex Retina Scotoma Strabismus Subconjunctival hemorrhage Visual acuity Vitreous humor Xanthelasma

Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III

Ear Antihelix Antitragus Auricle Cerumen Cholesteatoma Darwin’s tubercle Epstein’s pearls External auditory canal External ear Helix

Incus Light reflex Malleus Mastoid bone Middle ear Ossicles Otitis externa Otitis media Pars flaccida Pars tensa Pinna

Pneumatic otoscopy Presbycusis Rinne test Stapes Tophi Tragus Tympanic membrane Umbo Weber test

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Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III Head, Neck, and Face Acromegaly Alopecia Anencephaly Bell’s palsy Anterior fontanelle Anterior triangle of the neck Calvaria Chloasma (melasma) Coronal suture Crepitation Cricoid cartilage Frontal bossing Goiter

Hirsutism Hydrocephalus Lambdoidal suture Lymphadenitis Lymphadenopathy Macrocephaly Macrognathia Micrognathia Microcephaly Molding Moon facies Myxedema Palpebral fissure Posterior fontanelle

Posterior triangle of the neck Sagittal suture Sternocleidomastoid Temporal artery Temporomandibular joint (TMJ) Torticollis Thyroid (including isthmus) Trachea Zygomatic arch

Nose, Mouth and Throat Angular cheilitis Aphthous ulcer Bruxism Cheilitis Ethmoid sinus Fordyce spots Frenulum of the tongue Frontal sinus Geographic tongue Gingiva Hard palate

Kiesselbach triangle Koplik spots Macroglossia Maxillary sinus Nares Nasal septum Nasopharynx Oropharynx Palatine tonsils Parotid glands Soft palate Stensen’s ducts

Sublingual glands Submandibular glands Thrush Torus palatini Transillumination Turbinates Uvula Wharton ducts Xerostomia

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Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III

Respiratory/Pulmonary Accessory muscle use Adventitious sounds Angle of Louis Apnea Asthma Atelectasis Biot’s breathing Bronchial breathing Bronchitis Bronchovesicular sounds Bronchiectasis Cheyne-Stokes respirations Chronic obstructive pulmonary disease (COPD) Costal angle Crackle/rale Cyanosis Dyspnea

Effusion Egophony Emphysema Empyema Excursion Fremitus Friction (pleural) rub Hemoptysis Hyperresonance Hyperventilation Kussmaul respiration Kyphosis Manubrium Nasal flaring Orthopnea Paradoxical breathing Pectus excavatum Pectus carinatum Paroxysmal nocturnal dyspnea (PND)

Perfusion Pulse oximetry Retractions Rhonchi Scoliosis Sternal angle Stridor Subcutaneous emphysema Succussion splash Tactile fremitus Tachypnea Tracheal deviation Tympany Ventilation Vesicular sounds Wheeze Whispered pectoriloquy

Cardiovascular and Peripheral Vascular Allen test Aneurysm Angina pectoris Angle of Louis Aortic regurgitation or insufficiency Aortic stenosis Apex (Apical) Atherosclerosis Acrocyanosis Atrioventricular valves

Base (of the heart) Bruit Carotid sinus Claudication Coarctation Deep vein thrombosis Diastole Embolism Functional murmur Gallop rhythm Homans sign

Hepatojugular reflex Heart sounds (S1, S2, S3, and S4) Afterload Preload Holosystolic (pansystolic) murmur Jugular venous distention (JVD) Ischemia Infarct 6

Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III Lymphedema Endocardium Myocardium Pericardium Pericardial (friction) rub Mitral insufficiency (regurgitation) Mitral stenosis

Palpitation Precordium Pulse pressure Pulsus alternans Pulsus paradoxus Thrombophlebitis Thrombosis Split heart sounds (S1 or S2)

Systole Semilunar valves Valsalva maneuver Venous hum Venous stasis, stasis ulcers, stasis dermatitis Varicose vein

Abdominal

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Anal fissure Anorexia Appendicitis Ascites Bright red blood per rectum (BRBPR) Biliary colic Borborygmi Cachexia Caput medusa Cholecystitis Cholelithiasis Cirrhosis Constipation Diarrhea Direct and indirect inguinal hernias Distention Diverticulosis Dyschezia

Dyspepsia Dysphagia Epigastrium Flatulence Fluid wave Guarding Hematemesis Hematochezia Hemorrhoids Hepatitis Hepatomegaly Hypochondrium Icterus Ileus Incarcerated hernia Intussusception Jaundice McBurney’s point Melena Murphy’s sign Normoactive bowel sounds

Obstipation Obturator sign Odynophagia Peristalsis Portal hypertension Psoas sign Rebound tenderness Reducible hernia Rigidity Rovsing’s sign Shifting dullness Splenomegaly Strangulated hernia Succussion splash Suprapubic Satiety Tenesmus

Renal/Urinary Anuria Costovertebral angle (CVA) tenderness Cystitis Flank pain Frequency

Hematuria Hesitancy Incontinence, urinary Nephrolithiasis Nocturia

Polyuria Pyelonephritis Ureteral colic Urgency

Neurological

Affect Afferent Agitation Analgesics Anhedonia Anesthesia Anisocoria Asterognosis Aphasia Apraxia Ataxia Athetosis Babinski Basal ganglia Bell’s Palsy Bradykinesia Broca’s Aphasia Brudzinski sign Cerebellum Cerebral vascular accident (CVA) Cerebrum Chorea Clonus Coma Confusion Corticospinal Tract (Pyramidal Tract) Cranial nerves Decerebrate rigidity Decorticate rigidity Deep tendon reflexes (DTRs) Delirium

Dementia Dermatome Dysarthria Dysdiaodochokinesis Dyskinesias Dystonia Efferent Flaccidity Frontal lobe Gaits Spastic hemiparesis Scissors Steppage Sensory ataxia Cerebellar ataxia Parkinsonian Glasgow coma scale Homonymous hemianopsia Huntington’s chorea Hyperesthesia Hypothalamus Kerning’s sign Lethargy Lower motor neuron Moro reflex Nuchal rigidity Nystagmus Obtundation Occipital lobe Parasympathetic nervous system Paresis Paraesthesia

Peripheral neuropathy Phalen’s test Posterior (dorsal) column Pituitary Polyneuropathy Proprioception Ptosis Pyramidal tract Radiculopathy Rigidity Romberg test Spasticity Spinothalamic tract Stereognosis Straight leg raising (SLR) Stupor Subarachnoid hemorrhage Sympathetic nervous system Temporal lobe Tic Tinel’s sign Transient ischemic attack (TIA) Wernicke’s aphasia Wernicke’s encephalopath y

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Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III

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Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III

Psychiatric Affect Agitated Agoraphobia Antisocial personality Avoidant personality Blocking Borderline personality Brief Psychotic disorder CAGE Circumstantiality Clanging Cognitive function Confabulation Cyclothymic episode Delirium Delusion Delusional disorder Dementia Dependent personality Depression Derailment (loosening of Associations)

Dysthymic disorder Echolalia Flight of ideas Generalized anxiety disorder Hallucinations Histrionic personality Hypomanic episode Illusions Judgment Major depression Major depressive episode Mania Manic episode Memory Mini-COG Mini-Mental Status Exam Mixed episode Mood Mood Narcissistic personality Neologisms

ObsessiveCompulsive disorder Obtunded Orientation Panic disorder Panic Disorder Paranoia Paranoid Schizoid personality Perceptions Perseveration Phobia Post-traumatic stress disorder Schizophrenia Schizophreniform disorder Schizotypal personality Social phobia Specific phobia Stupor

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Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III

General Abduction Adduction Atrophy Contracture Crepitations Dorsum Extension Fasiculations Flexion Hypertrophy Palmar surface Plantar surface Pronation Radicular Supination Tophus Valgus Varus

Shoulder Acromioclavicular arthritis Acromioclavicular separation Adhesive capsulitis Apley scratch test Apprehension and relocation test Bicipital tendonitis Brachial plexus injury Calcific tendonitis Crossover test Drop arm test External rotation

Glenohumeral arthritis Glenoid fracture Hawkin’s impingement sign Horizontal abduction Internal rotation Neer’s impingement sign

Musculoskelet al Proximal humerus fracture Prominent muscles of the rotator cuff (SITS) Suprapinatus Infraspinatus Teres minor Subscapularis Rotator cuff tear Rotator cuff tendinitis Subluxation Yergason test

Elbow and Forearm Elbow tendinitis Olecranon bursitis Humeral Fracture Lateral epicondylitis Medial epicondylitis Nursemaid’s elbow Olecranon process

Rheumatoid nodules Valgus stress

Hand and Wrist Acute tenosynovitis Allen test Anatomical snuffbox Bennett fracture Bouchard’s nodes Boutonniere deformity Boxer’s fracture Carpal tunnel syndrome Colles’ fracture De Quervain tenosynovitis Distal interphalangeal joint (DIP) Dupuytren contracture Gamekeeper’s thumb Ganglion cyst Goniometer Grip strength Heberden’s nodes Jersey finger Mallet finger Median nerve Metacarpophalang eal joint (MCP) Phalen’s test Proximal interphalangeal joint (PIP) Radial deviation Radial nerve 16

Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III Radiocarpal joints Scaphoid fracture Septic tenosynovitis Swan neck deformity Thenar atrophy Tinel’s test Trigger finger Ulnar deviation Ulnar nerve Ulnar styloid process

Hip and Thigh Congenital dislocation of the hip External hip rotation FADDIR maneuver (Flexion, Adduction, Internal Rotation) Femoral shaft fracture Hip dislocation Hip impingement Iliotibial band Inflammatory arthritis Internal hip rotation Osteoarthritis of the hip Osteonecrosis of the hip Pelvic fracture Prone Proximal femur fracture Straight leg test

Stress fracture of the hip Knee and Lower Leg Anterior cruciate ligament tear Anterior drawer sign Ballottement of patella Bulge sign Bursitis Collateral ligament tear Genu valgum Genu varum Gower sign Knee effusion Lachman’s test Posterior drawer sign Valgus stress test Varus stress test

Ankle and Foot Achilles tendon Acute gouty arthritis Calcaneus Callus Corn Dorsiflexion Eversion Flat feet Gout Hallux valgus Hammer toe

Inversion Lateral malleoli Medial malleoli Morton’s neuroma Neuropathic ulcer Plantar flexion Plantar wart Talipes equinovarus

Back Cervical myelopathy Cervical radiculopathy Gibbus Kyphosis Lateral bending Lordosis Paravertebral muscles Rotation Sciatica Scoliosis

Joints Articular Articular structure Bursae Cartilaginous Extra articular structure Fibrous

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Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III

Ligament Synovial Temporomandibula r joint (TMJ) Tendon

Joint Pain and Systemic Disorders

Acute rheumatic fever Behcet’s syndrome Fibromyalgia syndrome Gonococcal arthritis Gouty arthritis Hypertrophic osteoarthropathy Lyme disease Osteoarthritis Polymyalgia Rheumatica Psoriatic arthritis

Reiter’s syndrome Rheumatoid arthritis Serum sickness, drug reaction Systemic lupus erythematosus

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Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III

Endocrine

ACTH Addison’s disease Adrenal cortex Buffalo hump Chemosis Congenital adrenal hyperplasia Cortisol Cushing’s disease Cushing’s syndrome Euthyroid Sick Exophthalmos Glucocorticoid Goiter Grave’s disease

Hashimoto’s thyroiditis Hirsutism Hyperparathyroidis m Hyperpigmentation Hyperthyroidism Hypoparathyroidis m Hypothalmus Hypothyroidism Iatrogenic Cushing’s syndrome Moon fancies Onycholysis

Parathyroid gland Periorbital myxedema Pheochromocytom a Pretibial myxedema Proptosis Spontaneous Cushing’s syndrome Striae Thyroid acropachy thyrotoxicosis

Pediatrics Amblyopia Apgar score Babinski reflex Ballard scoring system Barlow test Breech Brushfield spots Congenital heart murmurs Pulmonary valve stenosis Aortic valve stenosis Tetralogy of Fallot Transposition of the great arteries Ventricular septal defect Patent ductus arteriosus Chvostek’s sign Coarctation of the aorta Crainiosynostosis Cryptorchidism

Common skin rashes: Erythema toxicum Neonatal acne Seborrhea Eczema (atopic dermatitis) Neurofibromatosis Candidial diaper dermatitis contact diaper dermatitis impetigo Verruca Vulgaris Verruca plana

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Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III Plantar warts Molluscum contagiosum adolescent acne Urticaria Tinea capitis Tinea corpori Dental carries Denver developmental screening test failure to thrive Fontanelle Frank breech

Gestational age: Preterm Term Postterm Hip dysplasia Hydrocele Hypospadias Infant periodicity schedule Molding Newborn classifications: SGA - small for gestational age AGA- appropriate for gestational age LGA- large for gestational age Nuchal rigidity Ortolani test Pectus excavatum Pectus carinatum Precocious puberty Primitive reflexes: Palmar grasp reflex Plantar grasp reflex Moro reflex (startle) Symmetric tonic neck reflex Positive support reflex Rooting reflex

Trunk incurvation (Galant’s refelex) Placing and stepping reflexes Landau reflex Parachute reflex

Geriatric Activities of daily living Confusion Assessment Method (CAM) Geriatric Depression Scale for Delirium Testing Instrumental Activities of Daily Living Mini-Cog Assessment Instrument for Dementia Mini Mental Status Exam Pyloric stenosis Skin findings: Acrocyanosis Jaundice Miliaria rubra Erythema toxicum Pustular melanosis Milia Eyelid patch Salmon patch Café’-au-lait spots Mongolian spots Strabismus Suture Talipes equinovarus (club foot) Tanner sexual maturity rating Torticollis Vellus hair

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Northwestern University Feinberg School of Medicine Physician Assistant Program Patient Assessment Courses I, II, III

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