Intro Flashcards
What are the steps for diagnosis and treatment?
- Complete History
- Complete physical examination
- Appropriate laboratory testing
- Appropriate radiological/imaging studies
- Consider patient adherence to potential treatment
- Maintain ethical decision-making and care
Which steps to diagnosis and treatment are used to support and confirm the diagnostic impression?
- Appropriate laboratory testing
- Appropriate radiological/imaging studies
What is the most important tool in obtaining a diagnosis?
History
Under the “plan” section for a H&P what should be listed?
- Diagnostic (labs, imaging)
- Therapeutic
-Educatonal
- Pharmacological
- Non-Pharmacological
What are some common laboratory and imaging assessments?
- CBC
- Serology (detection of antibodies)
- Lipid panel
- Bacteriology (cultures)
- Urinalysis
When should you order diagnostic studies?
- Confirm suspected dx
- Monitor progression/ regression of disease
- Monitor therapeutic levels
- Measure fitness
What is the definition of sensitivity?
An index of the diagnostic test’s ability to detect disease when it is present
What is the definition of specificity?
The ability of the test to correctly identify the absence of the disease
-Specific for a certain disease
EX: the test is negative, the patient does not have the disease
True or false? Do test make the diagnoses/
False
-Clinicians make diagnoses
What are different ways to asses the severity of disease?
- Staging
- Mild, moderate, or severe
- Primary, secondary, tertiary, latent
What are the prognosis and Tx based on?
They are based on severity
-Tx is tailored to the extent/ stage of disease
When are disease not “staged”
When the prognosis and or tx is not affected
What is the final step when giving treatment to a patient?
Measure of response should be recorded and monitored
- Clinical (pulmonary examination)
- Following tests (PSA levels, imaging studies)
What are the three types of Health Maintenance & Disease Prevention?
- Primary
- Secondary
- Tertiary
What is primary prevention?
Attempt to prevent the development of a disorder
- Immunization/ vaccinations
- Screening for ris factors
What is secondary prevention?
Early dection in asymptomatic people
- screening for the presence of the disease
- Mammograms, ultrasound, DEXA scans
What is tertiary prevention?
Problem is actively there
-goal is to limit the impact/ damage of an established disease to prevent complication
What are the components of a prescription?
- Suprascription
- Inscription
- Subscription
- Signatura
What falls under the inscription?
- Names and quantities of the Chief ingredients
- Dosa and dosage form
What falls under subscription?
Direction to the pharmacist on how to compound the medication
- pill
- tablet
-capsule
What falls under the signatura?
Instructions on how, how much, when, and hw long to use the medication
What are the Cutler’s Laws/
- Common disease occur commonly
- Uncommon manifestation of common disease are more common than uncommon diseases
- No disease is rare to the person who has it
