Day 3 Review

Question 1

Describe significance of HPI

Answer 1

Story of Sx’s and events that led to Pt ED visit

Includes CC and associated Sx’s

Question 2

HPI vs ROS

Answer 2

HPI: story of CC and associates Sx’s

ROS: checklist of Sx’s (includes HPI and all other complaints)

Question 3

Name the elements of an HPI (8)

Answer 3

Onset, timing, location, quality, severity, modifying factors, associated symptoms, context

Question 4

Name the body systems included in the ROS (14)

Answer 4

Constitutional, eyes, ENT, CV, Resp, GU, GI, MS, skin, Neuro, psych, endocrine, heme/lymph, immunological

Question 5

What do you need to remember to doc in HPI/ROS for any Pt that is unconscious or incapable of providing info

Answer 5

HPI/ROS limited by…

Question 6

Why is it important to doc if Pt has had similar Sx’s in past

Answer 6

This makes it less likely that current Sx’s are life threatening

Question 7

Name important details to doc if Pt has been evaluated in past for similar complaint (in the form of a question)

Answer 7

What Sx’s prompted the prior eval?
How long ago did the prior eval occur?
Who did they see? (Name and specialty) 
what Tx did they receive? 
Did it help what diagnosis was given?
Any prior test results?

Question 8

What does MOI stand for in a trauma HPI?

Answer 8

Mechanism of Injury

Question 9

Based on knowledge from Day 2, why should you always pay special attention to the complaints of CP and SOB?

Answer 9

direct concern for MI

Question 10

Name 3 PSHx that indicate a Pt haS A Hx of CAD

Answer 10

Angioplasty, CABG, stents

Question 11

Cardiac stress test

Vs

cardiac catheterization

Answer 11

Cardiac catheterization:
Insertion of a catheter with ejection of dye into coronary artery used to diagnose CAD

Cardiac stress test:
Measures heart’s ability to respond to physical stress to determine if there is adequate blood flow to the heart during increased levels of activity
-2 types:
1. Exercise (treadmill) stress test
2. Nuclear test (for Pt’s with Medical prob that prevents them from exercise i.e. arthritis; use medication to stress the heart mimicking exercise)

Question 12

MI risk factors

Answer 12

CAD, HTN, DM, HLD, smoking, FHx CAD < 55 y/o

Question 13

PE risk factors

Answer 13

Known DVT, PMHx of DVT or PE, FHx of DVT or PE, recent surgery, CA, AFib, immobility, pregnancy, BCP, smoking

Question 14

CVA risk factors

Answer 14

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

Question 15

Intermittent

Answer 15

Comes and goes

Question 16

Waxing and waning

Answer 16

Always present but changing in intensity

Question 17

Exacerbate

Answer 17

To make worse