Intense flank pain extending to groin and genitals. Also fever, hematuria, and + Kehr sign (left shoulder pain)

What condition would cause diarrhea with someone who is actually constipated?

What position should a pelvic exam be peformed in?

Discharge from these glands may indicate and infection (gonococcal)

Infection of this glad is usually filled with pus (staph or gonococcal), but a non-tender mass here may indicate a cyst

How would you test for vaginal tone, uterine prolapse, and urinary incontinence?

How do you assess for cervical tenderness or pain?

If tenderness or pain is noted while moving the cervix what could that indicate?

What age group has the highest risk of developing testicular cancer?

Cause: twisting of testis Age: newborn to adolescence Onset of pain: acute Vomiting: common Anorexia: common Fever: uncommon Dysuria: uncommon Suppporting fidings: absence of cremasteric reflex on side of acute swelling and scrotal discoloration

Cause: bacterial (STI or UTI) Age: adolescence to adulthood Onset of pain: gradual Vomiting: uncommon Anorexia: uncommon Fever: possible Dysuria: possible Suppporting fidings: recent sexual activity, fever, pyuria, thickened nodular epididymis

What should your prostate feel like?

A rubbery, boggy prostate indicates?

A hard, stony, nodular prostate may indicate?

A tender, fluctuant, soft prostate may indicate?

Stool isi greenish black, viscous, contains occult blood; first stool is sterile

Transitional stool: thin, slimy, brown to green

Mushy, loose, seedy, golden (mustard) yellow; frequency varies from after each feeding to every few days; non-irritating to skin

Light yellow, characteristic odor; irritating to skin

Bleeding is most common and often asymptomatic. Patients may report change in bowel habits, abdominal pain or tenderness, and family hx of colon polyps and cancer.

What does the Lachman test assess?

What does the Anterior and Posterior Drawer Test assess?

What does straight leg raising test for?

Motor: jaw opening and clenching, chewing, and mastication Sensory: sensation to cornea, iris, lacrimal glands, conjunctiva, eyelids, forehead, nose, nasal and mouth mucosa, tongue, ear, facial skin

Motor: turn head, shrug shoulders, some actions on phonation

Ask the patient to close their eyes. While holding the great toe or finger by the lateral aspects, from a neutral position raise or lower the digit and ask the patient which direction you are moving it. This is an example of?

The patient's posture is stooped, and the body is held rigid; steps are short and shuffling, with hesitation on starting and difficulty stopping.

Using two sterile needles or two points of a paper clip, alternatively place one or two points simultaneously on the skin 2 to 8 mm apart, and ask the patient to determine whether one or two sensations are felt.

Patient identifies a familiar object by touch.

Draw a letter or number on the body (without actually marking the skin) and ask the patient to identify it.

What is the nerve level of the plantar reflex?

What is the nerve level of the patellar reflex?

Brisk, hyperactive, with intermittent or transient clonus

Tremors that disappear with intended movement or sleep that progressess to pin-rolling of fingers and head tremor. Freezing of voluntary movements, and numbness, tingling, and muscle soreness may occur. Difficulty swallowing; drooling.

-To identify conditions that may interfere with a person's ability to participate in a sport. -To identify health problems that increase the risk of injury or death during sports participation. -To help select an appropriate sport for a person's particular abilities and physical status.

Two conditions that are considered absolute contraindicaitons to sports participation.

Low energy with or without disordered eating, menstrual dysfunction, and low bone density is know as? What causes it?

Always do this on a older adult

Name the quadrants of the breast

Increasing fat deposits. The areola forms a secondary elevation above the breast.

Areola is part of the general breast contour and is strongly pigmented. Nipple projects.

Breasts and areola enlarged. No contour seperation.

What is the initial position for a breast exam?

What physical findings would you notice on a breast exam in a patient with suspected breast cancer?

A male teen with bilateral subareolar masses or enlargment may need special patient education such as?

What is the anticipatory guidance for parents of a newborn with breast tissue?

Organs: liver and gallbladder, pylorus, duodenum, head of pancreas, right adrenal gland, portion of right kidney, hepatic flexure of colon, and portions of ascending and transverse colon

Organs: left lobe of liver, spleen, body of pancreas, left adrenal gland, portion of left kidney, splenic flexure of colon, portions of transverse and descending colon

Organs: lower pole of right kidney, cecum and appendix, portion of ascending colon, bladder, ovary and salpinx, uterus, right spermatic cord, right ureter

Organs: lower pole of left kidney, sigmoid colon, portion of descending colon, bladder, ovary and salpinx, uterus, left spermatic cord, left ureter

After asking the patient to empty their bladder and having them lay supine what else would help to relax their abdomen?

If you hear no bowel sounds for more than 5 minutes what is the next step?

Differentials you consider if CVA tenderness is positive?

Subjective: mild or absent symptoms, foul vaginal discharge, painful intercourse and urination, irregular menses, and upper abdominal pain Objective: Acute - very tender, bilateral guarding and cannot tolerate exam; Chronic - bilateral, tender, irregular, and fairly fixed adnexal areas

Proprioception what does it mean?

What is the #1 objective finding for testicular cancer?

Soft, painless, wartlike lesions that may form cauliflower-like masses

Painless lesions with central umbillication from which a thick creamy core can be expressed

Solitary, painless lesion; firm, round, small ulcer with indurated borders with a clear base

Healed lesions that are flat, round, or oval papules covered by gray exudate

Painless lesions, internal or external, and may report burning or pain with urination

How to use speculum? How do you insert it?

DTR why does it matter?

Spinal nerve level C5 and C6

Spinal nerve level C5 and C6

Spinal nerve level C6, C7, and C8

Spinal level S1 and S2

Baseball, boxing, cheerleading, diving, extreme sports, field hockey, football tackle, gymnastics, ice hockey, lacrosse, martial arts, rodeo, rugby, skiing downhill and jumping, snowboarding, soccer, team handball, ultimate frisbee, water polo, wrestling.

Badmiton, bodybuilding, bowling, canoeing or kayaking, crew or rowing, curling, dance, field events, discus, javelin, shot-put, golf, orienteering, power lifting, race walking, riflery, rope jumping, running, sailing, scuba diving, swimming, table tennis, tennis, track.

#1 reasons for sports injury

Frequent BM what is baby eating?

If there is no passage of stool in an infant within 24 hrs of birth suspect?

A consistently empty rectum in the presence of constipation in an infant

During pregnancy the stool may be dark green or black, and pregnant patients may also have diarrhea or constipation as a result of?

What does the Bartholin gland do?

Wnat does the Skene glad do?