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9 Cards in this Set
- Front
- Back
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Sequence of data acquisition and analysis
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Medical interview (history)
Physical exam Diagnostic tests Assessment is formed Therapeutic plan is formulated |
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Information verbally given to you by the patient or family. The history is generally recorded in this format.
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Subjective
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Information you (the physician) observes. The physical is recorded in this format.
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Objective
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An established patient is likely to receive a _________ physical exam.
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Focused
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Negative answers to questions that are pertinent to the chief complaint.
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Pertinent negatives
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How to record smoking history in pack years.
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PPD x # years smoking
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Cardinal techniques of a physical examination.
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Inspection
Palpation Percussion Auscultation |
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Next step if kidney infection is suspected.
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Percuss posteriorly over costovertebral angles
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Five segments of nervous system exam
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Mental status
Cranial nerves Motor system Sensory system Reflexes |
