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Course 3 Flashcards

(78 cards)

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1
Q

What are the 6 parts of an HPI?

A
  1. Identify pt
  2. Quality, Severity, location, and radiation
  3. Assoc sx and pertinent neg
  4. Modifying factors
  5. Context
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2
Q

What are the 5 types of way to describe the CC?

A
  1. Quality
  2. Severity
  3. Onset
  4. Timing
  5. Location
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3
Q

In HPI what is everything related to?

A

CC

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4
Q

What are the 4 most important symptoms to document for any trauma pt?

A

They are LOC, head injury, neck pain, and back pain

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5
Q

ROS; checklist

HPI; ________

A

Story

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6
Q

What are the 4 most important sx to document in a trauma?

A

LOC, head injury, neck pain, and back pain

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7
Q

How many body systems are in a ROS? How many systems with all marked negative need to be recorded? W/o all marked negative?

A

14
2
10

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8
Q

If you have a limited ROS for some reason you need to include a ______ statement

A

Caveat

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9
Q

What are the two subjective parts of a pt chart?

A

ROS and HPI because it is based on the pt interpretation

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10
Q

In a trauma pt, LOC is a red flag for what?

A

Hemorrhagic CVA or subdural hematoma

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11
Q

In a trauma pt, unilateral numbness is a red flag for what?

A

hemorrhagic CVA or subdural hematoma

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12
Q

In a trauma pt, bilateral numbness or weakness is a red flag for what?

A

Spinal cord injury

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13
Q

Back and back pain in a trauma pt is a red flag for what DDx?\

A

Spinal cord injury

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14
Q

SOB or CP in a trauma pt is a red flag for what DDx?

A

PTX or cardiac contusion

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15
Q

Abdominal pain in a trauma pt is a red flag for what DDx?

A

Splenic or liver laceration

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16
Q

CHI

A

Closed head injury

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17
Q

What are the main trauma risk factors (2)

A

Blood thinners and severe MOI

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18
Q

Fever in a AMS pt is a red flag for what DDx?

A

Sepsis

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19
Q

Numbness/weakness/tingling in a AMS pt is a red flag for what DDx?

A

CVA

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20
Q

Changes in speech or vision in a AMS pt is a red flag for what DDx?

A

CVA

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21
Q

HA in a AMS pt is a red flag for what DDx?

A

Hemorrhagic CVA

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22
Q

Hx of depression of drug abuse in AMS?

A

Drug overdose

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23
Q

Hx of diabetes in a AMS pt?

A

Hypoglycemia

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24
Q

Tongue bite wounds are a red flag for syncope pt?

A

Seizure

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25
Numbness/weakness/tingling are a red flag for syncope pt?
CVA
26
Changes in speech or vision are a red flag for syncope pt?
CVA
27
CP are a red flag for syncope pt?
MI
28
SOB are a red flag for syncope pt?
PE
29
Palpitations are a red flag for syncope pt?
Arrhythmia
30
Near-syncope, sweating, dizziness, and lightheadedness are a red flag for syncope pt?
Vasovagal syncope and dehydration
31
Weakness/numbness/ tingling are a red flag for syncope pt?
CVA and SAH
32
Changes in speech or vision are a red flag for syncope pt?
CVA, SAH
33
SAH
Subarachnoid Hemorrhage
34
Difficulty with balance are a red flag for syncope pt?
CVA, SAH
35
Fever are a red flag for syncope pt?
Meningitis
36
Neck pain are a red flag for syncope pt?
Meningitis
37
AMS are a red flag for syncope pt?
Meningitis, CVA, and SAH
38
Worst HA of life/thunderclap onset are a red flag for syncope pt?
Hemorrhagic CVA, SAH
39
Syncope and seizure are a red flag for syncope pt?
CVA, SAH
40
Nasal congestion, runny nose, N/V are a red flag for syncope pt? (5)
``` Dehydration Benign positional vertigo (BPV) Migraine HA Tension HA Sinusitis ```
41
Weakness/numbness in LE are a red flag for low back pain pt?
Spinal cord injury
42
Numbness of the groin are a red flag for low back pain pt?
Spinal cord injury or Cauda Equina
43
Cauda Equina
Low back pain
44
Loss of bowel or bladder control are a red flag for low back pain pt?
Cauda Equina
45
History of IVDA are a red flag for low back pain pt?
Spinal abscess
46
Suprapubic pain are a red flag for female lower abdominal pain pt?
Ovarian torsion
47
Pregnancy are a red flag for low back pain pt?
Ectopic pregnancy
48
Fever, RLQ pain are a red flag for low back pain pt?
Appendicitis
49
N/V, vaginal spotting, vaginal discharge, dysuria, and flank pain are a red flag for female lower abdominal pain? (3)
Ovarian cyst UTI STD
50
RLQ pain are a red flag for abdominal pain pt?
Appendicitis
51
RUQ Pain are a red flag for abdominal pain pt?
Cholecystitis
52
LLQ Pain are a red flag for abdominal pain pt?
Diverticulitis
53
LUQ Pain are a red flag for abdominal pain pt?
Pancreatitis
54
Fever are a red flag for abdominal pain pt?
Appendicitis, pancreatitis, and diverticulitis
55
Blood in vomit or stool are a red flag for abdominal pain pt?
GI bleed
56
Melena are a red flag for abdominal pain pt?
GI bleed
57
Dizziness are a red flag for abdominal pain pt?
GI bleed, abdominal aortic aneurysm (AAA)
58
Dysuria, N/V/D, and constipation are a red flag for abdominal pain pt?
UTI, Gastroenteritis, Gastritis, and Constipation
59
Productive cough are a red flag for SOB pt?
PNA
60
Orthopnea/Dyspnea on exertion are a red flag for abdominal pain pt?
CHF
61
Bilateral leg swelling are a red flag for SOB pt?
CHF
62
Bilateral leg swelling are a red flag for SOB pt?
CHF
63
Hemoptysis are a red flag for SOB pt?
PE
64
Unilateral leg swelling are a red flag for SOB pt?
DVT causing a PE
65
Wheezing are a red flag for SOB pt?
Asthma
66
Hx of tabacco abuse are a red flag for SOB pt?
COPD
67
CP are a red flag for SOB pt?
MI, PE, and PNA
68
Cough, sputum, nasal congestion, and sore throat are a red flag for SOB pt?
Bronchitis or UTI
69
Worse with physical exertion are a red flag for CP pt?
MI
70
Worse with deep breaths are a red flag for CP pt?
PE
71
Radiation to the back are a red flag for CP pt?
Aortic dissection
72
Recent trauma are a red flag for CP pt?
PTX
73
SOB are a red flag for CP pt?
MI, PE, PTX
74
Diaphoresis, N/V are a red flag for CP pt?
MI
75
Pleuritic pain are a red flag for CP pt?
PE, PTX
76
Calf pain are a red flag for CP pt?
DVT causing PE
77
Pain with torso movement or palpations are a red flag for CP pt?
chest wall pain and Costochondritis
78
Burning pain are a red flag for CP pt?
GERD

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