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17 Cards in this Set
- Front
- Back
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What is the first and most important step in the diagnostic work up?
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history
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What is the exact sequence of data acquisition?
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1. history (medical interview)
2. physical exam 3. diagnostic tests 4. assessment (hypothesis, impressions are made, differential diagnoses are considered) 5. therapeutic plan formulated |
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The goal of PD is to be _____________.
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interactive
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How many Hz is the tuning fork
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256
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What the patient or ________________ tells you is subjective information.
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patient's family
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In the physical exam, you are collecting (objective/subjective) information.
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objective
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You can use _____________________ to determine the pace of the interview.
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open and closed ended questions
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Comprehensive v focused exam
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comprehensive-appropriate for new patients
focused - used for routine or urgent visits, addressing specific concerns |
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organization of the history
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Preliminary data
Chief complaint (cc) History of chief complaint (HCC), or history of present illness (HPI) Past medical history Medications Allergies Surgical history Family history Social history Review of systems |
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When stating the chief complaint, always include _______________.
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the patients age
"48 year old man presents to the ED complaining of chest pain" |
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The past medical history includes
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any medical issue that the patient has experienced in their life. it does not have to be directly related the chief complaint
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Side effects are different from...
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allergies
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In pedigrees, males are represented in _________ and girls are represented in _______
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squares
circles |
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how do you calculate the pack year history?
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number of packs per day x years of use
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ROS (review of symptoms/systems) is a series of questions focusing on ______________________.
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each body system, even if it's not related to the HPI (history of presenting illness)
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What is the difference between illness and disease?
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disease is what you diagnose
illness is the patients experience with the disease |
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Whats the difference between a sign and a symptoms?
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you observe a sign
the patient observes a symptom |
