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6 Cards in this Set
- Front
- Back
- 3rd side (hint)
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pyloric stenosis: description
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narrowing of the pylorus, the opening from the stomach into the small intestine.
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Pyloric stenosis: symptoms
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regurgitation progressing to projectile vomiting.
very hungry without weight gain |
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Pyloric stenosis: Palpation
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small, rounded, olive shaped mass in the right upper quadrant (especially after the child vomits).
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Chief Complaint
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a brief statement of the reason the patient is seeking care.
Direct quotes are helpful. |
It is important however, to go beyond the reason into the underlying concern that caused the patient to seek care rather than just getting up and going to work.
If the patient has a sore throat, why did they seek help? Is it the pain and fever, or is it a concern caused by past experience that a relative developed rheumatic heart disease? Many interviewers include the duration of the problem as part of the chief complaint. |
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History of Present Illness
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requires a step-by-step evaluation of the circumstances that surround the primary reason for the patient's visit
Determine duration of the current illness. “How long has this problem been present?” or, “When did these symptoms begin?” A step-by-step evaluation of the circumstances that surround the primary reason for the patient’s visit |
Explore the following:
Chronology of events Health state prior to present problem First symptoms Exposure to infection or toxic agents History of previous symptoms Illness impact on lifestyle Stability of problem Immediate reason for visit Review of involved system Problem list |
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Review of Systems
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Detailed review of complaints for each body system
Systematic start Head to Toe |
General constitutional symptoms
Diet Skin, hair, and nails Musculoskeletal Head and neck Endocrine Chest and lungs Heart and blood vessels Hematologic Gastrointestinal Genitourinary Neurologic Psychiatric Your chance to catch something that you overlooked |
