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18 Cards in this Set
- Front
- Back
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ED Flow: |
Walk In, Triage, Bed Physician Assessment Lab/rad/meds, results MDM, Dx, Consults Disposition |
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What are the five vital signs |
HR, BP, RR, Temp, O2 Sat |
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The HPI and ROS are what type of information, subjective or objective? |
Subjective |
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The Physical Exam is what type of information, subjective or objective? |
Objective |
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While evaluating a patient complaining of chest pain, your physician tells you that the heart sounds are normal. Would you document it in the HPI, ROS, or PE? |
PE |
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Would you be contradicting yourself if you wrote, "The patient has abdominal pain" in the HPI, but then later in the physical exam documented "the abdomen is non-tender" why or why not? |
No, because pain is subjective, tenderness is objective. |
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What is the difference between HPI and ROS? |
HPI focuses on the details related to the chief complaint. ROS is a head-to-toe checklist of symptoms, including the chief complaint, associated symptoms, and all other complaints the patient may have. |
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What does disposition (dispo) mean? |
The patient's destination after they leave the emergency department. |
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What subcategories are included within the Past History section? |
PMHx PMSx FHx SHx |
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What is the abbreviation for a heart attack? |
MI |
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What is the abbreviation for high blood pressure? |
HTN |
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What is the medical term for acid reflux? |
GERD |
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What is the medical term for stroke? |
CVA |
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What is the term for gallbladder removal? |
Cholecystectomy |
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What does NKDA stand for? |
No Known Drug Allergies |
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What is the medical term for redness? |
Erythema |
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What is the medical term for bruising? |
Eccchymosis |
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If the doctor says the exam was benign, what does that mean? |
Normal Nothing of concern |
