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18 Cards in this Set
- Front
- Back
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HPI |
History of present illness |
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PMH |
Past medical history |
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OPQRST |
Onset, provocation, quality, region relief, severity |
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SAMPLE |
Sign and symptoms, allergies, medication, pertinent past medical history, last oral intake, events |
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Creitation |
The grating sound or feeling of broken bones rubbing together |
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Sign |
Something regarding the patients condition that you can see |
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Symptom |
Something regarding the patients condition that the patient tells you |
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Open ended question |
A question requiring more than just a yes or no answer |
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Closed ended question |
A question requiring only a yes or no answer |
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MOI |
Mechanism of injury |
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DCAP-BTLS |
Deformities, contusions, abrasions, Punctures and penetration, burns, tenderness, lacerations, swelling |
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Rapid trauma assessment |
A rapid assessment of the head, neck, chest, abdomen, pelvis, extremities, and posterior of the body to detect signs and symptoms of injury |
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Priamism |
Persistent erection of the penis that may result from spinal injury and some medical problems |
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Detailed physical exam |
An assessment of the head, neck, chest, abdomen, pelvis, extremities, and posterior of the body to detect signs and symptoms of injuries. It differs from the rapid trauma assessment only in that it also includes examination of the face, ears, eyes, nose, and mouth during the examination of the head. |
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Diagnosis |
A description or label for the patients condition that assists a clinician in further evaluation and treatment |
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Differential diagnosis |
A list of potential diagnoses compiled early in the assessment of the patient |
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CSF |
Cerebrospinal fluid |
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Trending |
Changes in a patient's condition over time, such as slowing respiration or rising pulse rate, that may show improvement |
