Brainscape's Knowledge GenomeTM

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


See full index

Scribe America > Course 1 ED Flow > Flashcards

Course 1 ED Flow Flashcards

1
Q

ROS

Template

A

Review of Systems
A head to toe list of positive and negatives
Subjective

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

Past history

template

A

PMHx PSHx SHx FHx

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

PE

Template

A

Physical Examination

Physicians objective findings

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

ED course

Template

A

Objective results (labeling, imaging, re-Evans, consults, procedures)

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

Disposition

Template

A

Discharge, Admit, Transfer

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

Pulmonary PMHX
Pt says: Emphysema/Chronic Bronchitis
Scribe Writes:

A

COPD

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

Pulmonary PMHX
Pt says: blood clot in lung
Scribe Writes:

A

PE

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

Pulmonary PMHX
Pt says: Pneumonia
Scribe Writes: (short hand)

A

Pneumonia (PNA)

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

Gastrointestinal PMHX
Pt says: reflux
Scribe Writes:

A

Gastrophageal Reflux Disease (GERD)

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

Gastrointestinal PMHX
Pt says: Ulcer
Scribe Writes:

A

Gastric Ulcer or Ulcer Disease

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

Gastrointestinal PMHX
Pt says: hepatitis
Scribe Writes:

A

“A “B or “C

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

Gastrointestinal PMHX
Pt says: crohn’s/ UC
Scribe Writes:

A

Crohn’s Disease or Ulcerative Colitis

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

Gastrointestinal PMHX
Pt says: irritable bowel
Scribe Writes:

A

Irritable Bowel Syndrome (IBS)

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

Genitourinary PMHX
Pt says: bladder infection
Scribe Writes:

A

Urinary Tract Infection (UTI)

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

Genitourinary PMHX
Pt says: kidney infection
Scribe Writes:

A

Pyelonephritis (Pyelo)

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

Genitourinary PMHX
Pt says: kidney stones
Scribe Writes:

A

Renal calculi

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

Genitourinary PMHX
Pt says: I’m on dialysis
Scribe Writes:

A

Chronic Renal Failure (CRF) on dialysis or End stage renal disease

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

Genitourinary PMHX
Pt says: enlarged prostate
Scribe Writes:

A

Benign Prostate Hypertrophy (BPH)

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

Gynecological PMHx
G
P
A

A

G: total number of times pt has been pregnant P: number of live births pt had A: number of miscarriages or elective abortions

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

Neurological PMHX
Pt says: stroke
scribe writes:

A

CVA

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

Neurological PMHX
Pt says: mini stroke
scribe writes:

A

TIA

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

Neurological PMHX
Pt says: seizures
scribe writes:

A

Seizures disorder/ epilepsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Neurological PMHX
Pt says: brain bleed
scribe writes:

A

Hemorrhagic CVA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Psychological PMHX
Pt says: bipolar
scribe writes:

A

Bipolar disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Psychological PMHX Pt says: drink a lot scribe writes:
ETOH or alcoholism
26
Vascular PMHX Pt says: blood clot in my leg scribe writes:
Lower extremity DVT
27
Vascular PMHX Pt says: blood clot in my aorta scribe writes:
Abdominal Aortic Aneurysm (AAA)
28
Vascular PMHX Pt says: bad blood flow to my legs scribe writes:
Peripheral Vascular Disease (PVD)
29
Musculoskeletal PMHX Pt says: lower back pain scribe writes:
Chronic lower back pain
30
Musculoskeletal PMHX Pt says: bulging/herniated disk scribe writes:
Degenerative Disk Disease (DDD)
31
Musculoskeletal PMHX Pt says: arthritis scribe writes:
Osteoarthritis or Rheumatoid Arthritis
32
Musculoskeletal PMHX Pt says: joint pain scribe writes:
Degenerative Joint Disease (DJD)
33
Musculoskeletal PMHX Pt says: weak/fragile bones scribe writes:
Osteoporosis
34
Cancer PMHX Pt says: cancer scribe writes:
Cancer or carcinoma (CA): Brain, breast, lung, colon, prostate, ovarian, skin, bone, leukemia, lymphoid
35
Cancer PMHX Pt says: spread to my... scribe writes:
With metastases
36
Cancer PMHX Pt says: chemo scribe writes:
Chemotherapy
37
Cancer PMHX Pt says: radiation scribe writes:
Radiation therapy
38
Cancer PMHX Pt says: they cut it out scribe writes:
Status-post surgical resection
39
Cancer PMHX Pt says: it's gone scribe writes:
In remission
40
Ears Nose Throat PSHX Pt says: tonsils removed scribe writes:
Tonsillectomy
41
Ears Nose Throat PSHX Pt says: adenoids removed scribe writes:
Adenoidectomy
42
Ears Nose Throat PSHX Pt says: ear tubes scribe writes:
Pressure equalizer (P.E.) tubes
43
Cardiovascular PSHX Pt says: heart bypass scribe writes:
CABG -> PMHx CAD
44
Cardiovascular PSHX Pt says: stents scribe writes:
Coronary stints -> PMHx CAD
45
Cardiovascular PSHX Pt says: health cath scribe writes:
Cardiac catheterization
46
Cardiovascular PSHX Pt says: balloon scribe writes:
Angioplasty -> PMHx CAD
47
Cardiovascular PSHX Pt says: Valve surgery scribe writes:
Valve repair or replacement (bovine vs. mechanical)
48
Cardiovascular PSHX Pt says: pacer scribe writes:
Pace maker
49
Cardiovascular PSHX Pt says: defibrillator scribe writes:
Automatic Implanted Cardiac Defibrillator (AICD)
50
Cardiovascular PSHX Pt says: surgery for afib scribe writes:
Afib s/p cardiac ablation
51
Pulmonary/chest PSHX Pt says: breast removal scribe writes:
Mastectomy
52
Pulmonary/chest PSHX Pt says: hole in my neck scribe writes:
Tracheostomy
53
Pulmonary/chest PSHX Pt says: part of my lung removed scribe writes:
Partial lobectomy
54
Gastrointestinal PSHX Pt says: appendix removed scribe writes:
Appendectomy
55
Gastrointestinal PSHX Pt says: gallbladder removed scribe writes:
Cholecystectomy
56
Gastrointestinal PSHX Pt says: hernia repair scribe writes:
Herniorrhaphy
57
Gastrointestinal PSHX Pt says: part of my colon removed scribe writes:
Partial cholectomy
58
Gastrointestinal PSHX Pt says: bag to collect stool scribe writes:
Colostomy
59
Gastrointestinal PSHX Pt says: spleen removed scribe writes:
Splenectomy
60
Gastrointestinal PSHX Pt says: stomach stapled scribe writes:
Gastric bypass
61
Gastrointestinal PSHX Pt says: kidney removed scribe writes:
Nephrectomy
62
Genitourinary PSHX Pt says: uterus removed scribe writes:
Hysterectomy (partial vs. total)
63
Genitourinary PSHX Pt says: ovary removed scribe writes:
Oophorectomy
64
Genitourinary PSHX Pt says: ovary and Fallopian tubes removed scribe writes:
Saplingo-oophorectomy
65
Genitourinary PSHX Pt says: tubes tied scribe writes:
Tubal ligation or vasectomy
66
Genitourinary PSHX Pt says: c-section scribe writes:
Cesarean section
67
Genitourinary PSHX Pt says: prostate removed scribe writes:
Prostatectomy (most often trans-urethral removal of the prostate, or TURP)
68
Neurological PSHX Pt says: neck and artery cleaned scribe writes:
Carotid endarterectomy
69
Neurological PSHX Pt says: brain surgery scribe writes:
Craniotomy (brain bleed vs. CA)
70
Neurological PSHX Pt says: shunt scribe writes:
Ventriculoperitoneal (VP) Shunt | To drain brain into Abd
71
Vascular PSHX Pt says: dialysis fistula scribe writes:
AV (arteriovenous) fistula
72
Vascular PSHX Pt says: dialysis graft scribe writes:
AV Graft
73
Vascular PSHX Pt says: PICC Line scribe writes:
Peripherally Inserted Central Catheter
74
Vascular PSHX Pt says: port scribe writes:
Port-a-cath or medi-port
75
Vascular PSHX Pt says: clot filter (lower abdomen) scribe writes:
IVC (inferior vena cava) filter
76
Vascular PSHX Pt says: clot filter (leg) scribe writes:
Greenfield filter
77
Orthopedic PSHX Pt says: leg amputated scribe writes:
Above knee amputation (AKA) Below knee amputation (BKA)
78
Orthopedic PSHX Pt says: joint repair scribe writes:
Arthroplasty
79
Orthopedic PSHX Pt says: metal plates/pins scribe writes:
Hardware
80
Orthopedic PSHX Pt says: neck fused scribe writes:
Cervical spinal fusion
81
Orthopedic PSHX Pt says: back fused scribe writes:
Lumbar spinal fusion
82
HPI | Template
History of present illness The story and context of the Chief Complaint Subjective
83
ED Flow Chart
Walk-in -> triage -> bed -> physician assessment -> lab/rad/Meds -> results -> MDM -> Diagnosis -> consults -> disposition
84
5 Vital Signs
``` Blood pressure Heart Rate Respiratory Rate Temperature Oxygen Saturation ```
85
Cardiovascular PMHX Pt says: heart disease Scribe Writes:
coronary artery disease (CAD)
86
Cardiovascular PMHX Pt says: heart attack Scribe Writes:
Myocardial infarction (MI) and CAD
87
Cardiovascular PMHX Pt says: heart failure Scribe Writes:
Congestive heart failure (CHF)
88
Cardiovascular PMHX Pt says: irregular heartbeat Scribe Writes:
Atrial fibrillation (A-fib)
89
Cardiovascular PMHX Pt says: murmur Scribe Writes:
Heart murmur
90
General Past Medical History Pt says: high blood pressure Scribe Writes:
Hypertension (HTN)
91
General Past Medical History Pt says: high cholesterol Scribe Writes:
Hyperlipidemia
92
General Past Medical History Pt says: thyroid problem Scribe Writes:
Hypothyroidism or hyperthyroidism
93
General Past Medical History Pt says: diabetes Scribe Writes:
Diabetes mellitus (DM)
94
General Past Medical History Pt says: only take pills for my diabetes Scribe Writes:
Non-insulin dependent diabetes mellitus (NIDDM)
95
General Past Medical History Pt says: only take shots for my diabetes Scribe Writes:
Insulin dependent diabetes mellitus (IDDM)
96
``` family histories physician may ask about General Cardiac Pulmonary Gastrointestinal Neurological Misc. ```
General: HYN DM CA, cardiac: MI/CD >55, pulmonary: PE Asthma, gastrointestinal:Crohn's IBS, neurological: CVA Aneurism Seizures, misc.: sickle cell anemia DVT
97
Social Hx physician may ask about
Tobacco use, ETOH use, illicit drug use, occupation, living conditions, pediatrics
98
Three most common routs of administration of illicit drugs
Oral, inhalation, injection

Scribe America (5 decks)

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