chronic obstructive pulmonary disease (COPD)
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-A slow process of dilation and disruption of the airways and alveoli caused
by chronic bronchial obstruction.
-s/s: slow progressive dyspnea, relatively mild cough later with scant
mucoid sputum, diffuse hyperresonant percussion, decreased tactile
femitus, decreased or absent breath sounds
Attributes of a Symptom
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, -seven attributes
-OPQRST & Associated manifestations (anything else accompanying it)
-onset, provocative/palliative, quality, region/radiation, severity, timing
Confusing Challenging Patient Intervention
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-guide questions, ask for clarification, and summarize
-watch for underlying issue if there is interference with communication
-when there are multiple symptoms focus on context of the symptoms
emphasizing the patients perspective
-consider delirium or intoxication
-conduct a mental status examination focusing on LOC. orientation,
memory, and capacity to understand
-ask for permission to speak with family members to obtain their
perspectives
CN XII
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-Hypoglossal nerve: motor, innervates the tongue, stick out tongue,
dysphagia
systemic lupus erythematosus (SLE)
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, -chronic autoimmune inflammatory disease of collagen in skin, joints, and
internal organs
Optic Neuritis
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-an inflammation that damages the optic nerve, a bundle of nerve fibers
that transmits visual information from your eye to your brain.
-Pain and temporary vision loss in one eye are common symptoms of optic
neuritis
Actinic Keratosis
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-a rough, scaly patch on your skin that develops from years of exposure to
the sun. It's most commonly found on your face, lips, ears, back of your
hands, forearms, scalp or neck.
-precancerous skin growth
Percussion
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Give this one a try later!
-A slow process of dilation and disruption of the airways and alveoli caused
by chronic bronchial obstruction.
-s/s: slow progressive dyspnea, relatively mild cough later with scant
mucoid sputum, diffuse hyperresonant percussion, decreased tactile
femitus, decreased or absent breath sounds
Attributes of a Symptom
Give this one a try later!
, -seven attributes
-OPQRST & Associated manifestations (anything else accompanying it)
-onset, provocative/palliative, quality, region/radiation, severity, timing
Confusing Challenging Patient Intervention
Give this one a try later!
-guide questions, ask for clarification, and summarize
-watch for underlying issue if there is interference with communication
-when there are multiple symptoms focus on context of the symptoms
emphasizing the patients perspective
-consider delirium or intoxication
-conduct a mental status examination focusing on LOC. orientation,
memory, and capacity to understand
-ask for permission to speak with family members to obtain their
perspectives
CN XII
Give this one a try later!
-Hypoglossal nerve: motor, innervates the tongue, stick out tongue,
dysphagia
systemic lupus erythematosus (SLE)
Give this one a try later!
, -chronic autoimmune inflammatory disease of collagen in skin, joints, and
internal organs
Optic Neuritis
Give this one a try later!
-an inflammation that damages the optic nerve, a bundle of nerve fibers
that transmits visual information from your eye to your brain.
-Pain and temporary vision loss in one eye are common symptoms of optic
neuritis
Actinic Keratosis
Give this one a try later!
-a rough, scaly patch on your skin that develops from years of exposure to
the sun. It's most commonly found on your face, lips, ears, back of your
hands, forearms, scalp or neck.
-precancerous skin growth
Percussion
Give this one a try later!