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29 Cards in this Set
- Front
- Back
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The reason the ambulance was called.
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Chief complaint
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The list of possible causes for your patient's symptoms.
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Differential field diagnosis
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Questions that allow your patient to answer in detail.
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Open-ended questions
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Questions that elicit a one- or two-word answer.
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Close-ended questions
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The process of responding to your patient's statements with words or gestures that demonstrate your understanding.
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Active listening
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Active Listening Skills
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- Facilitation
- Reflection - Clarification - Empathy - Confrontation - Interpretation |
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Elements of the Patient History
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- Preliminary data
- Chief complaint - Present illness/injury - Past history - Current health status - Review of systems |
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The underlying cause for your patient's symptoms.
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Primary problem
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Present Illness - OPQRST-ASPN
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- Onset of problem
- Provocation/Palliative factors - Quality - Region/Radiation - Severity - Time - Associated Symptoms - Pertinent Negatives |
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Pain that is elicited through palpation.
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Tenderness
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Pain that is felt at a location away from its source.
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Referred pain
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A medication that stimulates the kidneys to excrete excess water.
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Diuretic
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Cage questionnaire
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- Cut down
- Annoyed - Guilty - Eye-opener |
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A list of questions categorized by body system.
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Review of systems
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Head, eyes, ears, nose, and throat.
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HEENT
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The sensation of ringing in the ears.
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Tinnitus
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Coughing up of blood.
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Hemoptysis
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The sensation of having difficulty breathing.
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Dyspnea
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Difficulty breathing while lying supine.
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Orthopnea
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Sudden onset of shortness of breath at night.
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Paroxysmal nocturnal dyspnea
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Vomiting of blood.
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Hematemesis
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Excessive urination.
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Polyuria
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Excessive urination at night
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Nocturia
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Blood in the urine.
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Hematuria
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Menstrual difficulties.
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Dysmenorrhea
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Intermittent calf pain while walking that subsides with rest.
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Intermittent claudication
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A mood disorder characterized by hopelessness and malaise.
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Depression
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A deterioration of metal status that is usually associated with structural neurologic disease.
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Dementia
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An acute alteration in mental functioning that is often reversible.
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Delirium
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