Tanner Stage II: Boys Correct Answer: testes/scrotum enlarges, scrotum darkens, more ruggae
Tanner Stage III: Boys Correct Answer: penis grows longer, scrotum continues to grow
Tanner Stage IV: Boys Correct Answer: penis becomes wider, continues getting longer, scrotum larger,
darker, more ruggae
Tanner Stage V: Boys Correct Answer: adult
kiesselbach's plexus Correct Answer: blood vessels on anterior septum where 90% of nosebleeds
originate
Finkelstein's test Correct Answer: used to dx DeQuervain's tenosynovitis, thumb in fist, bend wrist
towards little finger. positive c pain in wrist on thumb side
anterior drawer test Correct Answer: used to check for ACL injury, pull tibia forward from femur c both
hands on tibia c pt laying and knee flexed at 90 deg, positive c >5mm translation or increase laxity
compared to unaffected side
lachman maneuver Correct Answer: tests ACL integrity, pt on back knee flexed 20-30 deg, one hand
stabilize femur, other applies pressure to back of knee, positive c mushy end point
pivot test Correct Answer: tests ACL integrity, pt on back, knee fully extended, rotate foot internally.
Apply valgus stress while flexing knee. Positive= translation of tibia on femur
McMurray test Correct Answer: checks for meniscus injury, pt supine, knee flexed. medial: apply valgus
force, externally rotate the foot and passively extend knee. lateral: apply varus force, internally rotate
foot and passively extend knee. Positive= audible or palpable snap in knee during extension
, Tinel's sign Correct Answer: Detects irritated nerves, most often c carpal tunnel. Tap on median nerve.
Positive= tingling down thumb, index, and middle finger
Phalen's maneuver Correct Answer: Detects carpal tunnel syndrome. allow wrists to fall into maximum
flexion, hold for 60 seconds. Positive= tingling down thumb, index, and middle finger
Kernig's sign Correct Answer: sign of meningitis. Pt supine, hip flexed at 90, attempt to straighten leg.
Positive= inability to straighten leg
Maculopapular rash in lace like pattern Correct Answer: Fifth's disease
Maculopapular rash with papules, vesicles, and crusts Correct Answer: Varicella
Maculopapular rashes that are oval shaped with herald patch or Christmas tree Correct Answer:
pityriasis rosea
vesicular rashes on an erythematous base Correct Answer: herpes simplex
scarlet fever (scarletina) Correct Answer: caused by group A strep, rash is fine, red, and rough textured.
non-puritic. accompanied by sore throat, stawberry tongue, and peeling of hands and feet. tx c abx for
strep (Penicillin)
S3 Correct Answer: Heard best over pulmonic area (2nd L intercostal space), indicates heart failure,
ventricular overload
psoas sign (ilipsoas muscle sign) Correct Answer: used c acute abdomen, appendicitis. Pt lays on left
side, hyperextends right thigh. Positive= abd pain
obturator sign Correct Answer: used c acute abdomen, appendicitis. Pt supine, flex knee and hip to 90
deg, internally rotate hip. Positive= abd pain (c R leg for appendix)
Rovsing's sign Correct Answer: used c acute abdomen, appendicitis. Palpate LLQ, Positive= pain in RLQ
McBurney's point Correct Answer: 2/3rds of distance from umbilicus to the R anterior superior iliac
spine. Deep tenderness at this point may be indicative of appendicitis
Hirschsprung (Hirschberg) test Correct Answer: aka corneal light reflex. Checks for strabismus.
Rocky Mountain spotted fever Correct Answer: S central US. Red rash on wrists and ankles that spreads
centrally that appears 3rd day after fever (103-105). Can cause death if not tx in 1st 8 days of symptoms
Cholesteatoma Correct Answer: Cauliflower like growth in ear c foul smelling discharge. Can eat through
tm, bone, & nerves. Refer to EENT
Koplik's spots Correct Answer: Small red papules with white center inside cheeks by lower molars.
Indicates measles, before rash.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ElonMusk. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.