HEENT/HFNLymph
Peripheral Vascular
Heart and Neck
Thorax
Across the Lifespan
100

This is an emergent finding that indicates a skull fracture

Battle's sign
100

This type of ulcer appears as dark in color, weeping, irregular borders

venous

100

This is the cause of a bruit

stenosis, or narrowed artery. bruits can occur in any artery; murmurs occur in the heart

100

This is where you place your stethoscope to auscultate the apices of the lungs

supraclavicular

100

This is a classic sign of intussusception

currant-jelly stool

200
Describe a tympanic membrane in otitis media

red, bulging, bones and cone of light obscured

200

This is one reason for delayed capillary refill

poor circulation or low blood volume, such as arterial disease, dehydration

200

Carotids are auscultated one at a time to avoid this

syncope

200

The first RN intervention to take after hearing crackles

ask the pt to cough, then reassess lung sounds

200

This change in the geriatric thorax can increase this (name one)

SOB, increased risk of infection

300

These lymph nodes are bilaterally enlarged, warm, tender, moveable

infected. malignant are enlarged, typically unilaterally, cool, non tender, non moveable. normal are rubbery, discrete, non tender

300

This is an emergent finding characterized as acute onset unilateral lower extremity bruising, swelling, pain

DVT. Risk factors include: sedentary, bedbound, cancer, smoking, varicose veins

300
This murmur is defined as non radiating low rumbling sound at the apex

Mitral stenosis. Mitral regurgitation is louder and radiates to the axilla

300

This pathologic sound is described as "two pieces of leather rubbing together"

pleural friction rub 2/2 pleuritis. Maybe with or without effusion

300

This is the change in the spine that occurs during pregnancy

lordosis

400

name one sign of dehydration

sunken fontanels in peds; dry mucosa in any population

400

This is one characteristic of  lymphedema to distinguish it from a systemic cause

unilateral, s/p surgery or XRT, fibrosis, cellulitis, "heavy"

400

When evaluating chest pain, this system is the first one to rule out as the cause

ABC's. Cardiac- MI.

400

This is the reason you would hear hyperresonance on percussion

air- emphysema, pneumothorax

400

Osgood-Schlatter is characterized by a painful tubercle protruding from this leg bone

tibia

500

The test to perform after you find an asymmetric corneal reflex

cover/uncover

500

A pt c/o claudication describes which type of vascular disease

claudication is pain when walking, relieve with rest, indicative of peripheral arterial disease

500

This is the vein you are evaluating to determine if a patient is fluid overloaded

jugular vein

500

Emphysema and [blank] are the combination of diseases known as COPD

chronic bronchitis

500

This is a sign of respiratory distress in an infant (related to musculature, name one)

nasal flaring, substernal retractions, head bobbing

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