DDx KP and Qs Flashcards
HIV KP
Blood Transfusion
IV Drug Use
Occupation, Needle Stick Inj
Sex Hx - Sexually Active
- Partner - Stable? Multiple?
- Method - Safe Sex? Condoms
- High Risk - Diagnosed with STI
Symptoms
- Fever
- Night Sweats, Tiredness
- Rash, Sore throat
- Recurrent Infection
Medication Compliance Qs (DM)
DM PMHx Qs
- Since?
- Compliant? Treatment?
– Doctor Related - Explained, Teach how?
– Medication Related - SE, Financial, Other
– Patient Related - Feel About Med? Other Treatments?
- Follow Up, Regular Test
- Complications - BOV, Numbness, CVD, CKD
Lifestyle Qs
- Diet, Alcohol
- Exercise
- Weight Gain
Hyperemesis Gravidarum DDx Qs
Timing Qs
Red Flags Qs - Dizziness, Tired, Able to keep anything down
OB Hx Qs
- Menstruation Qs
- Pregnancy Sx
– Tiredness, Breast tenderness, N/V
– Antenatal Screening & Dating Scan
Molar & Twin pregnancy Qs
- Result of the scan - Twins?
- FHx of Twins, Assisted Preg w/ IVF
- Vaginal Bleeding
Gastro DDx Qs - Obstructions, Pancreatitis, Cholecystitis, GORD, PUD
Infection Qs - AGE, UTI, Meningitis, OM
Endocrine Qs - DKA, Hyperthyroid
Neuro Qs - Malignancy, Meningitis, BIH
Pre-eclampsia Qs
Symptoms
- Swelling of the Legs
- N/V, Abdominal Pain,
- Chest pain, SOB
- HA, Dizziness
- BOV or Inc in floaters or any VA problems
HELLP Sx - Rashes, bruises, Jaundice
Oliguria - Dec. amount in urine
Bleeding in Early Pregnancy Qs
Bleeding - Timing, CCVO, Other Sx
5 P’s Qs
SADMA
PMHx, Fhx
Post Term Qs
BUBBLESHE
B - Breast
U - Uterus
B - Bowels
B - Bladder
L - Locia
E - Episiotomy
S - Sex
H - Homen’s
E - Emotion
Post Term DDx Qs (PPH)
Bleeding Qs - Timing Qs, CCVO, Red Flags
B - Breast - Started? Problems? Tenderness?
U - Uterus - Endometritis
- Abd Pain? Fever? N/V?, RF’s (Sex, Tampon, IUD)
BB - Bowels and Bladder
L - Locia - Vaginal Disc - CCVO
E - Episiotomy -
S - Sex
H - Homen’s - Clotting or Bleeding Qs
E - Emotion - How’s Motherhood
OB Hx - Pregnancy, Delivery, Past Preg (Comp)
Gush of Fluid DDx Qs
Explore - Timing Qs, CCVO
PPROM Qs
- Symptoms - Abdominal Pain/ Contractions, Vaginal Bleeding
- Risk Factors - Trauma, Sex, STIs, Smoking, Surgeries on the womb or cervix
Chorioamnionitis - Abd Pain, Fever and Chills
Urinary Incontinence - UTQs, Leak in Urine
OB Hx Qs
Lump Down Below DDx Qs
Explore - Site, Skin, Lump, A&A
Uterine Prolapse
- Sx - Heaviness, Urine Incontinence, Straining on BM, Dyspareunia, Incomplete Emptying
- OB Rf - No. Preg, NSD, Large Babies, Long Labor, Instrument
- Inc. Abd Pressure - Cough, Constipation, Lifting, Overweight
- Hx of Surgery
- Menopause
Hemorrhoids/ Perianal Abscess Qs - Painful, Bleeding, Pus/Discharge
Bartholin Abscess - Fever or Chills, Swelling or redness
Lymphadenopathy - STI’s, CA
UTI KP Qs
UTI - Dysuria, Frequency
Pyelonephritis - Fever, Chills, Flank Pain or Groin Pain, N/V
Recurrent UTI
Kidney Problems
Allergies to Antibiotics
Primary Post Partum Hemorrhage Qs
Primary Survey (DRSABCD)
Tone (Delivery Hx)
- NVD or CS?
- Term or Pre-term?
- Single or Multiple Preg?
- Long Labor? Instrumentations?
- Prev. Hx of pregnancy? Hx of CS?
- Baby’s weight? Blood Loss?
Trauma
- Episotomy
Tissue
- Placenta Delivered?
- Complete?
Thrombin (Bleed)
- Blood - Fresh? or Dark?
- Clots?
- Blood Group?
- Hx of bleeding disorders? Blood thinners?
Palpation
Tone - Feel uterus in the stomach? Tense? Floppy? Tender?
Trauma - Vulva and Genital Area - Speculum - Vaginal Walls and Cervix - Tears and Laceration
Iron Deficiency Anemia (Preg) Qs
Thallasemia - FHx, Ethnicity
Iron Deficiency
- Intake Red Meat
- Blood Loss
- Pregnancy Hx
– Previous, When, Enough Time, Method
- Malabsorption - Celiac, Cow Milk, IBD
Trauma/ Bruise Qs (Pregnant)
Red Flag Sx (PTL, Placental Abruption, Uterine Rupture)
- Abdominal Pain
- Fluid Leakage
- Dizziness
- Baby Kicking
Trauma Qs
- Trauma to Abd - MVA? Accident? Violence?
- Bleeding to intercourse or sexual activity
Psychosocial Hx
Home -
Mood, Sleep, Suicide
Domestic Violence Qs - Children at home? Financial?
