Nrnp Finals 6560 Study Guide Graded A+

Weal {Ans: Transient, circumscribed, edematous papules or plaques caused by swelling in the dermis. Wheals may manifest with erythematous borders and pale centers and/or a narrow peripheral zone of pallor or vasoconstriction. Example: Urticaria}Chlamydia findings {Ans: Female: - asymptomatic - postcoital bleeding - lower abd pain - dysuria - painful sex - purulent discharge Male: - asymptomatic - dysuria - penile discharge, thick - unilateral testicular pain/ swelling - Fever - abd pain: guarded and rebound - genitalia: edema, ulcerations, lesions, erythema - speculum: red vaginal walls, red cervix, purulent discharge, cervical lips eroded - bimanual exam: cervical motion tenderness (Chandelier sign), adnexal pain, uterine pain - male inspection: meatus edge red and swollen, unilateral testicular pain}Herpes Zoster findings and diagnostics {Ans: - Prodormal pain symptoms (sharp), burning, itching in affected spot - malaise, low grade fever, headache - allodynia - lymphadenopathy, 1 -2 days prior - grouped vesicles on erythematous tender base along nerve group - papules appear within 24hrs and progress to vesicles and bullae within 48hrs, then pustules with cloudy fluid. Crusts for 7-10days. - ECG during prodormal: rule out cardiac disease - VZV antigen detection - positive Tzanck test - viral culture}multiple sclerosis