History Flashcards
Autonomy
Respects the patient’s need for self determination; pt has choices and may make them
Beneficience
Must do good
Nonmaleficience
Do no harm
Utilitarianism
Appropriate use of resources for community at large
Fairness and justice
Balance between autonomy and larger community
Deontological imperatives
Duty to act
Precision
Pay attention to detail; should be reproduced by others
Facilitation
“Please go on”
Confrontation
Bring patient’s behavior or awareness to conscious awareness
Pruritis
Itching
Dysuria
Burning urination
Polyuria
Frequent urination
Polydipsia
Increased thirst
ROS
Review of Systems
Structure of Hx
CC HPI PMH FH SH ROS
CC
Patient’s age and gender; state complaint in patient’s own words
Palpate using palmer surface & finger pads for__; ulnar surface for ___; dorsal surface for ___.
Sensitivity; Vibration; Temperature
Use ___ &/or ____ to palpate for sensitivity; ___ to discern vibration; ___ to discern temperture
Palmar, finger pads; Ulnar; Dorsal
Percuss using
Middle distal phalanx on body surface; use middle finger to tap IP jt
Fist percussion to evalaute ___
Liver
Kidney
GB tenderness
What are you listening for when auscultating?
Intensity
Pitch
Duration
Quality
Bell
Diaphragm
Frequency; example
Bell: Low frequency; bruits
Diaphragm: High frequency; lung sounds
Bruit
Low pitched; turbulent flow; occlusion of vessels
Dual frequency stethoscope
Light pressure: Bell;
Heavy pressure: Diaphragm
From what distance do you perform the visual acuity tests?
Snellen: 20 ft
Tumbling E: 20
Rosenbaum(?): 14 inch
What do you use a 125 Hz tuning fork for? 512/1024 Hz?
125: Vibration
512/1024: Auditory screening
What do you use a monofilament test for?
Sensation of planter surface of the foot
Pulse oximeter
Blood oxygen saturation