Brainscape's Knowledge GenomeTM

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


See full index

ScribeAmerica > Course 3 > Flashcards

Course 3 Flashcards

1
Q

Onset

A

When did the complaint begin?

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

Timing

A

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

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

Location

A

Where is the discomfort?

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

Quality

A

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

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

Severity

A

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

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

Modifying Factors

A

What makes it better? What makes it worse?

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

Associated Sx

A

Do any other symptoms accompany the complaint?

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

Context

A

Is there anything else that’s important?

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

HPI formula: Sentence One

A

Complaint + Onset

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

HPI formula: Sentence Two

A

Quality, Severity, Location, Radiation

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

HPI formula: Sentence Three

A

Associated Sx, Pertinent Negatives

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

HPI formula: Sentence Four

A

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

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

HPI formula: Sentence Five

A

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

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

“I took Tums and it didn’t help”

A

The symptoms were unchanged by Tums

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

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

A

He notes chronic lower back pain, unchanged from baseline

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

“It hurts when I touch it”

A

The symptoms are worsened by palpation of the area

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

“Nothing makes it better or worse”

A

The symptoms are unchanged by any position or activity

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

“My sister has the same cold”

A

Positive sick contact with sister who has similar symptoms

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

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

A

The vomiting is exacerbated by PO intake

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

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

Trauma HPI Template: Second Sentence

A

What caused the incident?

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

Chest Pain: Worse with physical exertion

A

Myocardial Infarction (MI)

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

Chest Pain: Worse with deep breaths

A

Pulmonary Embolism (PE)

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

Chest Pain: Radiation to the back

A

Aortic Dissection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Chest Pain: Recent trauma

A

Pneumothorax (PTX)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Chest Pain: Shortness of breath

A

MI, PE, PTX

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Chest Pain: Diaphoresis, Nausea, Vomiting

A

Myocardial Infarction (MI)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Chest Pain: Pleuritic pain

A

PE, PTX

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Chest Pain: Calf Pain

A

Deep Vein Thrombosis (DVT) causing PE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Chest Pain: Minor DDx (4)

A

Chest wall pain, Costochondritis, Pleural effusion, GERD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Chest Pain: Pain with torso movement or palpation

A

Chest wall pain, Costochondritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Chest Pain: Burning pain

A

GERD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

MI Risk Factors (6)

A

CAD, HTN, HLD, DM, Smoking, FHx CAD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

PE Risk Factors (8)

A

Hx DVT/PE, DVT, Recent Surgery, Immobilization, A-FIB, CA, Pregnancy, Birth Control Pills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Shortness of Breath (w/o chest pain): Productive cough

A

Pneumonia (PNA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Shortness of Breath (w/o chest pain): Orthopnea / Dyspnea on Exertion

A

Congestive Heart Failure (CHF)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Shortness of Breath (w/o chest pain): Bilateral leg swelling

A

Congestive Heart Failure (CHF)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Shortness of Breath (w/o chest pain): Hemoptysis

A

Pulmonary Embolism (PE)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Shortness of Breath (w/o chest pain): Unilateral leg swelling

A

DVT causing a PE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Shortness of Breath (w/o chest pain): Wheezing

A

Asthma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Shortness of Breath (w/o chest pain): Hx of tobacco abuse

A

COPD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Shortness of Breath (w/o chest pain): Chest Pain

A

MI, PE, PNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Shortness of Breath (w/o chest pain): Minor DDx (2)

A

Bronchitis, URI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Shortness of Breath (w/o chest pain): Cough, Sputum, Nasal congestion, Sore throat

A

Bronchitis, URI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Abdominal Pain: RLQ Pain

A

Appendicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Abdominal Pain: RUQ Pain

A

Cholecystitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Abdominal Pain: LLQ Pain

A

Diverticulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Abdominal Pain: LUQ Pain

A

Pancreatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Abdominal Pain: Fever

A

Appendicitis, Cholecystitis, Diverticulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Abdominal Pain: Blood in vomit or stool

A

GI Bleed

51
Q

Abdominal Pain: Melena

A

GI Bleed

52
Q

Abdominal Pain: Dizziness

A

GI Bleed, Abdominal Aortic Aneurysm

53
Q

Abdominal Pain: Minor DDx (4)

A

UTI, Gastroenteritis, Gastritis, Constipation

54
Q

Abdominal Pain: Dysuria

A

UTI

55
Q

Abdominal Pain: Nausea/Vomiting, Diarrhea

A

Gastroenteritis, Gastritis

56
Q

Abdominal Pain: Constipation

A

Constipation

57
Q

Female Lower Abdominal Pain: Suprapubic Pain

A

Ovarian Torsion

58
Q

Female Lower Abdominal Pain: Pregnancy

A

Ectopic Pregnancy

59
Q

Female Lower Abdominal Pain: Fever, RLQ Pain

A

Appendicitis

60
Q

Female Lower Abdominal Pain: Minor DDx

A

Ovarian Cyst, UTI, STD

61
Q

Female Lower Abdominal Pain: N/V, Vaginal Spotting, Vaginal Discharge, Flank Pain, Dysuria

A

Ovarian Cyst, STD, UTI

62
Q

Diarrhea Risk Factors (6)

A

Recent foreign travel, recent camping, bad food exposure, sick contacts, recent Abx, recent hospitalization

63
Q

Female Abdominal Pain Risk Factors (3)

A

Possibility of Pregnancy, Unprotected Sex, History of STD

64
Q

Low Back Pain: Weakness/Numbness in lower extremities

A

Spinal Cord injury

65
Q

Low Back Pain: Numbness of the groin

A

Spinal cord injury or Cauda Equina

66
Q

Low Back Pain: Loss of bowel or bladder control

A

Spinal cord injury or Cauda Equina

67
Q

Low Back Pain: History of IVDA

A

Spinal Abscess

68
Q

Low Back Pain: Fever

A

Spinal Abscess

69
Q

Low Back Pain: Abdominal Pain

A

Abdominal Aortic Aneurysm (AAA)

70
Q

Low Back Pain: Minor DDx (3)

A

Musculoskeletal back pain, Back Strain, Sciatica

71
Q

Low Back Pain: Radiating pain down the backs of the legs

A

Sciatica

72
Q

Back Pain Risk Factors (3)

A

Recent trauma, Hx of IVDA, Spinal hardware

73
Q

Dizziness/Headache: Weakness/Numbness/Tingling

A

Cerebral Vascular Accident (CVA), Subarachnoid Hemorrhage (SAH)

74
Q

Dizziness/Headache: Changes in speech or vision

A

Cerebral Vascular Accident (CVA), Subarachnoid Hemorrhage (SAH)

75
Q

Dizziness/Headache: Difficulty with balance

A

CVA, SAH

76
Q

Dizziness/Headache: Fever

A

Meningitis

77
Q

Dizziness/Headache: Neck Pain

A

Meningitis

78
Q

Dizziness/Headache: Altered Mental Status

A

Meningitis, CVA, SAH

79
Q

Dizziness/Headache: Worst headache of life / Thunderclap unset

A

Hemorrhagic CVA, SAH

80
Q

Dizziness/Headache: Syncope or Seizure

A

CVA, SAH

81
Q

Dizziness/Headache: Minor DDx (5)

A

Dehydration, Benign Positional Vertigo (BPV), Migraine HA, Tension HA, Sinusitis

82
Q

Dizziness/Headache Minor DDx Associated Sx (4)

A

Nasal congestion, runny nose, nausea, vomiting

83
Q

Syncope: Tongue bit wound

A

Seizure (Sz)

84
Q

Syncope: Numbness/Weakness/Tingling

A

CVA

85
Q

Syncope: Changes in speech or vision

A

CVA

86
Q

Syncope: CP

A

MI

87
Q

Syncope: SOB

A

PE

88
Q

Syncope: Palpitations

A

Arrhythmia

89
Q

Syncope: Minor DDx (2)

A

Vasovagal syncope, dehydration

90
Q

Syncope: Minor DDx Associated Sx (4)

A

feeling “about to pass out” (near-syncope), sweating, dizziness, lightheadedness

91
Q

CVA Risk Factors (7)

A

HTN, HLD, DM, Smoking, FHx CVA, Hx TIA/CVA, AFIB

92
Q

Trauma: LOC

A

Hemorrhagic CVA, Subdural Hematoma

93
Q

Trauma: Unilateral Numbness/Weakness/Tingling

A

Hemorrhagic CVA, Subdural Hematoma

94
Q

Trauma, Bilateral Numbness/Weakness/Tingling

A

Spinal cord injury

95
Q

Trauma: Neck pain or back pain

A

Spinal cord injury

96
Q

Trauma: SOB or CP

A

PTX, Cardiac Contusion

97
Q

Trauma: Abdominal Pain

A

Splenic or Liver Laceration

98
Q

Trauma: Minor DDx (5)

A

Closed Head Injury (CHI), simple Fx, dislocation, strain/sprain, lac (laceration)

99
Q

Trauma Risk Factors (2)

A

Blood thinners (Coumadin/Warfarin, Plavix, Aspirin), Severe MOI

100
Q

Subjective

A

Based on the patient’s feeling (HPI, ROS)

101
Q

Objective

A

Factual information from provider (PE)

102
Q

History of Present Illness

A

The story of the patient’s CC

103
Q

Review of Systems

A

Head-to-toe checklist of pt Sx

104
Q

Intermittent

A

Comes and goes

105
Q

Waxing and waning

A

Always present but changing in intensity

106
Q

Modifying factor

A

Something that makes a symptom better or worse

107
Q

Exacerbate

A

To make worse

108
Q

Based of the pt feeling (HPI, ROS)

A

Subjective

109
Q

Factual information from provider (PE)

A

Objective

110
Q

The story of the pt CC

A

History of Present Illness

111
Q

Head to toe checklist of pt Sx

A

Review of Systems

112
Q

Comes and goes

A

Intermittent

113
Q

Always present but changing in intensity

A

Waxing and waning

114
Q

Something that makes a symptom better or worse

A

Modifying factor

115
Q

To make worse

A

Exacerbate

116
Q

PTX

A

Pneumothorax

117
Q

SDH

A

Subdural Hematoma

118
Q

CVA

A

Cerebrovascular Accident

119
Q

SAH

A

Subarachnoid Hemorrhage

120
Q

Sz

A

Seizure

121
Q

AAA

A

Abdominal Aortic Aneurysm

122
Q

PNA

A

Pneumonia

123
Q

CHF

A

Congestive Heart Failure

ScribeAmerica (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions