Western Diagnosis

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  1. What is the term for a subjective feeling of complaint (i.e. pain, warmth, palpitations)?
    • Symptom
    • *Cheif Complaint is considered a symptom
  2. What is the term for an objective finding or evidence (i.e. tenderness, fever, tachycardia)?
  3. What are components of history taking?
    • 1. Chief Complaint - main reason / symptoms the patient is in your clinic
    • 2. HPI (History of Present Illness) - "OPQRST" (please refer to Clinical Counseling for details)
    • 3. PMHx (Past Medical History)
    • 4. Medications
    • 5. Allergies
    • 6. Family History
    • 7. Social History
    • 8. ROS (Review of Systems) - "10 Questions"
  4. Please identify the Tinea's and their respective locations?
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    *Fungus is typically found on the outer part of the body
  5. What are Shingles? What is another name for this term? Where is its distribution?
    • A painful, blistering skin rash due to the varicella-zoster virus, the virus that causes chickenpox.
    • Distribution: unilateral dermatomal pattern
    • Complication: Post-Herpetic Neuralgia
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  6. What types of cancer can affect the skin?
    • Basal Cell Carcinoma - benign cancerous growth found primarily on the face (found above LI-20 / ala nasae)
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    • Squamous Cell Carcinoma - more aggressive cancerous growth found mostly on the upper back, upper arms and on the face (below LI-20 / ala nasae)
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    • Actinic Keratosis (AK) - pre-cancerous skin condition
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  7. A common skin condition affecting teens?
    Acne - due to the bacteria acne vulgaris
  8. When a light is shined on one eye there is contraction (pupilary reflex), but the other eye also contracts. What is the term for this response?
    Consensual Reflex
  9. An eye doctor preforms what is called a Red Reflex / Dilating Exam. What patients get this most?
    Patients with Diabetic Retinopathy
  10. What is the name of the condition associated with Increased Intraocular Pressure?
  11. What is the name of the condition associated with Loss of Central Vision?
  12. What is the name of the condition associated with Eye Deviation?
    Strabismus (most common - eye deviating medially)
  13. What is the name of the condition associated with Near Vision?
  14. What is this disease called when both tinnitus and vertigo occur at the same time?
    Meniere's Disease (both hearing and balance deficit)
  15. What are good signs when examining any lump?
    • Symmetrical
    • Circular / Nodular / Smooth
    • Soft, Fluid filled (cyst)
    • Tender - inflammation
    • Mobile
    • Regular Edges
    • Same Size
  16. What are bad signs when examining any lump?
    • Asymmetrical
    • Irregular, not smooth contours
    • Firm / Hard
    • Non-tender - cancerous
    • Fixed
    • Jagged Edges
    • Change in size
    • "Dimpling" - think cancer
  17. How often should breast exam be done (self or otherwise)?
    Once a month
  18. How often should mammograms be done in young women?
    Never, unless otherwise indicated
  19. What month during pregnancy does the mother start producing milk?
    2nd Month
  20. Which two hormones are responsible for breast milk production and stimulates secretion, respectively?
    • Prolactin - production
    • Oxytocin - secretion (also stimulate uterine contraction during labor)
  21. Clear to yellow fluid found in breast milk that contains the maternal antibodies vital for providing immunity in the neonate's (baby) first few months of life.
  22. A 26 year old female with bilateral nipple discharge with swollen breasts. What does she have?
  23. What can you tell me about Fibrocystic Disease?
    It is not actually a disease, a physiological change over time (age)
  24. Rash / ulceration found in the area of the fold of breast.
  25. 5 year old child with high fever that is pulling and tugging on the ear a lot. Shining a light into the ear you see swelling of the ear drum. What is the diagnosis?
    Otitis Media
  26. Hard fixed non-tender lump on the right side of the neck. What is the next step?
    Refer out
  27. Name the Cranial Nerves, in order. Sensory? Motor? Both?
    • Olfactory (S)
    • Optic (S)
    • Oculomotor (M)
    • Trochlear (M)
    • Trigeminal (S)
    • Abducens (M)
    • Facial (M)
    • Auditory (Vestibulocochlear) (S)
    • Glossopharyngeal (S)
    • Vagus (B)
    • Accesory Nerve (Spinal) (M)
    • Hypoglossal (M)
  28. Cranial Nerve VI (6) is responsible for what?
    Lateral Eye Movement
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Western Diagnosis
2012-05-20 22:23:32
Western Diagnosis

Western Diagnosis
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