Friday, December 14, 2012

Adrenal Cortex Video, New on YouTube!

I've got another video on YouTube which deals with the three layers of the Adrenal Cortex.  The cortex is the outer layer of the adrenal gland and each of the three layers produced a different secretion.  The mnemonic given in the video is Go Find Rex, Make Good Sex.

The first part of the mnemonic, Go Find Rex, refers to the names of the three layers from the outermost layer to the innermost layer.  Those layers are the Glomerulosa, Fasiculata and Reticulata.  Generally, or technically speaking, you'll also see the word "zona" in front of each of those names.  The word zona in reference to anatomy means any encircling or beltlike structure.

Make Good Sex refers to the the secretions produced by each layer.  Mineralocorticoids, Glucocorticoids and Sex Hormones (Androgens).  The main mineralocorticoid is Aldosterone and the main glucocorticoid is cortisol.

I'll have to update my YouTube page link at the top of this blog here to include my latest video.  It was a pretty interesting video to make.  The first 30 slides took over two hours to produce.  About 63 slides where used in the video and 9 different movies had to be spliced together.  I used a piece of software from Kodak called Media Impressions and the whole project took about two days to complete.  Two days for a minute and 17 second video...  LOL  :)

I've recently been starting to work with the Windows Live Movie Maker editing software and it's pretty impressive.  I'll probably make future videos using that software.

Here is the raw link for the Adrenal Video:  http://youtu.be/ZHzUsV9fCyw


Saturday, December 8, 2012

Deleting 2 more Pages - Most Common

Looks like the two pages Pathognomonic and Most Common never really took root either so I'll be deleting those as well. 

Below are the contents for the deleted Most Common page:


Another aspect of chiropractic school revolves around things that are most common.  Most common cancer in men or women, most commonly fractured carpal bone, etc.  These most common types of questions and answers are somewhat of a need to know type of thing for school as they appear on many test.  Along with Most Common, aspects such as largest, smallest & most numerous (etc) also make for many test questions.  This page will be for those things which somehow fall under the heading of Most Common (abbreviated frequently in the literature as MC)

Most Common:

  1. & important causes of leukocytosis:  inflammation and infection
  2. causes of normocytic anemia (normal MCV):  kidney and liver dz, bone marrow disorders or excessive bleeding or hemolysis of hte red blood cells.
  3. causes of microcytic anemia (low MCV):  iron deficiency, thalassemia & chronic illness

Deleting 2 more Pages - Pathognomonic

Looks like the two pages Pathognomonic and Most Common never really took root either so I'll be deleting those as well.

Below are the contents for the deleted Pathognomonic page:


This page is for all things pathognomonic.

Pathognomonic: A sign or symptom that is so characteristic of a disease that it makes the diagnosis. For example, Koplik's spots (on the buccal mucosa opposite the lst and 2nd upper molars) are pathognomonic of measles. The word "pathognomonic" (pronounced patho-no-monic) comes from the Greek "pathognomonikos' meaning "skilled in judging diseases."

This page will help me keep track of pathognomonic signs and symptoms.




Disease
Sign


Pseudomembrane on tonsils, pharynx and nasal cavity
Hodgkin and Reed-Sternberg cells (giant mono- and multinucleated cells)




Deleting a few Pages - NMS


Over along the right hand column have been a few pages that don't exactly fit anymore so I'll be deleting a few of them, specifically the pages dealing with Tri-5 and classes such as Physical Diagnosis I, Toxicology (pharmacology), Biomechanics and NMS.  However, in case any of these pages could be of use to somebody I'm going to save each page as a post.

Below are the contents from the deleted Tri-5 NMS Page:


  • agnosia - loss of discriminatory ability in an extremity
  • akinesthesia - inability to discriminate the position of a finger or toe in space
  • Babinski sign - classic example of a pathological reflex which means the corticospinal tract is lesioned. (p13)
  • dural test - WLR, Soto-Hall, Valsalva
  • hyperreflexia - often seen with umnl due to lack of inhibition from the CNS on the alpha motor neuron
  • kinesthesia - the ability to know where a digit (finger/toe) is in space.  With eyes closed the only way this type information could get to the cortex would be over the lemniscal pathway.
  • lemniscal lesion - eliminate proprioception but spare nociception (p4)
  • parasthesia - tingling sensation
  • radiculopathy - a lesion of the nerve root; when the nerve root is being compressed by a particular entity (spur, ligament, disc, narrowed IVF, etc.)
  • spastic paralysis - is due to loss of pyramidal (corticospinal) pathway
  • spasticity - due to loss of extrapyramidal inhibitory influences
  • thalamus lesion - loss of both pain & proprioception
  • Tinel Sign - pain & tingling radiating distally upon irritation of a lesion site (p7)

Signs of an Upper Motor Neuron Lesion (UMNL)
 - paralysis
An UMNL will manifest as damage to both the pyramidal and extrapyramidal tracts.

Lower Motor Neuron Lesion (LMNL) - 
flaccid paralysis (flaccidity = loss of reflexes)
The effect of a lower motor neuron lesion on muscle tone is due to decreased excitation
Bell's Palsy is one such dz which is due to a LMNL

Deleting a few Pages - Biomechanics


Over along the right hand column have been a few pages that don't exactly fit anymore so I'll be deleting a few of them, specifically the pages dealing with Tri-5 and classes such as Physical Diagnosis I, Toxicology (pharmacology), Biomechanics and NMS.  However, in case any of these pages could be of use to somebody I'm going to save each page as a post.

Below are the contents from the deleted Tri-5 Biomechanics page:


Specific Objectives:
A.  To demonstrate an efficiency in biomechanics vocabulary the student will  demonstrate the following:
  1. acceleration                                     
  2. action potential                                
  3. agonistic muscles                           
  4. anisotropic                                       
  5. antagonistic muscles                     
  6. anthropometry                                 
  7. area moment of inertia                   
  8. axis                                                    
  9. bending                                            
  10. bending moment                             
  11. three point bending                        
  12. four point bending                          
  13. biomechanical adaptation             
  14. bone remodeling                             
  15. center of gravity                               
  16. center of mass                                 
  17. coefficient of friction                       
  18. combined loading                           
  19. compression                                    
  20. concentric contraction                   
  21. couple                                                           
  22. coupling                                           
  23. creep                                                             
  24. cross‑sectional area                                  
  25. damping                                           
  26. deformation                                      
  27. degrees of freedom
  28. ductility
  29. eccentric contraction
  30. elasticity
  31. elastic range
  32. energy
  33. energy absorption capacity
  34. ergonomics
  35. fatigue
  36. fatigue failure
  37. fatigue fracture
  38. force, F=ma
  39. glycosaminoglycan (GAG)
  40. ground reaction force
  41. hysteresis
  42. inertia
  43. joint lubrication
  44. joint reaction force
  45. kinematics
  46. kinesiology
  47. kinetics
  48. lever arm
  49. load
  50. load‑deformation curve
  51. mass
  52. matrix
  53. mechanical advantage                              
  54. modulus of elasticity                      
  55. motor unit                 
  56. moment (torque),                                           
  57. Newton's laws                                 
  58. normal stress                                   
  59. plasticity                                            
  60. plastic range                                    
  61. relaxation                                         
  62. scalar                                                            
  63. shear stress                                     
  64. static load                                         
  65. stiffness                                            
  66. strain                         
  67. stress
  68. stress/strain diagram
  69. tension
  70. torsion
  71. translation
  72. ultimate load
  73. vector
  74. velocity
  75. viscoelasticity
  76. viscosity
  77. work
  78. yield stress
B.        To demonstrate an efficiency in gait vocabulary the student will identify:

  1. anatomical position
  2. center of gravity
  3. double‑support
  4. eversion
  5. foot angulation
  6. foot‑flat position
  7. foot roll‑off
  8. force
  9. freeze frame
  10. gait cycle
  11. high‑point
  12. instant
  13. inversion
  14. low‑point
  15. line of progression
  16. moment
  17. neutral angulation
  18. normal gait
  19. planes
  20. rotation directions
  21. rotation of the leg segments
  22. shank
  23. step‑length
  24. step‑width
  25. stride‑length
  26. tibial advancement
  27. valgus
  28. varus
  29. walking base
C.        To demonstrate an efficiency in clinical gait analysis the student will identify:

  1. toe‑in
  2. toe‑out
  3. supination
  4. pronation
  5. MTP dorsiflexion
  6. ankle dorsiflexion
  7. posterior leg mm.
  8. back mm.
  9. knee flex
  10. knee extension
  11. leg swing
  12. arm swing
  13. pelvic sway
  14. S‑I markers

Deleting a few Pages - Toxicology


Over along the right hand column have been a few pages that don't exactly fit anymore so I'll be deleting a few of them, specifically the pages dealing with Tri-5 and classes such as Physical Diagnosis I, Toxicology (pharmacology), Biomechanics and NMS.  However, in case any of these pages could be of use to somebody I'm going to save each page as a post.

Below are the contents from the deleted Tri-5 Toxicology page:


Reference Sources:

1. PDR (Physician’s Desk Reference) [in the library],
3. Diseases and Medical treatment: http://www.medicinenet.com
     Alcohol/illegal drug facts:
     http://www.ACDE.org
 5. Google & Wikipedia (with precaution)

Upon completion of this course the student should be familiar with the following



A. Pharmakokinetics/pharmacodynamics

1.             List and discuss the common routes of drug administration and excretion as well as describe advantages and disadvantages of each route.
2.             Compare the efficacy and the potency of two drugs on the basis of their dose-response curves.
3.             Describe the factors influencing drug absorption.
4.             Describe the effect of pH on solubility of a drug.
5.             Distinguish between first and zero order kinetics and give an example of each.
6.             Be familiar with the most common receptor signaling mechanisms
7.             Define or be familiar with the following:
  • ·         Steady state
  • ·         Bioequivalence
  •          Pharmacokinetics
  • ·         Therapeutic equivalence
  • ·         Pharmacodynamics Agonist & Antagonist
  • ·         Volume of distribution  
  • ·         Therapeutic index
  • ·         Half life
  • ·         Efficacy & Potency
  • ·         Bioavailability   
  • ·         Synergism/Potentiation
  • ·         First pass metabolism  
  • ·         Tolerance/Dependence



8.  Be familiar adverse drug reactions:
  • ·         allergic reactions
  • ·         tachyphylaxis
  • ·         idiosyncratic reactions
  • ·         placebo effect
  • ·         teratogenic effects
  • ·         side effect



9.  Know the difference between competitive vs. non-competitive inhibition.

B. The Autonomic Nervous System – Cholinergic & Adrenergic Agents

1.         Be able to describe the characteristics of sympathetic and parasympathetic nervous system activation. 
2.         Describe the organ-system effects of stimulation of SNS/PNS
3.         Be able to identify symptoms of cholinergic over stimulation and antidotes for treatment.
4.         Identify the basic pathophysiology of myasthenia gravis and glaucoma and how cholinergic agents are used in diagnosis and treatment.
5.         Know the actions of atropine.
6.         Be able to identify the characteristics associated with alpha and beta receptor stimulation.
7.         Be able to distinguish the cardiovascular consequences of administration of epinephrine, norepinephrine, and dopamine.
8.         Pharmakinetics of cocaine and amphetamines.
9.         Pathophysiology of pheochromocytoma and how ANS drugs used in treatment.
10.        Basic clinical uses for beta blocking agents.

C. CNS Agents: Parkinson’s/Anxiolytics/CNS Stimulants

1.         Describe the pharmacology of caffeine and nicotine.
2.         Be able to describe the mechanism of action of amphetamine, cocaine, the psychedelic drugs and THC.
3.         Therapeutic uses of amphetamines.
4.         Pharmacokinetics of alcohol.
5.         Identify components of fetal alcohol syndrome.
6.         Pharmacokinetics, pharmacodynamics, and clinical uses of benzodiazepines.
7.         Treatment of benzodiazepine overdose.
8.         Describe the neurochemical imbalance underlying the symptoms or Parkinson’s disease. 
9.         Identify the mechanisms by which levodopa, dopamine receptor agonists, selegiline, and muscarinic blocking drugs alleviate Parkinsonism.
10.        Describe the therapeutic and toxic effects of the major antiparkinsonism agents.

D. CNS Agents: Antidepressants/Opioids/Analgesics/Anti-Epileptics

1.         Be familiar with the DSM IV Criteria for the diagnosis of Major Depression.
2.         Basic characteristics and pharmacology of tricyclic antidepressants including drug interactions.
3.         Be familiar with prototype SSRIs (serotonin reuptake inhibitors), mechanism of action, side effect profile, and serotonin syndrome.
4.         Be familiar with drug categorizations in pregnancy.
5.         Be familiar with mechanism of action of MAO inhibitors (monamine oxidase) and drug interactions.
6.         Characteristics of schizophrenia and basic aims of treatment.  Be able to distinguish between positive and negative symptoms.
7.         Be familiar with the pharmacology of opioids.  Know the similarities and differences between morphine, Demerol, and codeine, and methadone.
8.         Identify characteristics associated with opioid overdose and effective treatments.
9.         Review pathophysiology of seizure disorders and the drugs used in its management.
10.        Use of anti-epileptics in pregnancy.

E. Congestive Heart Failure Drugs & Antihypertensives
1.         Describe the autonomic regulation of the cardiovascular system.
2.         Be able to describe and identify risk factors for coronary artery disease.
3.         Be able to calculate BMI and know the medical complications of obesity.
4.         JNC 7 (Joint National Committee) definitions for hypertension.
5.         Be able to describe lifestyle modifications for the treatment of hypertension.
6.         Role of beta blockers in the treatment of hypertension.  Contraindications to their use as well.
7.         Know the basic classes of diuretic agents and their mechanisms of action.
8.         Mechanism of action of ACE (angiotensin converting enzyme) inhibitors.  Also be familiar with adverse reactions such as cough and why this happens.
9.         Be able to identify special circumstances in which concomitant disease may affect choice of treatment.
10.        Physiology of heart failure.  Be able to distinguish between right and left sided heart failure.
11.        Be able to define preload and afterload.
12.        Objectives for drug treatment of heart failure.
13.        Mechanism of action of digoxin and signs of its toxicity

F. Thrombolytics & Antihyperlipidemics
1.         How to establish diagnosis of hyperlipidemia both by physical diagnosis and laboratory values.
2.         Describe dietary modifications that might be helpful in treating hyperlipidemia.
3.         Describe the components of the metabolic syndrome.
4.         Know the major classes of agents used for medical therapy of hyperlipidemia.
5.         Be able to identify major adverse effects associated with the agents most commonly used in treatment.
6.         Know the effect of estrogen and progesterone on lipid levels.
7.         Know the basic differences between the extrinsic and intrinsic clotting cascades.  Know which tests are used for each.
8.         Be familiar with the mechanism of action of aspirin.
9.         Pharmacokinetics and pharmacodynamics of heparin and warfarin.
10.        Know the differences between an arterial and a venous thrombus.

G. Diabetes Mellitus & Thyroid Gland Drugs
1.         Be able to distinguish the differences between Type 1 and Type 2 diabetes mellitus.
2.         Be aware of the microvascular and macrovascular complications of diabetes.
3.         Know the criteria for establishing the diagnosis of diabetes.
4.         Common dietary interventions used in the treatment of diabetes.
5.         Mechanism and duration of action of insulin.  Also know how to calculate insulin requirements.
6.         Know the common classes of oral anti-hyperglycemic agents and mechanisms of action.
7.         Physiologic effects of thyroid hormone.
8.         Know the signs and symptoms of Graves’s disease as well as the basic medical therapies used to treat it.
9.         Clinical features and diagnosis of hypothyroidism.
10.        Familiar with changes in thyroid function during pregnancy.



H. Miscellaneous Symptom-Modifying Drugs
1.         Discuss the pathophysiology of asthma and its common triggers.

2.         Be able to gauge symptoms based on the green – yellow – red spectrum.
3.         Know the role of rescue inhalers vs. long acting inhalers.  Be familiar with differences of using a spacer vs. not using one.
4.         Role of systemic corticosteroids in the treatment of severe asthma.
5.         Be familiar with the hormonal link to asthma.
6.         Be familiar with other anti-inflammatory agents and newer agents for the medical treatment of asthma.
7.         Be familiar with the pathophysiology of peptic ulcer disease and GERD (gastroesophageal reflux disease).
8.         Know the common lifestyle modifications and the medical therapy used to treat peptic ulcers and GERD.
9.         Working knowledge of the pathophysiology of nausea and vomiting.
10.        Basic pharmacology of the anti-diarrheal agents.

I. Sex Steroids & Bone Metabolism
1.         Understand menstrual cycle physiology and the pharmacokinetics of estrogen and progesterone.
2.         Understand the mechanism of action, advantages and disadvantages and non-contraceptive benefits of oral contraceptives.
3.         Know who should not be a candidate for hormonal contraception.
4.         Understand the physiology of menopause and the basic findings from the Women’s Health Initiative (WHI).
5.         Definition of osteoporosis and its clinical features and risk factors.
6.         Know the National Osteoporosis Foundation Guidelines for screening.
7.         Understand methods of screening and interpretation for the evaluation of osteoporosis.
8.         Know the recommended daily amounts for calcium supplementation.
9.         Understand the basic pharmacology of the medical therapies available to prevent and treat osteoporosis.  Be able to understand these classes in terms of effectiveness.

Antibiotic Drugs
1.         Be familiar with the following definitions:
  • sterilization
  • antiseptic
  • pasteurization
  • nosocomial infection
  • disinfectant
  • selective toxicity


2.         Know the concepts of an antibiotic that is bacteriocidal vs. on that is bacteriostatic.
3.         Know when it is appropriate to use combination and or prophylactic chemotherapeutic drugs.
4.         Understand the concepts of minimum inhibitory concentration (MIC) and minimal lethal concentration (MLC).
5.         Know the basic mechanisms of action of the major classes of antibiotics.
6.         Be aware of hypersensitivity reactions and cross reactions.
7.         Understand the risks of misuse of antibiotics.

Deleting a few Pages - Physical Diagnosis I

Over along the right hand column have been a few pages that don't exactly fit anymore so I'll be deleting a few of them, specifically the pages dealing with Tri-5 and classes such as Physical Diagnosis I, Toxicology (pharmacology), Biomechanics and NMS.  However, in case any of these pages could be of use to somebody I'm going to save each page as a post.

Below are the contents from the deleted Tri-5 Physical Diagnosis I page:


Glossary of Words to Know for Physical Dx I
  1. Abduction
  2. Abruptio Placenta
  3. Accommodation
  4. Acini Cells
  5. Adduction
  6. Adenitis
  7. Adnexae
  8. Adventitious
  9. Alveolar Ridge
  10. Amblyopia
  11. Amenorrhea
  12. Anacrotic
  13. Anesthesia
  14. Aneurysm
  15. Angle of Louis
  16. Annulus
  17. Anosmia
  18. Anthropometry
  19. Apex Beat
  20. Aphakia
  21. Aphasia
  22. Apical
  23. Appropriate for Gestational Age
  24. Apnea
  25. Apraxia
  26. Arrhythmia
  27. Arteriovenous Fistula
  28. Arteriovenous Shunt
  29. Articulation
  30. Ascites
  31. Asterixis
  32. Astigmatism
  33. Ataxia
  34. Atelectasis
  35. Athetosis
  36. Artrioventricular Valve
  37. Austin Flint Murmur
  38. Autonomic Nervous System
  39. Baroreceptor
  40. Barrel Chest
  41. Bartholin Glands
  42. Biferious Pulse
  43. Bifurcated
  44. Bigeminal Pulse
  45. Bisferiens Pulse
  46. Borborygmi
  47. Bossing
  48. Boutonniere Deformity
  49. Bradycardia
  50. Bradypnea
  51. Bronchial Breathing
  52. Bronchial Fremitus
  53. Bronchiectasis
  54. Bronchiolitis
  55. Bronchogenic
  56. Bronchophony
  57. Bronchopulmonary Dysplasia
  58. Bronchovesicular
  59. Bruit
  60. Bruxism
  61. Bubo
  62. Buccal Mucosa
  63. Bundle of His
  64. Bunion
  65. Bursa
  66. Canthus
  67. Caput Succedaneum
  68. Cardiac Cycle
  69. Cardiac Impulse
  70. Cardiac Output
  71. Cardiac Reserve
  72. Carrying Angle
  73. Cellulitis
  74. Cephalhematoma
  75. Cheilitis
  76. Chemoreceptor
  77. Choanae
  78. Chordee
  79. Chorea
  80. Choreiform Movements
  81. Choroid
  82. Ciliary Body
  83. Circumcorneal
  84. Circumduction
  85. Circumlocution
  86. Claudication
  87. Clonus
  88. Coarctation
  89. Cochlea
  90. Cognition
  91. Colic
  92. Colostrum
  93. Concha
  94. Conductive Hearing Loss
  95. Confabulation
  96. Conjuinctivitis
  97. Consolidation
  98. Contracture
  99. Coryza
  100. Craniotabes
  101. Crepitus
  102. Croup
  103. Cryptorchidism
  104. Cyanosis
  105. Deafness
  106. Decerebrate Posturing
  107. Dermatome
  108. Development
  109. Dextrocardia
  110. Diastole
  111. Dicrotic Notch
  112. Dicrotic Pulse
  113. Diplopia
  114. Dizziness
  115. Dorsiflexion
  116. Dysarthria
  117. Dysfunctional Uterine Bleeding (DUB)
  118. Dyspareunia
  119. Dysphagia
  120. Dyspnea
  121. Dysrhythmia
  122. Ecchymosis
  123. Echolalia
  124. Edema
  125. Edentulous
  126. Effacement
  127. Effusion
  128. Ejection Murmur
  129. Electrocardiogram
  130. Embolism
  131. Emphysema
  132. Encephalocele
  133. Endocardium
  134. Epicardium
  135. Epigastrium
  136. Epispadias
  137. Epulis
  138. Erythema Marginatum
  139. Esotropia
  140. Eustachian Tube
  141. Exotrophia
  142. Extension
  143. External Rotation
  144. Exudate
  145. Facies
  146. Fasciculation
  147. Fibrosis
  148. Flaccid
  149. Flail Chest
  150. Flank
  151. Flatulence
  152. Flexion
  153. Floater
  154. Fluctuant
  155. Flutter
  156. Fontanels
  157. Foramen Ovale
  158. Fordyce Spots
  159. Fornix
  160. Fourchette
  161. Fovea Centralis
  162. Fremitus
  163. Frenulum, Lingual
  164. Friction Rub
  165. Functional Assessment
  166. Galea Aponeurotica
  167. Gaussian Distribution
  168. Gestational Age
  169. Gingivae
  170. Glaucoma
  171. Goiter
  172. Graham Steell Murmur
  173. Graphesthesia
  174. Helix
  175. Hemangioma
  176. Hemianesthesia
  177. Hemiplegia
  178. Hemodynamic
  179. Hemoptysis
  180. Hernia
  181. Hilus of the Lung
  182. Hirsutism
  183. Holodiastolic
  184. Holosystolic
  185. Homan's Sign
  186. Homonymous Hemianopia
  187. Hydramnios
  188. Hyrocephaly
  189. Hyperesthesia
  190. Hyperextension
  191. Hyperkeratosis
  192. Hyperkinesia
  193. Hypermenorrhea
  194. Hyperopia
  195. Hyperpnea
  196. Hyperresonance
  197. Hyperthyroidism
  198. Hyperventilation
  199. Hypesthesia
  200. Hypokinesia
  201. Hypomenorrhea
  202. Hypospadias
  203. Hypotension
  204. Hypothyroidism
  205. Incus
  206. Induration
  207. Infarction
  208. Infrapatellar Fat Pad
  209. Intermittent Claudication
  210. Internal Rotation
  211. Intertriginous
  212. Introitus
  213. Isthmus
  214. Joint Instability
  215. Jugular Pulse
  216. Keratin
  217. Kiesselbach Plexus
  218. Koplik Spots
  219. Kyphopsis
  220. Lactation
  221. Large for Gestational Age (LGA)
  222. Leukoplakia
  223. Lobule
  224. Locking
  225. Log‑rolled
  226. Lordosis
  227. Lymphangioma
  228. Lymphangitis
  229. Lymphedema
  230. Macroglossia
  231. Malleus
  232. Malocclusion
  233. McBurney Point
  234. Meconium
  235. Mediastinum
  236. Medulla Oblongata
  237. Menarche
  238. Meninges
  239. Meningomyclocele
  240. Menorrhagia
  241. Metrorrhagia
  242. Microcephaly
  243. Midaxillary Line
  244. Midclavicular Line
  245. Midsternal Line
  246. Miosis
  247. Mitral Valve
  248. Montgomery Tubercles
  249. Mucopurulent
  250. Murmur
  251. Murphy Sign
  252. Muscle Tone
  253. Myalgia
  254. Myocardium
  255. Myopia
  256. Myxedema
  257. Nasal Polyp
  258. Nasopharynx
  259. Neurogenic
  260. Nevus
  261. Nocturia
  262. Nuchal Rigidity
  263. Nystagmus
  264. Oligomenorrhea
  265. Oncotic Pressure
  266. Onycholysis
  267. Oropharynx
  268. Orthostatic
  269. Ossification
  270. Otorrhea
  271. Pack‑years of Smoking (PYS)
  272. Palpebral Fissures
  273. Palpitation
  274. Papillae
  275. Papilledema
  276. Paradoxical Pulse
  277. Parasternal
  278. Parasympathetic Nervous System
  279. Parenchyma
  280. Paresthesia
  281. Parietal
  282. Paroxysm
  283. Peak Height Velocity
  284. Peau d'Orange
  285. Pectoriloquy
  286. Pectus Carinatum
  287. Pectus Excavatum
  288. Pedunculated
  289. Pericardium
  290. Perineum
  291. Peristalsis
  292. Petechiae
  293. Peyer Patches
  294. Philtrum
  295. Photophobia
  296. Pica
  297. Pilonidal
  298. Pitch
  299. Plantar Flexion
  300. Pleura
  301. Pleural Cavity
  302. Pleurisy
  303. Plumbism
  304. Pneumothorax
  305. Polydactyly
  306. Polymenorrhea
  307. Postauricular
  308. Posterior Axillary Line
  309. Postmenopausal Bleeding
  310. Postterm Infant
  311. Postural Hypotension
  312. Preauricular
  313. Precordium
  314. Prepuce
  315. Presbyopia
  316. Preterm Infant
  317. Prodromal Event
  318. Prognathism
  319. Pronate
  320. Proprioception
  321. Proptosis, Proptotic
  322. Pruritus
  323. Ptosis
  324. Pubarche
  325. Pulmonary Pressure
  326. Pulmonary Valve
  327. Pulse
  328. Punctum
  329. Purpura
  330. Pyrosis
  331. QRS Complex
  332. Rale
  333. Regurgitation
  334. Retrognathia
  335. Rhonchus
  336. Rigidity
  337. Saccular
  338. Scapular Line
  339. Sclerosis
  340. Scoliosis
  341. Scotoma
  342. Scrotal Raphe
  343. Sebum
  344. Semilunar Valve
  345. Sensorineural Hearing Loss
  346. Sessile
  347. Shunt, left to right
  348. Sibilant
  349. Sign
  350. Simian Crease
  351. Sinus Arrhythmia
  352. Sinus Rhythm
  353. Situs Inversus
  354. Skene Glands
  355. Small for Gestational Age (SGA)
  356. Smegma
  357. Spasm
  358. Spastic
  359. Spotting
  360. Sprain
  361. Stapes
  362. Steatorrhea
  363. Stellate
  364. Stereognosis
  365. Striae
  366. Stridor
  367. Stroke Volume
  368. Stroma
  369. Sty
  370. Subaortic Stenosis
  371. Subcutaneous Emphysema
  372. Subcutaneous Nodules
  373. Subgaleal
  374. Subjective Data
  375. Subluxation
  376. Sulcus
  377. Supernumerary Nipples
  378. Supinate
  379. Sutures
  380. Swan Neck Deformity
  381. Sympathetic Nervous System
  382. Symptom
  383. Syndactyly
  384. Systole
  385. Tachycardia
  386. Tachypnea
  387. Tactile Fremitus
  388. Tail of Spence
  389. Term Infant
  390. Terminal Hair
  391. Thelarche
  392. Thrill
  393. Thrombophlebitis
  394. Thrombosis
  395. Thyrotoxicosis
  396. Tic
  397. Tinnitus
  398. Tonus
  399. Tophus
  400. Tragus
  401. Transient Tachypnea of the Newborn
  402. Tremor
  403. Tricuspid Valve
  404. Turbinates
  405. Tympanic Membrane
  406. Umbo
  407. Valgus
  408. Valsalva Maneuver
  409. Varicosity
  410. Varus
  411. Vascular
  412. Vasoconstriction
  413. Vasomotor
  414. Vasporessor
  415. Vellus Hair
  416. Velocity of Growth
  417. Venous Hum
  418. Venous Thrombosis
  419. Ventilation
  420. Vertigo
  421. Vesicular Breath Sounds
  422. Vestibular Function
  423. Vestibule
  424. Virchow Node
  425. Virilization
  426. Vulva
  427. Water‑hammer Pulse
  428. Webbing
  429. Whispered Pectoriloquy
  430. Whoop
  431. Winged Scapula