This condition states a person has persistent worry for more than ____ months (2 part answer)
Differential between the 3 types of Headaches
Cluster, tension, migrane
Tension- bandlike, can last days
Migrane- visual Aura, photophobia, usually unilateral. can last 4-72h
Describe the difference between eccrine and apocrine glands
eccrine- glands that go all over the body, no odor, open to skin
ex. sweat glands
Apocrine- glands for axillary and genital regions specifically
Sensitive
Distal, chronic and burning nerve pain is associated with what disease
Diabetes
CAGE stands for...? (need all 4)
Cut down
Annoyed
Guilty
Eye opener
Sudden, painless and unilateral eye loss is often involved with _____
*there is 1 exception, bonus if you get it
Bonus* retinal detachment
What are the ABC's of melanoma (must get all)
Asymmetry
boarder irregularity
color variation
diameter > 6mm
Evolution over time (most important)
A ______ test is good at ruling IN a disease
Specific
What are the 3 disease related risk factors for CVA (stroke)
Afib, Carotid artery disease, obstructive sleep apnea
Name this thought processing- Speech has unnecessary detail, indirection, delay in reaching the point
Circumstantiality
What is a major sign of CENTRAL vertigo and what is the cause
Vertical or changing nystagmus ; CNS lesion
Define all...
Macule, patch, papule, plaque, vesicles, bulla
macule- non raised, < 1cm
Patch- non raised > 1cm
papule- raised < 1cm
plaque- raised >1cm
vesicle- fluid filled <1cm
bulla- fluid filled >1cm
When the prevalence of a disease is HIGH, there will be more false positives or negatives?
False Negatives
Hyperactive is lesion in CNS
Hypoactive is lesion in spinal cord, roots, nerves,
What is the difference between "Compulsions" and "Obsessions"
Compulsions- reduces anxiety, prevents something bad from happening
Ex. Turning lights on and off
Obsessions- Intrusive, don't want to perform the action. Can't ignore
Ex. Killing someone
Absent blinking reflex and sensorineural hearing loss is indicative of this pathology
Accoustic Neuroma
A thickening or clubbing of the nails can suggest _____
Thyroid disease
You have a patient that comes in with a headache, you are trying to determine if you should get a CT scan. The patient happens to be pregnant... what does this do to your testing threshold.
It would INCREASE it.
What does a positive Asterixis test suggest?
Metabolic encephalopathy
-due to liver disease
What are the differences between these personality disorders: Schizoid, Antisocial and Borderline
Schizoid- hermit, antisocial
Antisocial- no remorse or empathy of others
Borderline- Idealizes people, until something is done that they do not like
An Afferent pupillary defect... no pupil constriction
DAILY DOUBLE!
What is pictured here....
Onichiomycosis
Scenario!!
You have a patient coming in with a headache from a hall. He was unconscious, and his pupils are NOT PERLA, his BP is 160/100, pulse o2 is 90% and he is slurring his words... what would this do to your TREATMENT threshold
It would lower it! Time to act now!
Fasciculations are rapid and light movements of the muscle... what pathology does it suggest?
Peripheral motor neuron disease