Dpr: Final Wk 7

Front 1

Why the patient decided to seek care today rather than yesterday, tomorrow, or last year? It is the answer to the question, "Why now?"

Back 1

Iatrotropic stimulus

Front 2

What are the "wh" questions and how are they sued in the history of present illness?

Back 2

Where (Where on the body)
What (What does it feel like)
When (When did it start)
How (How do daily activities affect it)
Why (Why do you think it occurs)
Who (Who is affected)

Front 3

Technique by which the clinician regurgitates the main points of the interview back to the patient.

Back 3

Summarization

Front 4

An attempt to clarify inconsistent statements; a tool to clarify data

Back 4

Confrontation

Front 5

A patient that says little or nothing which might be a problem in getting a complete medical history.

Back 5

Reticent

Front 6

How do you deal with a reticent patient?

Back 6

1. Guide the patient w/o asking leading questions
2. Use laundry lists, or menus to elicit issues, but don't ask "yes/no" questions.

Front 7

How do you deal with a rambling patient?

Back 7

direct patient back to the task at hand w/o appearing to be rude or disinterested

Acknowlege own confusion in being lost in detail

use summary statemtns and a reminder of time constraints

Front 8

The patient that embellish their problems with numerous seemingly unrelated details

Back 8

The Rambling patient

Front 9

the interviewer cannot figure out exactly what the patient is describing.

Back 9

Vague Patient

Front 10

What are the cons in using electronic messaging in clinician-patient encounters

Back 10

1. Privacy issues
2. Great potential for unethical and inappropriate use
3. Not a viable replacement for a live medical interview

Front 11

What are the components of a preventative health assessment?

Back 11

1. Introduction (now I’d like to ask you a few questions about keeping healthy)

2. Immunization Status (can you recall anything about your immunizations? When was your last tetanus shot? Flu Shot?)

3. Screening (Have you ever had your cholesterol checked? When was your last Pap smear?)

4. Family History

5. Specific risk factors

6. Lifestyle issues

7. Health Beliefs

Front 12

Thinking inside the box

Back 12

Vertical line failure

Front 13

The tendency toward action rather than inaction

Back 13

Commission bias

Front 14

The tendency to stop searching for a diagnosis once you find something

Back 14

satisfaction of search

Front 15

Pros of obtaining clinical information prior to actually evaluating a patient?

Back 15

1. Gives clinical cues important for diagnosis

2. Allows avoidance of hampering perception and cognition

Front 16

What are the cons of obtaining clinical info prior to actually evaluating a patient?

Back 16

1. Predisposes clinician to a certain diagnosis

2. : it might blind you to other problems the patient might have, which does not fit with the clinical information you received prior to evaluating the patient