General Survey and Collecting Data Flashcards

1
Q

What is the general survey?

A

An overview of the patient; begins at first meeting and ends at closing

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2
Q

What are the first pieces of a general survey? (3 answers)

A
  1. Appearance
  2. Behavior
  3. Mobility
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3
Q

What are the componants of initial data? (3 answers)

A
  1. Anthropometric measurements (height, weight, etc.)
  2. Vital signs
  3. Nutrition and hydration
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4
Q

What is the Framingham risk score?

A

A score determining risk for a cardiac event based on blood pressure, age, sex, and cholesterol

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5
Q

What is metabolic syndrome?

A

Condition related to the clustering of three or more of the following conditions: abdominal obesity, high blood pressure, high blood sugar, high serum triglycerides, and low serum HDL

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6
Q

What are the goals of an interview? (4 answers)

A
  1. Collect data and gain insights
  2. Continue General survey
  3. Determine evaluation
  4. Establish theraputic relationship
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7
Q

What are the types of data sources? (2 answers)

A
  1. Primary (from the patient)
  2. Secondary (from family members, friends, charts)
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8
Q

What are the componants of the interview? (7 answers)

A
  1. Demographic data (name, DOB)
  2. Chief concern (+LATERSNAPS)
  3. Health history (personal and familial)
  4. Current medication (what and why)
  5. Personal and social history (marital status, travel history)
  6. Review of systems
  7. Functional health questions
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9
Q

What is the interview process? (4 answers)

A
  1. Handwashing and don PPE
  2. Introduce self and establish rapport
  3. Invite patient to speak (request consent)
  4. Establish agenda
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10
Q

When should uncomfortable topics be brought up?

A

End of the interview, with patient alone if accompanied

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11
Q

What are the LATERSNAPS components?

A

L - location
A - associated symptoms
T - timing
E - environment
R - relieving factors
S - severity
N - nature
A - aggravating factors
P - patient perspective
S - significance to patient

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12
Q

What are the PAMFROSSTI components?

A

P - patient history
A - allergies
M - medications
F - family history
R - review of systems
O - occupation
S - social history
S - safety
T - travel
I - immunizations

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13
Q

Should supplements be included in medications?

A

Always

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