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CLET > History > Flashcards

History Flashcards

1
Q

when asking about sleep, how would you differentiate between rib fracture pain and cancer

A

rib fracture causes pain when rolled over on side

cancer would be deep boring pain that is diffuse

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2
Q

how do you ask the patient about their ADL’s

A

does your CC affect your ability to go to work, get groomed, dress, sleep, diet, or exercise

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3
Q

what is the difference between arterial insufficiency and venous insufficiency

A

arterial insufficiency (claudication) will make skin cold

venous insufficiency (DVT) will make skin warm

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4
Q

what types of questions should you ask your patient about their headache

A 
how long do they last
how often do they appear
any tearing of the eye
any visual disturbances
any double vision, blurry vision
any problems with memory
any problems with speech
are they related to mens. cycle
any nausea/vomiting
any trauma
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5
Q

what types of questions should you ask your patient about their abdominal complaints

A 
site?
frequency?
does eating make it worse or better
radiating pain
have you noticed any weight loss
(is it b/c you want to lose weight or haven't been eating)
bowel/bladder changes?
feeling tired?
nausea/vomiting?
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6
Q

what types of questions should you ask your patient about their CNS

A

memory trouble?
balance and coordination?
blurry vision/trouble with vision?
bowel/bladder function?

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7
Q

what types of questions should you ask your patient about suspected pulmonary conditions

A

shortness of breath?
chest pain?
pain with exercise?

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8
Q

Doctor centered case management

A

7 cardinal features of symptoms

  1. location and radiation
  2. quality
  3. quantity
  4. chronology
  5. setting
  6. modifying factors
  7. associated symptoms
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9
Q

patient centered case management

A

NURS- emotion handling

  1. naming
  2. understanding
  3. respect
  4. support
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10
Q

what are the different types of histories

A
  1. problem focused
  2. comprehensive
    beyond “OPQRST” (skeleton for history)
    additional areas to include: social history, occupational history, ADL’s, past medical history, review of systems
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11
Q

social history includes

A
  1. alcohol consumption
  2. tobacco use
  3. recreational drug use
  4. how do these affect the chief complaint
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12
Q

occupational history includes

A
  1. workforce stressors
  2. mechanical stress
  3. prior work related injuries
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13
Q

ADL’s include

A
  1. dressing, grooming, eating etc
  2. extended ADL’s
  3. golf, biking, playing with gkids
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14
Q

past medical history includes

A
  1. childhood illnesses
  2. trauma
  3. MVA, slips, falls, etc
  4. work related injuries
  5. hospitalizations/surgeries
  6. medications: current, past
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15
Q

what is the review of systems important for

A

often uncover other area of complaint

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16
Q

what are the 14 steps of an examination

A
  1. history
  2. age of patient, sex of patient
  3. chief complaint-OPQRST
  4. social, occupational, ADL, past medical, review of systems
  5. physical examination
  6. inspection
  7. palpation
  8. percussion
  9. instrumentation
  10. ROM
  11. orthopedic
  12. neurologic
  13. exam of related areas
  14. lab and x-ray
17
Q

what is the purpose of a patients interview

A
  1. doctor patient rapport
  2. reason for care
  3. determine if your patient will benefit from chiropractic care
  4. determine if a referral is needed-red flags
  5. determine appropriate case management
18
Q

what is included in a physical examination

A
  1. objective portion of case management
  2. orthopedic testing
  3. neurologic testing
  4. visceral examination
19
Q

hwat is HIPPARONI

A 
history
inspection
palpation
percussion
auscultation
range of motion
orthopedic
neurologic 
instrumentation
20
Q

what is a clinical impression

A
  1. doctors assessment of condition
  2. diagnosis
  3. what you think is going to be
  4. will have a list of differentials

all clinical findings MUST be covered in the clinical impression.
No generic terms are allowed

21
Q

what is the doctors plan

A

what are you going to do to help the patient

how are we going to reach this

22
Q

what type of goals are tehre

A

short term goals

long term goals

23
Q

what is a care plan

A
  1. frequency
  2. duration
  3. adjunct procedures
  4. patient education
  5. home exercise plans
24
Q

what are potential involved tissues (or pain generators)

A 
muscle
tendon
ligament/joint capsule
bursae
joint 
disc 
nerve
visceral referred pain
25
Q

what is acute traumatic pain

A

fracture, dislocation, gross instability

26
Q

what is non-traumatic pain

A

tumors, inflammatory arthritides, infections or visceral referred pain

27
Q

what are types of pain

A 
scleratogenous
myogenous
dermatogenous
visceral
bone pain

CLET (3 decks)

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