Fibrocystic disease lumpy breasts fluctuates with

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Fibrocystic disease: “lumpy breasts”, fluctuates with hormonal changes throughout month, usually tender “rope-like” areas for a few days which resolve, seem to move as glands increase & decrease in size 57. COPD, Pneumonia, Pneumothorax-signs & symptoms COPD: chronic airflow limitation, emphysema & chronic bronchitis, easily fatigued, frequent respiratory infections, use of accessory muscles to breathe, orthopneic, thin in appearance, wheezing, pursed-lip breathing, chronic cough, barrel chest, dyspnea, prolonged expiratory time, digital clubbing Pneumonia: obstruction of bronchioles, low gas exchanger, high exudate, productive cough (yellow, blood-streaked, rusty sputum), cough, fever, chills, tachycardia, tachypnea, dyspnea, pleural pain, malaise, respiratory distress, low breath sounds Pneumothorax: air in pleural cavity resulting in lung collapse, dyspnea, anxiety, tachycardia, asymmetrical chest wall expansion, low breath sounds 58. Older adult respiratory-normal vs. abnormal findings 59. Tactile fremitus-meaning & how to assess Meaning: vibrations of air in bronchial tubes How to assess: use ball or ulnar edge of hand in same pattern to palpate as client says “99” each time you place your hand // should be symmetrical & easily felt in upper lobes, normal for it to diminish toward bases of lungs Diminished vibrations = obstruction of the tracheobronchial tree Decreased fremitus = COPD due to air trapping 60. Importance of percussion in respiratory assessment For tone & adventitious lung sounds 61. Diaphragm-how it moves & muscles of respiration 62. Resonance Low pitched, normal sound over lungs 63. Nocturnal dyspnea Awakens from sleep // associated with heart failure 64. Sounds: where you should hear bronchovesicular & vesicular breath sounds Bronchial: trachea & thorax Bronchovesicular: over major bronchi, between scapulae Vesicular: peripheral lung fields End of Semester: Incontinence: difficulty controlling urine, weakness of bladder o Stress: coughing, sneezing o Urge: can’t hold it Groin/vaginal itching, thick/white discharge: Yeast Infection o Comes from moist, dark areas
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Signs of UTI: burnings, painful urination, costovertebral angle tenderness (kidney inflammation) YOU GOT THIS TAYLOR :-) “believe & you will achieve” xoxoxooxx -- hailey KAHOOT ANSWERS:
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1. Epididymis: allows sperm to mature 2. Cryptorchidism: testicles not descended 3. Prostate enlargement symptom: hesitancy when urinating 4. Highest incidence of HIV in the US: men having sex with men 5. Position best to place male client for exam of genitalia: standing 6. Incarcerated scrotal hernia finding: the mass cannot be pushed up into the abdomen 7. Herpes on penis finding: clear vesicles that erupt 8. How to Inspect inguinal area for bulging: bear down as if having a bowel movement 9. How often to perform testicular self-exam: monthly 10. Male client exam of anus/rectum position: left side-lying position 11. Protection against false allegation of inappropriate physical touch during an exam: ensure that a chaperone is present during the exam 12. Genital warts type of lesions: moist, fleshy papules
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