Gen Med 5 Flashcards
Family cycle
Independence.
Coupling or marriage.
Parenting: babies through adolescents.
Launching adult children.
Retirement or senior years.
Table of Morphological /physiological changes in children.
Cardiovascular, pulmonary, endocrine, immune, locomotor-> give examples
Cardiovascular : changes in heart rate and cardiac output
Respiratory: vital capacity, PaO2. CNS acth activity, reaction time
Gastro: peristaltic reflexes, gastric and pancreatic secretion.
Endocrine: renin and aldosterone levels, estrogen (F) and testosterone (m)
Competencies
1.Communicate with patient 2.Create relationship
Rashes : mumps measles rubella, clinical manifestations and definitions
Mumps
- swelling of salivary glands, fatigue, body aches, headache, loss of appetite
- low-grade fever.
Measles (rubeola)
- rash rarely preceded by subfibrile temp,
- starts with erythemic spots that become vesicles
- in the hairy part of head, chest, abdomen, oral mucosa
- crusts within a hours to couple of days
Rubella
- fine, pink rash
- begins on the face and
- quickly spreads to the trunk then the arms and legs,
- disappears in the same sequence
Palliative Care Definition
Palliative care is an approach that i_mproves the quality of life_ of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.
Signs and Symptoms of heart failure
- Shortness of breath (dyspnea) on exertion yourself or when supine
- Fatigue and weakness, Swelling (edema) of the legs, ankles and feet
- Rapid or irregular heartbeat, Reduced ability to exercise
- Persistent cough or wheezing with white or pink blood-tinged phlegm
- Very rapid weight gain from fluid retention, Lack of appetite and nausea
- Difficulty concentrating or decreased alertness
- Sudden, severe shortness of breath and coughing up pink, foamy mucus
Hematemesis is bleeding from?
UPPER GIT
Advantages of home careMore of ________
More of ________
Less of _________
GP and Hospital Differences
Gp.
- Patient centered approach
- Patients are continuum. Same patient come multiple times
- Disease is episodic (depends on patient)
- Doctor-patient rapport
- Health promotion and preventive care
- Early detection of health problems
Hospital.
- Disease centered approach
- Disease is continuum (Always same)
- Patients are episodic. Come once or twice.
- Single time contact
- Usually only management/rehab
- See patient in emergency/advan stage.
Observation & follow up of CAD and
diabetes mellitus
CAD:
- 4x a year, check
- BP, physical status, cholesterol and
- ECG twice a year
Diabetes
- 4x a year : BP, physical, eye
- Check glucose regularly
- ECG/HbA1c once a year]
Aim and definition of geriatrics
The branch of medicine concerned with the di_agnosis, treatment and prevention of disease in older people_ and the problems specific to aging.
Geriatricians aim to treat diseases that are present and achieve healthy aging by focusing the patient’s highest priorities in the context of multiple chronicconditions, and on preserving function.
clinical cases
Child with dyspnoea on exertion
Murmur on an infant = physiological
45 yr old male smoke = how to stop smoking
Sweating and palpitation = thyroid disorder - hyperthyroidism
Case with ECG= myocardial infarction
25yr erectile dysfunc = inability to achieve satisfactory sexual life. Address cause, maybe depression. Why problem at such young age? Psychotherapy first
