Course 1 Flashcards

1
Q

distress

A

the doctor’s judgment of discomfort

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

medical decision-making

A

the physician’s thought of process

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

subjective

A

feelings

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

objective

A

facts

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

H&P

A

history and physical

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

PMHx

A

past medical history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

PSHx

A

past surgical history

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

FHx

A

family history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

SHx

A

social history

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

ED flow

A
  1. check-in and chief complaint
  2. physician assessments
  3. objective orders and results
  4. medical decision making (dr. determines what he wants to do base on the results and etc.)
  5. disposition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

DDx

A

differential diagnosis - based on H&P, dr generates a list of things that could be causing the pt’s subjective symptoms and orders tests to r/o each differential

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

documentation template

A
  1. HPI - the story and context of the chief of complaint
  2. ROS - a head-to-toe list of positives and negatives
  3. Past history - PMHx, PSHx, SHx, FHx
  4. Physical examination - physician’s objective findings
  5. ED course - objective results (lab, imaging, re-evils, consults, procedures)
  6. disposition - discharge, admit, transfer…
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

“high cholesterol”

A

= hyper-lipid-emia (HLD)

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

“I only take pills for my diabetes”

A

= type II - NIDDM

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

“i take shots (insulin) for my diabetes”

A

= type I - IDDM

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

“irregular heartbeat”

A

= A-fib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

“episodes of abnormally fast/racing HR”

A

= supraventricular tachycardia (SVT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

SVT

A

supraventricular tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

“emphysema/chronic bron”

A

COPD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

PNA

A

pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

“reflux”

A

= gastroesophageal reflux disease (GERD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

“ulcer”

A

= gastric ulcer or peptic ulcer disease

23
Q

IBS

A

irritable bowel syndrome

24
Q

“kidney infection”

A

= pyelonephritis

25
Q

“kidney stone”

A

= renal calculi

26
Q

“im on dialysis”

A

= chronic renal failure (CRF)/

end stage renal disease (ESRD)

27
Q

“enlarged prostate”

A

= benign prostate hypertrophy (BPH)

28
Q

“bulge in my aorta/triple A”

A

= AAA (abdominal aortic aneurysm)

29
Q

“bad blood flow to leg”

A

= PVD peripheral vascular disease

30
Q

“numbness in my leg”

A

= peripheral neuropathy

31
Q

“spead to…”

A

= metastases

32
Q

“they cut it out”

A

= status-post surgical resection

33
Q

“bulging/herniated disc”

A

= degenerative disc disease (DDD)

34
Q

“arthritis”

A

= usually OA (osteoarthritis)

sometimes RA

35
Q

“joint pain (chronic)”

A

degenerative joint disease (DJD)

36
Q

removal

A

-ectomy

37
Q

“ear tubes”

A

pressure equalizer (P.E.) tube

38
Q

“Balloon”

A

angioplasty –> PHMx CAD

39
Q

“defibrillator”

A

automatic implanted cardiac defibrillator (AICD)

40
Q

“surgery for Afib”

A

Afib s/p cardiac ablation

41
Q

“hole in my neck”

A

tracheostromy

42
Q

“partial lung removal”

A

partial lobectomy

43
Q

“uterus removed”

A

= hysterectomy (partial vs. total)

44
Q

“hernia repair”

A

= herniorrhaphy

45
Q

“bag to collect stool”

A

= colostomy

46
Q

“neck artery cleaned”

A

= carotid endarterectomy

47
Q

“brain surgery”

A

= craniotomy

48
Q

“shunt”

A

= ventriculoperitoneal (VP) shunt

49
Q

“ovary removed”

A

= oophorectomy

50
Q

“ovary and fallopian tubes removed”

A

= salpingo-oophorectomy

51
Q

TURP

A

trans-urethral removal of the prostate

52
Q

“unterine product removed”

A

= dilation and currettage (D&C)

53
Q

“dialysis fistula”

A

= AV (arteriorvenous) fistula

54
Q

5 vital signs

A

HR, BP, RR, T, SaO2