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4 Cards in this Set
- Front
- Back
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What is included in a Complete Data Base?
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Subjective data
Objective data (IPPA) |
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What are the types of patient data bases?
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complete
episodic or problem-centered follow up emergency |
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What are the components of the health history?
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Biographical data
Source and reliability of data Chief complaint Present health or history of present illness Past medical history Family history Personal/social history Review of systems |
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What are the components of the general survey?
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Physical appearance: age, sex, LOC, skin color, facial features
Body structure: stature, nutrition, symmetry, posture, position, body build/contour Mobility: gait, ROM Behavior: facial expression, mood and affect, speech, dress, personal hygiene |
