Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Scribe > Class 1 > Flashcards

Class 1 Flashcards

1
Q

What are the 2 types of visits and what is the difference between them?

A

The 2 types of visits are diagnostic and health management visits.

DIAGNOSTIC - A NEW PROBLEM, GOAL IS TO DETERMINE CAUSE OF THE PROBLEM AND APPROPRIATE TREATMENT, chief complaint ( NEW SYPTOM)

HEALTH MANAGEMENT - A ROUTINE CHECK UP, goal is PREVENTATIVE CARE and/ or assessing progress of ongoing medical problems. chief complaint (routine physical or management of chronic problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Stages of a visit

A 
CHECK IN & COMPLAINT
HISTORY & PHYSICAL
ORDERS & RESULTS
ASSESSMENT AND PLAN
CHECK OUT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

S.O.A.P

A 
SUBJECTIVE COMPLAINTS
-  (history of present illness & review of symptoms)
PAST HISTORY
OBJECTIVE EVALUATION
-physical examination
-orders and results
ASSESSMENT
-current diagnosis
PLAN
-treatment and follow up
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

PATIENT SAYS…SCRIBE WRITES

A
  • HIGH BLOOD PRESSURE- HYPERTENSION (HTN)
  • HIGH CHOLESTEROL - HYPERLIPIDEMIA (HLD)
  • DIABETES - DIABETES MELLITUS (DM)

“I ONLY TAKE PILS FOR MY DIABETES” - NON-INSULIN DEPENDENT DIABETES MELLITUS (NIDDM)

“I TAKE SHOTS (INSULIN) FOR MY DIABETES” - INSULIN DEPENDENT DIABETES MELLITUS. (IDDM)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

CARDIAC AND PULMONARY

A

HEART DISEASE - CORONARY ARTERY DISEASE. (CAD)
HEART ATTACK - MYOCARDIAL INFARCTION. (MI) & (CAD)
HEART FAILURE - CONGESTIVE HEART FAILURE (CHF)
IRREGULAR HEARTBEAT - ARRHYTHMIA

  • EMPHYSEMA OR CHRONIC BRONCHITIS - CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)

BLOOD CLOT IN THE LUNG - PULMONARY EMBOLISM (PE)
PNEUMONIA OR LUNG INFECTION - PNEUMONIA (PNA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

GASTOINESTINAL & DENITOURINARY

A
  • REFLUX - GASTRESOPHAGAEL REFLUC DISEASE (GERD)
  • ULCERS - GASTRIC ULCER OR PEPTIC ULCER DISEASE (PUD)
  • IRRATIONAL BOWEL - IRRITABLE BOWEL SYNDROME (IBS)
  • BLADDER INFECTION - URINARY TRACT INFECTION (UTI)
  • KIDNEY INFECTION - PYELONEPHRITIS
  • “IM ON DIALYSIS” - CHRONIC KIDNEY DISEASE (CKD) ON DIALYSIS
    ENLARGED PROSTATE - BENIGN PROSTATIC HYPERTROPHY (BPH)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Neurological & Vascular

A

Stoke - Cerebrovascular accident (CVA)
Blood clot in the brain - Ischemic CVA
Brain bleed - Hemorrhagic CVA
Mini stroke - Transient Ischemic Attack (TIA)
Blood clot in my leg - Deep vein Thrombosis (DVT)
Bulge in my aorta - Aortic Aneurysm
Bad blood flow in my legs - peripheral vascular disease (PVD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cancer

A 
Cancer - cancer or Carcinoma (CA)
Spread to my - with metastasis to the..
Chemo -  chemotherapy 
They cut it out - status (post surgical resection
It’s gone - in remission
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Common PSHx

A

Tonsils removed - tonsillectomy
Adenoids removed - Adenoidectomy
Neck arteries cleaned - carotid endarterectomy

Leg amputated - above knee amputation (AKA), below knee amputation - (BKA)

Joint repair - Arthroplasty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Cardiac & Pulmonary

A

Balloon in my heart - Angioplasty
Stents in my heart - Coronary stents

Heart Bypass - Coronary Artery bypass Graft (CABG)

Breast removal - Mastectomy
Part of my lung removed - partial lobectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

GI &GU PSHx

A 
Appendix removed - appendectomy
Gallbladder removed - Cholecystectomy 
Part of my colon removed - partial colectomy
Spleen removed - splenectomy
Kidney removed - nephrectomy
Uterus removed - hysterectomy
Ovary removed - oophorectomy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Comorbidity

A

Complex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Systolic blood pressure

A

Measures the pressure in the arteries when the heart contracts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Diastolic blood pressure

A

Measures the pressure in the arteries when relaxed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hypotensive BP

A

SYS: LESS THAN 90
DIA: LESS THAN 60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Normal BP

A

SYS: 90 TO 120
DIA: 60 TO 80

17
Q

Prehypertensive BP

A

SYS: 121 TO 140
DIA: 81 TO 90

18
Q

Hypertensive BP

A

SYS: GREATER THAN 140
DIA: GREATER THAN 90

19
Q

ACE Inhibitors

A

relaxes arteries and block reabsorption of water by kidneys

Lotensin (benazepril)
Zestril - (Lisinpril)

20
Q

Ca Channel Blockers

A

Dilate the arteries and reduce the force of the heart’s contractions

Norvasc (amlodipine)
Cardizem (diltiazem)

21
Q

Diuretics

A

Reduce the volume of fluid in the blood vessels by urinating excess fluid

Hydrochlorothiazide (HCTZ)

22
Q

ARBs

A

Dilate the arteries

Cozaar (losartan)
Benicar (olmesartan)

23
Q

Type 1 vs Type 2 DM

A

Type 1 - insulin insufficiency, pancreas is unable to produce insulin which moves glucose from the blood into the cells, found early.

Type 2- insulin resistance, consistently high blood glucose levels cause cells to become resistant to insulin. Can be treated with non insulin meds, diet change or insulin.

24
Q

Injected management of DM

A

Hum along - rapid acting insulin, injected IMMEDIATELY before or after meals

Lantus - long acting insulin, injected once daily

Sliding scale - insulin dosage based on current glucose

25
Q

Oral management of DM

A

Metformin- long acting oral med, taken with meals

Glyburide - induces pancreas to produce insulin, TAKEN WITH MELAS

26
Q

ETIOLOGY - HLD

A

An elevated level of lipid in the blood caused plaque build up along arterial walls

27
Q

CHOLESTEROL

A

LDL - low density lipoprotein / BAD cholesterol

HDL - high density lipoprotein / GOOD cholesterol

28
Q

Pharmacological management of HLD

A

Statin - any medication ending in statin is used to treat HLD by inhibiting the production of cholesterol

Scribe (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions