Healthy Patient Flashcards
1
Q
Important concepts in healthy patient
A
- HTN
- HLD
- Cancers (breast, skin, cervical, colorectal, prostate)
- Immunization (HBV, flu, pneumococcal, tetanus/diphtheria, mumps/measles/rubella)
- Safe sexual practices; contraception
- Seat belt use and proper application
- Exercise and weight loss in CVD prevention
- Presentation of substance abuse and basic approaches to prevention/Tx
- Smoking, smoking cessation
- Daily requirements of calories, fat, carbs, protein, mineral, and vitamins
- Functional status of geri patient
- Envirnomental and occupational hazards
2
Q
Important history items in healthy patient
A
- dietary fat and cholesterol intake
- exercise and activity level
- substance use and its effects
- psychosocial stress and environmental risks
- specific cancer risks (FHx, exposures, warning symptoms, preventive efforts)
- High risk sexual practices
- Immunization status (diphtheria/tetanus for all adults, flu and pneumococcal for elderly and those with underlying chronic disease, rubella for sero-negative women of child-bearing age, HBV for medical personnel and at-risk populations)
3
Q
Important exam items in healthy patient
A
- screening skin exam
- screening breast exam
- pap smear
- screening rectal exam (prostate, nodules, and stool guiac)
- functional status exam in geri
4
Q
Labs to consider in healthy patient based on Hx and exam
A
- CBC
- Fasting lipids
- Fasting blood glucose
- UA
- Stool guiac
Define indications for:
- Mammography
- Colonoscopy
- Pap
- Bone densitometry
5
Q
Counseling topics for healthy patient
A
- safe sex
- seatbelt
- healthy diet
- weight loss
- practical exercise program appropriate to age and physical condition
- stress management
- alcohol abstinence
- smoking cessation
- cancer screening
- limiting risks of occupational and environmental hazards
6
Q
Epi of HTN
A
-95% is essential
7
Q
Causes of secondary HTN
A
CHAPS
- Cushing’s
- Hyperaldosteronism (Conn’s)
- Aortic coarctation
- Pheochromocytoma
- Stenosis of renal arteries
