acs cont

persistent disorders characterized by a relatively inflexible reaction to stress

psycho/sociopath that acts out conflict without remorse or guilt and has difficulty following rules

descriptive of thoughts or behavior which are automatic responses to anxiety or stress. A common example is compulsive hand washing caused by an obsession with cleanliness or a phobia of being unclean. Also see obsessive

attention seeking, aggressive, seductive person, who is unable to be deeply involved emotionally

attention seeking, regards no one else as important, strong admiration for self/exhibitionist

preoccupations with delusions, sensitive, defensive, suspicion leading to agrression, unfounded beliefs that others want to harm him

taking aggressive actions in an indirect manner, argumentative

ungluing of reason and emotion. introverted and withdrawn, emotionally cold and distant, avoids social interaction. delusions and hallucinations

unconscious strategies utilized to cope with reality

refusal to perceive unpleasant realities. painful subject stems from external sources such as impulses or fantasies. most commonly seen in alcoholics

act of assigning a feeling or belief to another person, group, or to the outside world

attributing one's own unacceptable desires and impulses to someone else

depressed, unacceptable behavior expressed in an exaggerated form of an opposite behavior

a response to stress in which an individual reverts to a less developmentally mature stage. acts like a child

the unconscious exclusion of painful impulses, desires, or fears from teh conscious mind

redirecting ones feelings (aggresion or affection) from one person to another

channeling unacceptable impulses or energy into socially acceptable activity

patients with anxiety disorders usually present with physical symptoms to physicians. Physical symptoms: heart palpitations, increased heart rate, shortness of breath, sweating tingling, dizziness

A state of intense apprehension or worry often accompanied by physical symptoms such as shakin, intense feelings in the gut, etc, common in mental illness or after a very distressing experience

repeated attacks of severe anxiety. Attacks last from 5-30 minutes

• obsession: reoccuring intrusive thought or image that seems senseless or unpleasant
• compulsion: activity designed to reduce anxiety that a person feels compelled to repeat with no conscious desire to do so.
• Perfectionist, inflexible, uncontrollably entangled with details and highly repetitive activities
• presistent thoughts are obsessive while persistent actions are compulsive
• most often begins in early adolescence but can begin in childhood

• an irrational or unrealistic fear of a situation, animal, person, or activity
• agoraphobia-public spaces, acrophobia-heights, astrophobia- thunder and lightening, astraphobia- fear of stars or celestial space

psychological conflicts take on a physical form adn no organic evidence exists to explain symptom

psychological conflicts take on a physical form and no organic evidence exists to explain symptom

chronic, cyclic multiple somatic complaints not due to a physical illness. Symptoms cannot be explained by physical syndrome. Patient seeks treatmentand changes life as a result of the symptoms. Patient presents with symptoms in a vague and exaggerated way. More concerned with discomfort than disease

an exaggerated preoccupation with bodily functions and fear that one is suffering from serious disease. Pt believes they have a disease or one is soon going to occur. Disease is thought to be imminent. Patient presents with having dx himself in a very detailed way, hoping for a dreaded dx.

Loss or change of physical fxn caused by a psychological conflict. COnversion symptoms are not supported by medical evidence but not faked. Often appear rapidly after trauma. Involuntary response. Most common disability seen: paralysis, blindness, mutism, deafness, seizures

Pervasive belief that a body part is a misshapen or malformed. Pt able to admit that she or he is exaggerateing. May avoid mirrors or social contact

severe fluctuation of mood or personality

associated with delirium tremens and folate deficiency

severe restriction of calories. fear of fat and body image distortion, amenorrhea, excessive exercise, unreasonable fear of gaining weight

Behavior alternates between mania and melancholia, highs and lows, first occurs between childhood and age 50. Avg manic episode last 3 months, depressive phase 6-9 months

preoccupation with food, bringe eating with subsequent purging, body image distortion

associated with muscle inhibition.

mild chronic depression. symptoms need to occur most of the time for 2 years. Begins in adolescence or early adulthood. Same symptoms as depression but not as severe

perception problems

a period of depression associated with menopause

delusions, hallucinations, social withdrawal, daily fxn impairment and bizarre behavior

a person who adopts the dress of the opposite sex, cross dressing

used to treat alcoholics by associated drinking with unpleasant consequences

two events that occur close together in time become fused in the persons mind (Pavlov's dogs)

a satisfying reinforcement strengthens the behavior. Unsatisfying consequences weaken behavior and make it less likely to be repeated

Taking away the aversive stimulus in response to a person's action increases the action. Ex: picking up a crying baby

a form of desensitization for the treatment of phobias and related disorders in which the patient is repeatedly exposed to emotionally distressing stimuli of high intensity

a behavior modification technique in which one is taught to imitate the desired behavior of another

Psychological testing using a series of inkblot images

A method of IQ testing

• development of free association and dream analysis as a route to the unconscious mind. Developed the psychosexual stages of development going from oral to anal to phallic or genital. ANAL is stubborn and develops an order to every aspect of life.
• Id: basic instincts, EGO: reality and control, Superego: guilt and consciousness

collective unconscious of man; used for psychoanalysis

hierarchy of human needs; physiology, safety, love, esteem, and self actualiazation

classical conditioning

operant conditioning

• tylenol; an antipyretic analgesic that causes liver damage
• fever reducer

an absorbent

antiviral (herpes)

used to treat chronic gout

odor of garlic

sleepign pills can produce respiratory depression

used to treat anxiety side effect is tremors muscle relaxant

given for hypertension and arrhythmias; blocks epinephrine and norepinephrine

associated blue mucous membranes. poisoning cherry red lips and skin

it was formerly widely used in fire extinguishers as a precursor to refrigerants, and as a cleaning agent. it is a colorless liquid with a sweet smell that can be detected at low levels

a clear volatile liquid with a strong smell like either. it was once administered by inhalation to produce anesthesia and given as an analgesic and a remedy for cough. it is quite toxic to the kidney and the liver

a drug used to treat schizophrenia

an organophosphate

classification as a narcotic; lidocaine used as a local anesthetic

used to treat acute symptomatic gout

has the taste of cherry seeds or almonds

best substance to remove lead from blood chelation therapy

a substance that makes you vomit;

used in the treatment of anaphylactic shock

alleviateds coughing; an antitussin

pumping of the stomach

• used to treat psychotic disorders
• controls motor tics and verbal tics in adults and children who have tourettes disorder

mushrooms and nutmegs

blue gums produces

a drug used to treat bipolarity that produces tremors

used to treat episodes of angina in people who have coronary artery disease

non steroidal anti inflammatory; antipyretic, analgesic; feldene

used to treat depression , obsessive compulsive disorder, some eating disorders and panic attacks

antipsychoticand antihypertensive drug

aspirin, causes bleeding, inhibits prostaglandins and associated with deafness and reye's syndrome

brand name druf with an active ingredient called secobarbital

short term treatment of insomnia

induces vomitting

predisposes elderly to falls

anti depressants

anti depressantes

causes hypertension in those taking MAO inhibitors and is found in wine and cheese

an anticoagulant/ Vit K antagonist, increased clotting time

chronic respiratory diesease caused by the inhalation of various mineral or metallic particles

caused by inhalation of asbestos dust. leads to mesothelioma

caused by iron dust

caused by coal dust

caused by cotton dust

caused by glass, sand/ stone dust

measured in pregnant women using maternal blood or amniotic fluid as a screening test for a subset of developmental abnormalities. it is prinicpally increased in open neural tube defects and decreased in down syndrome

abnormal cessation of menses

done for the health of the fetus, chromosomes, lung maturity

deficient in vit d and iron

first breast milk

expansion or stretching of the cervix during the first stage of labor

painful menses

abnormal painful or prolonged labor

thinning of the cervix

decent of the fetal skull to the level of ischial spines

excessive nausea and vomiting during pregnancy

the most common surgical procedure for the diagnosis and treatment of endometriosis

baby drops into the pelvis 2 weeks before delivery and produces lower abdominal pain

dark streak down teh midline of the abdomen seen during pregnancy

vaginal discharge after delivery of the placenta and throughout the puerperium 1st red 2nd yellow and 3rd white

1st menstrual cycel

pain in abdomen at ovulation

more than one delivery of viable infant

never given birth to a viable infant

first pregnancy with a viable infant

most commonly from c section

period of time after teh delivery of the placenta to the complete involution of the organs; infection during this time is referred to as puerperal spesis

1st perception by the mother of fetal life

identifies the fetal position in relation to the spines of the ischium

menses 3 weeks late adn presence of fetal heartbeat

bluish discoloration of the vagina

softening of the tip of the cervix

softening of the isthmus of the uterus

enlargment of the uterus near the uterine tube over the site of implantation

most common reason for post partum hemorrhage

early uterine contractions (oxytocin) without cervical changes

most common malignancy of the female genital tract

• brown hyperpigmentation of the face
• mask of pregnancy

malignancy of the placenta due to abnormal epithelium

herniation of the urinary bladder into the vagina

toxemia of pregnancy caused by hypertension leading to convulsions

• abnormal endometrial tissue outside the uterus
• abdominal and back pain

• most common type of post partum infection
• staph or strep
• inflammation of endometrium

palpable nodules in breast after ovulation with regression after menses

benign of trophoblastic tissue which develops at teh placenta

• toxemia of pregnancy with the following sign
• hypertension
• edema
• proteinuria

herniation of the rectum into the vagina

• responsible for maturation of the follicle
• day 1-14 in mentsrual cycle

promotes health of corpus leuteum used to detect pregnancey

most responsible for ovulation

uterine contractions during labor and milk let down following delivery

responsible for milk production

• 1st meaningful contraction to full dilation of the cervix to 10 cm
• longest stage

full dilation of cervix to delivery of baby

delivery of baby to delivery of placenta most dangerous for mom due to infections

period of time from delivery of placenta to several hours when the tone of the uterus is established and the uterus contracts expelling any remaining contents

low lying placenta with partial obstruction of the internal os

normally placed, detaches from site spontaneous abortion premature separation

does not separate after delivery

umbilical cord is attached at teh margin of the placenta. it rarely occurs and does not affect placental functioning

• 1 normal
• 2 atypical or benign
• 3 dysplasia or pre cancer
• 4 in situ non invasive carcinoma
• 5 malignancy or invasive

6-8 months

6 months

10-14 months

12-18 months

10-15 words at 18 months

closes at 3 months

closes at 2 years

dehydration

due to intracranial pressure possible excessive crying

• heart rate, respiratory rate, color, muscle tone, reflex irritability NOT birth weight
• 7-10 normal, 4-6 monitor, less tahn 3 problem

fuzzy hair on baby skin

1s poop

bluish ill defined areas of skin on but and scrotal region

infant born between 26-37 weeks and weigh less than 2500 g

white cheesy substance on teh baby's skin at birth

food poisoning produced by honey, corn syrup, and molasses in newborn

baby's head has an unusual shape due to swelling of the scalp, considered benign

similar to seborrheic dermatitis in an adult

bedwetting

hemolytic anemia in the fetus or neonate caused by transplacental transmission of maternal antibodies to fetal RBCs. the disorder usually results from incmopatiblity between maternal and fetal blood groups often Rh antigens

presents with delayed growth microcephaly and retardation

protein malnutrition

most common cancer in children and in Down's syndrome ALL

general malnutrition

milaria from sweat glands

leads to fetal suffocation

prvents hmorrhage in newborns

• 3 day measles
• maculopapular rash and mild fever
• danger to the fetus in the 1st tri because it may result in birth defects

• koplic spots, runny nose, lasts 2 weeks
• maculaopapular rash and high fever

maculopapular rash herpes virus

mild disease in children and adults located in teh parotid gland that can produce orchitis

childhood disease characterized by a resonant barking cough

• caused by bordetella pertussis
• fatalities are due to bronchopneumonia

gray pseudomembrane

• group a strep pyogenes
• peeling of superficial tongue

rash starts on the trunk and goes to the extremities. rash comes out when fever breaks

established by stroking teh corner of teh mouth; the infan'ts mouth will open and turn to the side that was touched; most basic prmiitve reflex originated from teh brain stem

elicited by placing a finger or nipple in the mouth of the newborn stimulates oxytocin release

doc rotates head of a supine baby and the ipsilateral arm and leg extended while the contralateral arma nd leg flex

arms and legs flare out to teh side in response to loud sound and are then brought back into body soensory integrations

infant should attempt to raise teh head and arch the back when placed in a prone position

most common geriatric neuromuscular complaint

grayish opaque ring around the cornea

loss of elasticity of the lens or hardening of the lens

inability to hear high frequencies

most common endocrine malfuntion on the elderly

most common anemia in geriatrics

most common plasma cell dyscrasia

seen in those with alcohol abuse B1 thiamin deficiency

bed sore

most common fractured bone in the elderly

basal cell carcinoma

itchy scaly patch

most common visual problem in the elderly causing blindness

mental deterioratoin, amnesia, depression, anxiety and rigidity best dx at autopsy

checks for glaucoma

reduces the risk of fracture in the elderly

• positron emission test
• measure blood volume, oxygen uptake transport, metabolism

discriminatory treatment of the elderly

pretibial myxedema seen in graves' disease

transfer of a pt to another doctor wiouth the patient's consent

threat of violence to another person

adjusting without consent

has no appeal process

malpractice cases against chiropractors are tried in this court

acceptance, consideration, 2 or more competent parties, legal object, and consent to contract

workers compensation, FICA and SS for their employees

good faith rendering of care at an emergency isn't liable for ciivl damages

providing the patien with feasible alternatives and informed of dangers of treatment

false statement submitted in writing that harms another

a professional negligence by act or omission by a health care provider in which care provided deviates from accepted standards of practice in teh medical community and causes injury or death to the patient

failur to conform to the standard of care expected and ipmosed by law

where teh urden of proof lies in a court of law

employer is responsible for actions of employees

a false verbal statement about another

a formal dx and treatment process a doctor will follow for a pt with a certain set of symptoms or specific illness. taht standard will follow guidelines and protocols that eperts would agree with as most appropriate also called best practice

length of time you have to sue for an injury

the standard of care is the basis on which negligence and fault are determined in medical malpractice lawsuits. it referes to the level of care, skill, and knowledge that is expected of all phsicians in a particular field, in a particular region, acting in similar cirumstances. substandard care, treatment and surgery occur when a doctor fails to meet this standard of care

the body of the law which allows an injured person to obtain compensation from teh person who caused teh injury

check responsiveness, open airway, check breathing, give breaths, check pulse

ecchymosis around the mastoid, indicates possible basilar skull fracture

when the injury produces black and blue spots around the eyes

move out of danger, activate EMS, monitor for respiratory and cardiac arrest, look for both entrance and exit wounds. prolonged resuscitation may be required

cardiogenic shock; supine with feet higher than the head. anaphylactic shock; upright; lower extremity or pelvic injury supine

• airway, breathing and circulations
• chest compressions 2 rescue breaths, 20 chest compressions, 2 breaths repeat.
• stop cpr if help arrives or u are too tired.
• recovery position side lying with bottom arm extended over head and upper leg bent

5 back blows and 5 chest thrusts

• 1st redness epidermis
• 2nd blisters epidermis and dermis but not the base of the dermis
• 3rd charring of the skin

result of traumawith a faster bleeding rate. causes an increase in intracranial pressure

usually the result of a serious head injury. acute subdural hematomas are among the dealiest of all head injuries. symptoms of subdural hemorrhage have a slwoer onset than those of epidural hemorrhages because the lower pressure veins bleed more slowly than artieries

usually the result of a cerbral aneurysm. consider a form of storke