General Flashcards
If a patient has general issues that are discovered during the ROS, that information goes into the
ROS section
If patient presents for annual exam and has another presenting complaint that information will go in the _______ section.
HPI
Pertinent positives are
Something the patient said or indicated in the history or something they DO have
Or
Something you find on exam
Both support a specific diagnosis.
Pertinent negatives are
Something the patient says no to that supports the same diagnosis as the pertinent positives
Or
Something you do not find that still supports the same diagnosis
Confounding data is
Data you expect to find but don’t
Or data you don’t expect to find but do.
Ultimate goal for collecting ram his in primary care
To determine risk of genetic disorder
Help to diagnoses need for screening
5 advantages to a pedigree
Quick visual tool Prioritize medical concerns Can be used to educate Determine need for genetic screening Quick recording of positives and negatives
Go back how many generations in inherited condition
As far as possible
Analytical validity
The accuracy and reliability of fam history reports
Clinical validity
Accuracy of disease risk predictors from fam history
Clinical utility
The way a family history risk affects an intervention or dis outcome
The relationship of ancestors who have a great amount of shared genetic information
Consanguinity
Rule of two too
If significant variation is found there should be inquired into genetic history
Six elements to include in fam hex to determine genetic pattern
# affected Sex Degree of relationship Age at onset Ethnicity or region of origin Linage or maternal vs paternal
3 non genetic elements
Environmental
Social
Cultural
