Physical exam test question


CORRECT ANSWER:

A) Cullen sign, necrotizing pancreatitis. It can sometimes be seen in other emergent diagnosis as well, specifically different types of internal hemorrhage. If you can just simply think of the U in Cullen to remember the umbilicus
Grey Turner sign is similar but the area differs. Ecchymosis is seen around the flank areas. Sometimes Cullen & Grey Turner sign are seen at the same time. I would definitely consider these signs emergent and it needs to be addressed immediately!
REFERENCE

http://m.cmaj.ca/content/183/16/E1221.full. #cullensign #greyturner #pancreatitis #necrotizingpancreatitis #abdomenpain #bruisingaroundbellybutton #bruisingaroundflankarea #nursingstudent #nursingstudying #nursingstudents #futurenurse #nclex #nclextypequestions #nclextypequestions #nclexquestions #nursepractitioner #nursepractitionerstudent #pastudent #nursescme #nursesday #nurseslife #nurseslearning #nursesalwayslearning #medmadeez #medicalschool #medicalstudent #futuredoctor #futuredoc

WORD OF THE DAY: MACERATED

MACERATED DEFINITION:

When the skin begins to soften in response to prolonged exposure to moisture/fluids. This makes it easier for the skin to break down

EXAMPLE:

Wrinkling & whiteness of fingers after having been in water for some time

Having a band-aid on & after taking the bandaid off it often appears macerated.

An incontinent patient who in bedridden will often develop macerated areas on coccyx area which increases the likelihood to develop a pressure ulcer

Great article about maceration

RHABDOMYOLSIS: Meds That Can Potentially Cause This

Rhabdomyolysis -meds that can potentially cause

MEDICATIONS:
Amphetamines
Colchicine
Corticosteroids
Fibric acid derivatives
Fluoroquinolone’s
Propofol
SSRI
Statins

Note there are other causes of Rhabdo:
Crush injuries
Falls
Legionella bacteria
Seizures
Trauma
Viruses

REFERENCES
1) http://emedicine.medscape.com/article/1007814-overview#a4

Disclaimer: This is not an all-inclusive list. There are other medications and causes of Rhabdo. These are just a few

 

WORD OF DAY: Anosognosia

Anosognosia:

When an individual ignores and or refuses to recognize an area of the body that has a defect, illness, and or injury. This is sometime the reason why certain individuals refuse to take needed medications. It is often seen in psyche related illneses such as schizophrenia and bipolar. It is sometimes also seen in stroke/brain injury victims. Lack of awareness rather than denial, is a better way to describe this word.

 

References:

Merriam-Webster Link

NAMI