PATHOGNOMONIC SIGNS OF DIFFERENT DISEASES

Pathognomonic sign is a particular sign of a disease whose presence intensifies that a disease is present without any hesitations. Here are the list of the most common diseases and their pathognomonic signs:

1. Addison’s Dse. - Bronze-like skin
2. Appendicitis-McBurney’s Point/ Rovsing Sign/Psoas Sign
3. Asthma-Wheezing Inspiration
4. Bulimia Nervosa - Chipmunk Face
5. Cataract- Blurry Vision / Hizzy Vision
6. Cholecystitis-Murphy’s Sign (pain RUQ)
7. Cholera -Rice Watery Stool
8. COPD -Barrel-Chested
9. Cushing Syndrome- Buffalo Hump
10. Dengue-Petechiae
11. Down Syndrome- Single Crease on Palm/Clubbing of Fingernails
12. Glucoma- Tunnel-like Vision
13. Hepatitis-Icteric Sclera (yellowish discoloration of sclera)
14. Hyperpituitarism - CAROTENEMIA (Discoloration of skin)/ XANTHAMIA
15. Hyperthyroidism - Exopthalmus
16. Kawasaki Dse.- Strawberry Tongue
17. Leprosy-Leoning Face (contracted face)
18. Liver Cirrhosis - Spider Angioma
19. Malaria -Stepladder Fever
20. Measles-Koplick’s Spot
21. Meningitis-Burdzinski Sign (Pain on nape)/Karnig Sign (pain on leg/ knee area)
22. MI-Levine's sign
23. Myasthemia Gravis (MG) - Ptosis (inability to open upper eyelids)
24. Pancreatitis - Cullen Sign (Bluish discoloration preumbilical area)
25. Parkinson’s Dse. - Pill Rolling Tremors
26. Pernicious Anemia - Beefy Red Tongue (Schilling’s Test)
27. Pneumonia - Greenish Rusty Sputum
28. PTB-Low grade fever in afternoon
29. Pyloric Stenosis - Olive-Shaped Mass
30. SLE-Butterfly Rashes
31. Tetany- Chvostek Sign)/Trosseau’s Sign
32. Thrombophlebitis - Homan’s Sign
33. Typhoid - Rose Spot

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Renewal of Professional ID

In line with the new online registration system in place starting July 18, 2012, professionals renewing their professional identification cards (PICs) are advised of the following revised procedures:

RENEWAL AT PRC CENTRAL AND REGIONAL OFFICES

1. Professional or duly authorized representative must secure and accomplish a renewal form from the Registration Division and submit one (1) passport size picture with nametag and in white background.
2. Professional pays to cashier the renewal fee upon securing his/her printed renewal application. The schedule for claiming the PIC is printed on the lower portion of the printed form.
3. On the scheduled date, the professional or his/her duly authorized representative must present claim stub to the Registration Division. He/she shall also present the Official Receipt showing payment of the renewal fee and sign an acknowledgment of receipt of the PIC. When the PIC is claimed by a representative, the said representative must also present together with the official receipt a *letter of authority or **Special Power of Attorney from the professional.

RENEWAL AT SM MALLS

1. Professional fills out renewal form at Business Center of any SM Mall.
2. He/she pays assessed fee for renewal, photo fee, convenience fee and/or courier service fee, the latter if he/she desires to have the PIC sent through courier to his/her address. Please note that the photo fee, convenience and/or courier fee are payments to SM Mart, Inc. and do not form part of PRC's fees.
3. A professional not availing himself of courier service must claim the PICs on the date indicated in the claim stub. When the PIC is claimed by a representative, the said representative must also present together with the official receipt, a *letter of authority or **Special Power of Attorney from the professional.

Important Notice

Professions to submit an updated certificate of good standing from their respective Accredited Professional Organization (APO) are the following:

• Agricultural Engineers
• Architects
• Customs Brokers
• Electrical Engineers
• Electronics Engineers
• Geodetic Engineers
• Guidance and Counseling
• Interior Designers
• Landscape Architects
• Mechanical Engineers
• Real Estate Services

NOTE:
     *PRC-registered professional acting as representatives may transact with PRC upon presentation of Authorization Letter and his/her professional ID.

     **Representatives filing the application and claiming the professional ID in behalf of the professional must present Special Power of Attorney and valid identification of the professional and the representative.

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SHOCK- In shock, the first hour of treatment is most critical. Early detection is key. There are different ways to categorize shock. Basically, shock presents three potential problems:

1. Not enough fluid in the blood vessels (hypovolemia) OR
2. Fluid has moved outside the vessels, so cannot be pumped to the organs (distributive) OR
3. Heart cannot pump fluid that is present (cardiogenic)

Shock and Temperature

In septic shock, the skin and body temperature may increase. In other shock states, body and skin temperature will decrease.

Shock and Heart Signs

1. Early stages of shock activate the sympathetic nervous system. So in early stages, the client will not always be hypotensive.
2. Bradycardia is a very late sign in shock.
3. Another late sign is cardiac arrhythmia (other than sinus tachycardia). Arrhythmias reflect less perfusion of the coronary arteries and myocarditis.
4. As the myocardium receives less perfusion, heart pumps less.
5. Because less blood perfuses the brain, level of consciousness drops.

Shock and Urinary Output

Average adult urinary output is 0.5 to 1.0 ml/kg/hr. Less than 35 ml/hour reflects decreased renal blood flow. Acute renal failure can result.

Shock and Respiration

1. As blood flow to lungs decreases, less gas exchange will occur.
2. When tissues receive less oxygen, they produce more lactate and metabolic acidosis sets in. Metabolic acidosis increases risk of cardiac arrhythmias.
3. For a client in shock, body cells receive less oxygen and nutrients. Thus treatment aims at increasing both available oxygen and volume of blood in vessels (unless the heart has failed).
4. Medications can improve tone of blood vessels (inotropes) or treat the cause of shock (corticosteroids, antibiotics).
5. When treating a trauma client, you must quickly assess ABCs. After you know the client is breathing and has a pulse, vital signs can wait while you stop any bleeding and start other interventions (such as starting IVS). Don't rely only on the vital sign numbers.

Head and Spine Injury

1. If client has head injury, the most important assessment is level of consciousness; next is pupil response to light. Changes in vitals are very late sign.
2. With trauma clients, assume spine is injured until proven otherwise. While you open the airway, you must keep cervical spine immobile.

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OATH FORM/PANUNUMPA NG KATAPATAN

The Professional Regulation Commission (PRC) “Panunumpa ng Propesyonal (Oath of Professionals)” form is a government form which is free to obtain, print and/or reproduced. This form is available in the PRC office but you may also download it from here. In order to save more time, it’s better to print out a copy of this form and fill it out before going to the PRC office.

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TOP PERFORMING SCHOOLS WITH 30-99 EXAMINEES

Top Performing Schools in July 2010 Nurse Licensure Exam NLE

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TOP PERFORMING SCHOOLS WITH 100 AND MORE EXAMINEES

Top-Performing-Schools With 100 and More Examinees

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JULY 2010 NURSING LICENSURE EXAMINATION (NLE) RESULTS

JULY 2010 NURSE LICENSURE EXAMINATION RESULTS

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