Extra Flashcards
Subjective
Pt’s feeling, pain
Objective
Dr.’s findings, tenderness
5 Vitals
HR, RR, T, O2 sat, BP
of Elements for Level 5
HPI: 4
ROS: 10/2
PMHx: 2
PE: 8
3 Types of Disposition
Discharged
Admitted
Transferred
GERD
gastroesophageal reflux disease
Throat redness
Pharyngeal erythema
7 parts of abdomen
RUQ, RLQ, LUQ, LLQ, Epigastric, Periumbilical, Suprapubic
Kidney infection
Pyelonephritis
G, P, A
G = # of total pregnant, P = # of pregnancies carried to term, A = # of miscarriages/abortions
Smells like fruit/alcohol, vomiting
Diabetic Ketoacidosis
Can cause death rapidly (2 head, 2 abdomen)
Head: meningitis,
Abdomen: GI bleed, AAA, ectopic pregnancy
Peritoneal signs
guarding (voluntary or involuntary) and rebounding
Status after seizure
Post-ictal
Angioplasty
Balloon in heart
Open Heart Surgery
CABG
Cleaning of carotid artery
Carotid Endarterectomy
Stomach stapled
Bariatric surgery
Kidney removed
Nephrectomy
Ovaries and Fallopian tubes removed
Salpingo-oophorectomy
PICC line
Peripherally inserted central catheter
Meds that prevent clots
Anticoagulants
PHI
Protected health info
Differential Diagnoses
Disease being considered
CAD
Phrase: CP
Meds: ASA and NTG
PE: cardiac catheterization
MI
Phrase: chest pressure
Risk Factors: CAD, HTN, HLD, DM, Smoking, FHx < 55 y/o
PE: EKG or Troponin
Meds: ASA
CHF
Phrase: SOB w/ pressure
Meds: Diuretics
PE: Rales, JVD
AFib
Irregularly Irregular Rhythm
Palpitations
PE: EKG
Meds: Warfarin and Digoxin
RVR
Rapid Ventricular Response
PE
Phrase: chest pain
Risk Factors: DVT, PMHx of DVT/PE, FHx, surgery, pregnancy, CA, AFib
PE: D-Dimer, CTA, VQ Scan
PNA
Phrase: productive cough and fever
PTX
PE: absent breath sounds and CXR
COPD
Risk Factors: Smoking, SOB
PE: wheezing, rales, CXR
Ischemic CVA
CC- one-sided neurological deficits
Risk Factors: HTN, HLD, DM, Hx TIA/CVA, Smoking, Afib
4 Focal Neurological deficits
speech, vision, one-sided weakness, one-sided numbness
Meningitis
Neck stiffness, Lumbar puncture
Bacteria is the worst kind
HA
Headache, Cephalgia
Syncope
Fainting
Document before, during, after and current feeling
Vertigo
Horizontal nystagmus and Romberg’s Test
Inner ear
Appendicitis
RLQ
McBurney’s Point, Psoas, Opeterator and
CT A/P w/ PO contrast
3 key tests
Creatinine, Troponin, D-Dimer
SBO
Periumbilical
Cholelithiasis
Gallstones
RUQ, Murphy’s sign
PE: US
Diverticulitis
LLQ
CT A/P w/ PO contrast
Pancreatitis
LUQ
amylase and lipase
Kidney stone
hematuria, flanks
AAA
Deadly, CT A/P w/ IV contrast
Aortic Dissection
separating of muscular wall of artery from membrane
CT w/ IV contrats
Sepsis
Lactate
Cellulitis
infection, treat w/ antibiotics