Health Assessment Exam 1 Chapter 7-12
What is the difference between sensitivity and specificity
What does it mean?
Sensitivity
Specificity
What are clues in patient history or clinical manifestations that may indicate eating disorder?
Clinical Manifestations
How do you take proper BP for most accuracy?
Recognize the S&S of depression?
personal history of a depressive episode, a family history of first-degree family members with depression, personal history of recent stressful life events or significant childhood adversity, chronic and/or disabling medical illness, and female gender
S/S
Risk factors of suicide?
What is the relationship between substance abuse and depression/anxiety?
About 16 million adult Americans, or almost 7%, have major depression, often with coexisting anxiety disorders and substance abuse
What is the difference between delirium and dementia?
Delirium
Dementia
What are components of the MMSE?
Why are they being assessed?
Score of 25 or higher is normal
The Mini-Mental State Examination is the best-known screening test for dementia
What is Beers criteria?
What is the concern regarding anticholinergic medication in elderly?
Learn about drug–drug interactions and consult the 2019 AGS Beers Criteria, widely used by health care providers, educators, and policymakers. In addition to a list of hazardous drugs for older adults, this new criteria now include lists of select drugs that should be avoided or have their dose adjusted based on the individual’s kidney function and select drug–drug interactions documented to be associated with harms in older adults
How to palpate lymph nodes?
Recognize normal neck anatomy?
Great Vessels of the Neck
Midline structures of the neck
Midline structures of the neck
What is the best position for palpating the thyroid?
Posterior Approach
Anterior Approach
Thyroid gland is usually located above the suprasternal notch
Note the size, shape, and consistency (soft, firm, or hard) of the gland and identify any nodules or tenderness
Strabismus
Dacryostenosis- blocked tear duct
Eye Turn in infants
What is Presbyopia?
What are the symptons of macular degeneration?
****think of the doctor from Virign River show***
What is clinical presentation of subconjunctival hemorrhage?
Be able to differentiate between the presentation of chalazion, hordeolum, blepharitis
What is Chalazion?
What is Hordeolum?
Hordeolum- Stye
Chalazion
What is presentation of blepharitis?
Blepharitis
Typical complaints are:
On examination, may see the following:
What is the clinical presentation of:
Acute Bacterial conjunctivitis?
Bacterial
What is the clinical presentation of:
Viral conjunctivitis?
What is the clinical presentation of:
Allergic conjunctivitis?
What is the evaluation of conjunctivitis
What are RED FLAGS: Indicating serious eye issues
Important to distinguish conjunctivitis from other more serious conditions causing red eye (iritis, keratitis, acute angle closure glaucoma, foreign body).
In conjunctivitis:
Red flag or warning signs that indicate a more serious ophthalmic
problem than
conjunctivitis
What is papilledema and what does it signify?
What are eye findings in Thyroid disease?
HypoT
HyperT
Eye findings for hyperlipidemia disorders
What are findings that indicate hyperlipemia?
Xanthelasma
Presentation of a pterygium
What are clinical findings of pterygium?
Presentation of presentation of a pinguecula
What are clinical findings of pinguecula?
What are normal findings when checking for PERRLA
Pupils Equal, Round, Reactive to Light and Accommodation
What are clinical presentations of otitis externa?
Predisposing factors
Common pathogens
What is the presentation of otitis media with effusion?
Otoscopic findings
What is otitis media?
What are clinical presentations of otitis media infection?
What is Cholesteatoma presentation?
Middle ear disorders
Abnormal collection of skin cells deep inside your ear
Complication of AOM
What is Epistaxis?
Common causes and management?
What is rhinitis medicamentosa?
How do you avoid it?
What is the Weber test ?
How and why do you perform it?
How to perform the test:
Results
What is the Rinne Test?
How and Why do you perform it?
Compare air conduction (AC) and bone conduction (BC)
How do you perform it?
Results
Difference in Conductive and Sensorineural loss?
Presentation of acute bacterial sinusitus
Objective signs include:
Expected lab findings in mononucleosis?
Labs: Elevated LFTs, lymphocytosis
What is clinical presentation of viral pharyngitis?
What is clinical presentation of strep throat?
What are guideline recommendations for oral health?