Exam 1 Lecture 2 Flashcards
What is any stimulus or event that makes a person seek or receive medical attention (i.e. symptoms, physical finding, etc..)?
Iatrotropic Stimulus
What is the History of Present Illness (HPI)?
- Thorough elaboration of Chief Complaint.
- Begins when pt last felt well or first experienced symptoms
What is the Chief Complaint (CC)?
Primary reason for seeking medical attention
What are Nondirective questions?
Open-ended
What are directive questions?
-Range from moderately open-ended to very specific Closed-ended questions
What may occur if you use more closed-ended questions when seeing a pt?
- Less likely correct diagnosis
- More likely lose trust of pt
What are the 7 characteristics of major symptoms?
- Onset
- Location
- Duration
- Character (Quality, Severity)
- Alleviating/Aggravating factors
- Radiation
- Timing (Triggers, Frequency)
When obtaining the History of Present Illness (HPI), what should be avoided?
Avoid Leading Questions
Avoid Technical Jargon
What are two techniques used to clarify pt Complaints?
Summarization
Confrontation
What is the clarifying technique of Summarization?
Clinician feeds back main points of information
What is the clarifying technique of Confrontation?
Addressing discrepancies in what the pt has said or provider perceived
The Clarifying technique of Summarization, Ensures, Provides, and allows what?
Ensures understanding
Provides focus
Allows transitioning of topics
The Clarifying technique of Confrontation, allows for what and is not what?
Allows for clarity of story
Is not accusatory in nature
