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Course 3 Flashcards

1
Q

Onset

A

When did the complaint begin?

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2
Q

Timing

A

Has it been constant, intermittent, or waxing and waning?

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3
Q

Location

A

Where is the discomfort?

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4
Q

Quality

A

Does it feel sharp, dull, aching, cramping…?

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5
Q

Severity

A

How bad is it? Mild, moderate, sever, or 0-10.

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6
Q

Modifying Factors

A

What makes it better? What makes it worse?

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7
Q

Associated Sx

A

Do any other symptoms accompany the complaint?

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8
Q

Context

A

Is there anything else that’s important?

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9
Q

HPI formula: Sentence One

A

Complaint + Onset

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10
Q

HPI formula: Sentence Two

A

Quality, Severity, Location, Radiation

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11
Q

HPI formula: Sentence Three

A

Associated Sx, Pertinent Negatives

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12
Q

HPI formula: Sentence Four

A

Modifying Factors (What makes it worse/better? Treatments tried?)

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13
Q

HPI formula: Sentence Five

A

Context (Similar symptoms? Recent Evaluations? Initiating factor that brought patient to ED)

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14
Q

“I took Tums and it didn’t help”

A

The symptoms were unchanged by Tums

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15
Q

“I have low back pain but I always have that”

A

He notes chronic lower back pain, unchanged from baseline

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16
Q

“It hurts when I touch it”

A

The symptoms are worsened by palpation of the area

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17
Q

“Nothing makes it better or worse”

A

The symptoms are unchanged by any position or activity

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18
Q

“My sister has the same cold”

A

Positive sick contact with sister who has similar symptoms

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19
Q

“If I try to eat or drink anything, I throw it back up”

A

The vomiting is exacerbated by PO intake

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20
Q

“It feels like a fizzing soda in the middle of my chest”

A

He describes the symptoms as “a fizzing soda” in his central chest

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21
Q

Trauma HPI Template: Second Sentence

A

What caused the incident?

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22
Q

Chest Pain: Worse with physical exertion

A

Myocardial Infarction (MI)

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23
Q

Chest Pain: Worse with deep breaths

A

Pulmonary Embolism (PE)

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24
Q

Chest Pain: Radiation to the back

A

Aortic Dissection

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25
Chest Pain: Recent trauma
Pneumothorax (PTX)
26
Chest Pain: Shortness of breath
MI, PE, PTX
27
Chest Pain: Diaphoresis, Nausea, Vomiting
Myocardial Infarction (MI)
28
Chest Pain: Pleuritic pain
PE, PTX
29
Chest Pain: Calf Pain
Deep Vein Thrombosis (DVT) causing PE
30
Chest Pain: Minor DDx (4)
Chest wall pain, Costochondritis, Pleural effusion, GERD
31
Chest Pain: Pain with torso movement or palpation
Chest wall pain, Costochondritis
32
Chest Pain: Burning pain
GERD
33
MI Risk Factors (6)
CAD, HTN, HLD, DM, Smoking, FHx CAD
34
PE Risk Factors (8)
Hx DVT/PE, DVT, Recent Surgery, Immobilization, A-FIB, CA, Pregnancy, Birth Control Pills
35
Shortness of Breath (w/o chest pain): Productive cough
Pneumonia (PNA)
36
Shortness of Breath (w/o chest pain): Orthopnea / Dyspnea on Exertion
Congestive Heart Failure (CHF)
37
Shortness of Breath (w/o chest pain): Bilateral leg swelling
Congestive Heart Failure (CHF)
38
Shortness of Breath (w/o chest pain): Hemoptysis
Pulmonary Embolism (PE)
39
Shortness of Breath (w/o chest pain): Unilateral leg swelling
DVT causing a PE
40
Shortness of Breath (w/o chest pain): Wheezing
Asthma
41
Shortness of Breath (w/o chest pain): Hx of tobacco abuse
COPD
42
Shortness of Breath (w/o chest pain): Chest Pain
MI, PE, PNA
43
Shortness of Breath (w/o chest pain): Minor DDx (2)
Bronchitis, URI
44
Shortness of Breath (w/o chest pain): Cough, Sputum, Nasal congestion, Sore throat
Bronchitis, URI
45
Abdominal Pain: RLQ Pain
Appendicitis
46
Abdominal Pain: RUQ Pain
Cholecystitis
47
Abdominal Pain: LLQ Pain
Diverticulitis
48
Abdominal Pain: LUQ Pain
Pancreatitis
49
Abdominal Pain: Fever
Appendicitis, Cholecystitis, Diverticulitis
50
Abdominal Pain: Blood in vomit or stool
GI Bleed
51
Abdominal Pain: Melena
GI Bleed
52
Abdominal Pain: Dizziness
GI Bleed, Abdominal Aortic Aneurysm
53
Abdominal Pain: Minor DDx (4)
UTI, Gastroenteritis, Gastritis, Constipation
54
Abdominal Pain: Dysuria
UTI
55
Abdominal Pain: Nausea/Vomiting, Diarrhea
Gastroenteritis, Gastritis
56
Abdominal Pain: Constipation
Constipation
57
Female Lower Abdominal Pain: Suprapubic Pain
Ovarian Torsion
58
Female Lower Abdominal Pain: Pregnancy
Ectopic Pregnancy
59
Female Lower Abdominal Pain: Fever, RLQ Pain
Appendicitis
60
Female Lower Abdominal Pain: Minor DDx
Ovarian Cyst, UTI, STD
61
Female Lower Abdominal Pain: N/V, Vaginal Spotting, Vaginal Discharge, Flank Pain, Dysuria
Ovarian Cyst, STD, UTI
62
Diarrhea Risk Factors (6)
Recent foreign travel, recent camping, bad food exposure, sick contacts, recent Abx, recent hospitalization
63
Female Abdominal Pain Risk Factors (3)
Possibility of Pregnancy, Unprotected Sex, History of STD
64
Low Back Pain: Weakness/Numbness in lower extremities
Spinal Cord injury
65
Low Back Pain: Numbness of the groin
Spinal cord injury or Cauda Equina
66
Low Back Pain: Loss of bowel or bladder control
Spinal cord injury or Cauda Equina
67
Low Back Pain: History of IVDA
Spinal Abscess
68
Low Back Pain: Fever
Spinal Abscess
69
Low Back Pain: Abdominal Pain
Abdominal Aortic Aneurysm (AAA)
70
Low Back Pain: Minor DDx (3)
Musculoskeletal back pain, Back Strain, Sciatica
71
Low Back Pain: Radiating pain down the backs of the legs
Sciatica
72
Back Pain Risk Factors (3)
Recent trauma, Hx of IVDA, Spinal hardware
73
Dizziness/Headache: Weakness/Numbness/Tingling
Cerebral Vascular Accident (CVA), Subarachnoid Hemorrhage (SAH)
74
Dizziness/Headache: Changes in speech or vision
Cerebral Vascular Accident (CVA), Subarachnoid Hemorrhage (SAH)
75
Dizziness/Headache: Difficulty with balance
CVA, SAH
76
Dizziness/Headache: Fever
Meningitis
77
Dizziness/Headache: Neck Pain
Meningitis
78
Dizziness/Headache: Altered Mental Status
Meningitis, CVA, SAH
79
Dizziness/Headache: Worst headache of life / Thunderclap unset
Hemorrhagic CVA, SAH
80
Dizziness/Headache: Syncope or Seizure
CVA, SAH
81
Dizziness/Headache: Minor DDx (5)
Dehydration, Benign Positional Vertigo (BPV), Migraine HA, Tension HA, Sinusitis
82
Dizziness/Headache Minor DDx Associated Sx (4)
Nasal congestion, runny nose, nausea, vomiting
83
Syncope: Tongue bit wound
Seizure (Sz)
84
Syncope: Numbness/Weakness/Tingling
CVA
85
Syncope: Changes in speech or vision
CVA
86
Syncope: CP
MI
87
Syncope: SOB
PE
88
Syncope: Palpitations
Arrhythmia
89
Syncope: Minor DDx (2)
Vasovagal syncope, dehydration
90
Syncope: Minor DDx Associated Sx (4)
feeling "about to pass out" (near-syncope), sweating, dizziness, lightheadedness
91
CVA Risk Factors (7)
HTN, HLD, DM, Smoking, FHx CVA, Hx TIA/CVA, AFIB
92
Trauma: LOC
Hemorrhagic CVA, Subdural Hematoma
93
Trauma: Unilateral Numbness/Weakness/Tingling
Hemorrhagic CVA, Subdural Hematoma
94
Trauma, Bilateral Numbness/Weakness/Tingling
Spinal cord injury
95
Trauma: Neck pain or back pain
Spinal cord injury
96
Trauma: SOB or CP
PTX, Cardiac Contusion
97
Trauma: Abdominal Pain
Splenic or Liver Laceration
98
Trauma: Minor DDx (5)
Closed Head Injury (CHI), simple Fx, dislocation, strain/sprain, lac (laceration)
99
Trauma Risk Factors (2)
Blood thinners (Coumadin/Warfarin, Plavix, Aspirin), Severe MOI
100
Subjective
Based on the patient's feeling (HPI, ROS)
101
Objective
Factual information from provider (PE)
102
History of Present Illness
The story of the patient's CC
103
Review of Systems
Head-to-toe checklist of pt Sx
104
Intermittent
Comes and goes
105
Waxing and waning
Always present but changing in intensity
106
Modifying factor
Something that makes a symptom better or worse
107
Exacerbate
To make worse
108
Based of the pt feeling (HPI, ROS)
Subjective
109
Factual information from provider (PE)
Objective
110
The story of the pt CC
History of Present Illness
111
Head to toe checklist of pt Sx
Review of Systems
112
Comes and goes
Intermittent
113
Always present but changing in intensity
Waxing and waning
114
Something that makes a symptom better or worse
Modifying factor
115
To make worse
Exacerbate
116
PTX
Pneumothorax
117
SDH
Subdural Hematoma
118
CVA
Cerebrovascular Accident
119
SAH
Subarachnoid Hemorrhage
120
Sz
Seizure
121
AAA
Abdominal Aortic Aneurysm
122
PNA
Pneumonia
123
CHF
Congestive Heart Failure

ScribeAmerica (8 decks)

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