History Flashcards

1
Q

Autonomy

A

Respects the patient’s need for self determination; pt has choices and may make them

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2
Q

Beneficience

A

Must do good

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3
Q

Nonmaleficience

A

Do no harm

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4
Q

Utilitarianism

A

Appropriate use of resources for community at large

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5
Q

Fairness and justice

A

Balance between autonomy and larger community

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6
Q

Deontological imperatives

A

Duty to act

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7
Q

Precision

A

Pay attention to detail; should be reproduced by others

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8
Q

Facilitation

A

“Please go on”

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9
Q

Confrontation

A

Bring patient’s behavior or awareness to conscious awareness

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10
Q

Pruritis

A

Itching

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11
Q

Dysuria

A

Burning urination

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12
Q

Polyuria

A

Frequent urination

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13
Q

Polydipsia

A

Increased thirst

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14
Q

ROS

A

Review of Systems

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15
Q

Structure of Hx

A
CC
HPI
PMH
FH
SH
ROS
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16
Q

CC

A

Patient’s age and gender; state complaint in patient’s own words

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17
Q

Palpate using palmer surface & finger pads for__; ulnar surface for ___; dorsal surface for ___.

A

Sensitivity; Vibration; Temperature

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18
Q

Use ___ &/or ____ to palpate for sensitivity; ___ to discern vibration; ___ to discern temperture

A

Palmar, finger pads; Ulnar; Dorsal

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19
Q

Percuss using

A

Middle distal phalanx on body surface; use middle finger to tap IP jt

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20
Q

Fist percussion to evalaute ___

A

Liver
Kidney
GB tenderness

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21
Q

What are you listening for when auscultating?

A

Intensity
Pitch
Duration
Quality

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22
Q

Bell
Diaphragm

Frequency; example

A

Bell: Low frequency; bruits
Diaphragm: High frequency; lung sounds

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23
Q

Bruit

A

Low pitched; turbulent flow; occlusion of vessels

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24
Q

Dual frequency stethoscope

A

Light pressure: Bell;

Heavy pressure: Diaphragm

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25
From what distance do you perform the visual acuity tests?
Snellen: 20 ft Tumbling E: 20 Rosenbaum(?): 14 inch
26
What do you use a 125 Hz tuning fork for? 512/1024 Hz?
125: Vibration | 512/1024: Auditory screening
27
What do you use a monofilament test for?
Sensation of planter surface of the foot
28
Pulse oximeter
Blood oxygen saturation
29
What are categorized as vital signs?
``` Temperature BP Pulse Respiration rate Pain? 0-10 ```
30
What is normal temperature?
37 degrees centigrade; 98.6 F
31
What temp are described as: Hypothermia? Pyrexia Hyperpyrexia/hyperthermia
99.5; >106
32
What could be the cause of irregularly irregular pulse?
Atrial fibrillation
33
What is normal respiration? Abnormal?
12-18 rpm Tachypnea: >25 Bradypnea:
34
At what level should the BP cuff be located?
middle of the upper arm; level of RA; midpoint of sternum
35
Why palate the systolic BP?
Pts with hypotension | Elderly pts with Auscultatory gap; general idea of what systolic should be
36
Which side of the stethoscope do you use to measure BP? Which Korotkoff sounds are heard best?
BELL: turbulent flow; Phase 1: Systolic Phase 5: Diastolic
37
How do you determine MAP?
Mean arterial pressure= (S +2D)/3
38
How do you determine PP (Pulse pressure)?
Systole- diastole | Normal: 30-50 mm Hg
39
Systolic
Serious illness/shock
40
Children pulse: __ with age | Children SBP: ___ with age
decrease; increase
41
Normal BP:
42
Prehypertension BP:
120-139; 80-89
43
Hypertension I
140-159; 90-99
44
Hypertension II
>160; >100
45
What is HTN Emergency?; What is HTN Urgency
>180/120; progressive target organ dysfunction; | upper HTN II + SOB/HA
46
Thigh BP; cuff placement; normal value; pt position
distal 1/3 of thigh; 20 mm Hg > Brachial SBP; Prone
47
What denotes orthostatic hypotension?
SBP: Decrease 20 mm Hg; DBP: Decrease 10 mm Hg; Pulse +20 bpm w/in 3 mins of standing
48
What causes orthostatic hypotension?
Diabetic neuropathy; Volume depletion; Meds (anti- HTN, diuretics, vasodilators); Prolonged recombent position
49
Indications for Orthostatic hypotension:
Dizzy, fainting GI bleeds Diabetics Anti- HTN meds (esp. elderly)
50
Cachectic
Emaciated; weak body
51
Erysipelas
red patchy on the skin; fever and illness
52
Cushing's Syndrome
Moon shaped face with rosy cheeks
53
Myxedema Facies
Thickening of facial features; doughy yellowed skin; no eyebrows (Queen ann sign); dry thin skin; sparse thin coarse hair
54
Hyperthyroid facies
Thin skin, fine hair, big ol eyes goiter
55
Acromegaly
(Elderly) enlargement of facial features; lots of GH secreted after epiphyses have united
56
Hippocratic facies
Sunken face; sharp nose; dry rough skin; terminal stage of illness
57
Alopecia areata (SLE)
Well circumcised coin shaped area of hair loss
58
Nevi
Birthmark
59
Paget's disease
enlarged and misshapen bones; excessive breakdown and formation of bone
60
Tracheal tug
Poor clinical relevance
61
Goiter
Chronic enlargement of thyroid gland
62
Order of Cervical LN Exam
``` Occipital Postauricular Preauricular Tonsillar Submandibular Submental ``` ``` Posterior cervical Deep cervical Anterior/superficial cervical Supraclavicular Infraclavicular ```
63
Hodgkin Disease
HUGE Enlargement of nodes; firm, rubbery, matted nodes
64
Non Hodgkin's Lymphoma
Diffuse cervical lymphadenopathy with matting
65
Virchow's Node
Enlarged L Supraclavicular lymph node: Thoracic/abdominal malignancy
66
Delphian Nodes
Midline on thyroid membrane; Thyroid abnormalities or cancer
67
Sister Mary Joseph Nodule
periumbilical nodule or mass; pelvic/intra-abdominal malignancy
68
Scrofula
Cervical node lymphadenitis; TB
69
Chloasma; Melasma
Mask of pregnancy; blotchy, brownish hyper pigmentation of face
70
Myopia/hyperopia
Legally blind 20/200