Intro to PSP Flashcards

1
Q

4 C’s for every patient encounter

A

Capture, connect, consider, conclude

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2
Q

What does capture mean in an encounter

A

SEE every feature of patient
LISTEN to the patient’s story
SMELL for clues about the patient
TOUCH to show empathy and to diagnose

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3
Q

What does connect mean in an encounter

A
Acknowledge 
Eye Contact 
Proximity 
Tone of Voice  
Comment: compliment, affirmation, agreement, shared interest
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4
Q

what does consider mean in an encounter

A
Refer to subjects learned
Past Experiences  
Class Attendance   
Faculty  
Textbooks 
Web
Extracurricular experiences
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5
Q

what does conclude mean in an encounter

A

put it all together

diagnose

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6
Q

symptom

A

subjective experience of the patient

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7
Q

sign

A

objective evidence noted by the clinician

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8
Q

can symptoms also be signs?

A

YES

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9
Q

what is a SOAP note

A

method of documentation employed by health care

providers to write outnotesin a patient’s chart

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10
Q

what does SOAP stand for?

A

S – Subjective
O – Objective
A – Assessment
P – Plan

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11
Q

common concerning symptoms relating to skin

A

Growths
Rashes
Hair loss or nail changes

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12
Q

what information regarding growths should you ask patients

A
New growths 
Changes in skin appearance or texture
Lumps 
Itching 
Sores 
Type and location 
Date, history, and treatment of skin cancer in self or family
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13
Q

what information regarding rash should you ask patients

A

New rash
Changes in skin appearance or texture
Itching or burning
History of seasonal, other topical (localized), or systemic (generalized) allergies
Type and location
Date, history, and treatment of previous rashes

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14
Q

what information regarding hair loss or nail changes should you ask patients

A

Hair thinning, shedding, breakage/excessive new growth
History of conditions and treatment
Habits of shampooing, dye use, heating
Nail pitting, discoloration, cracks, fragility, thickening Habits of biting, picking, polishing and other chemical
applications

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15
Q

skin lesion

A

discoloration, elevation, depression, or any skin change which is usually localized

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16
Q

primary

A

initially appearing as a result of a disease process

17
Q

secondary

A

evolve from a primary lesion or as a consequence of the patient’s activities

18
Q

HPI (breakdown of chief complaint)

A
O: onset
L: location
D: duration
C: character
A: associated symptom
R: radiation
T: timing/treatment
S: setting/severity
19
Q

F.I.F.E.

A

describing patient’s feelings, ideas, function, and expectations in 5 minute presentation

20
Q

ROS

A

summarizes in terms of patient’s body systems all the symptoms that may have been overlooked in the chief complaint or history of present illness.

21
Q

allergic reaction caused by ___

A

effects of released

mediators on target end organs

22
Q

allergic reaction signs and symptoms

A

vasodilation, permeability
changes, visceral smooth muscle contraction, mucous
secretory gland stimulation, and tissue inflammation

23
Q

allergic reaction etiology

A

IgE antibodies occupy receptor sites on mast cells.

After exposure, a multivalent antigen links adjacent IgE molecules, activating and degranulating mast cells.

24
Q

allergic reaction route of transmission

A

nontransmissable

25
herpes zoster
shingles/chicken pox
26
herpes zoster signs and symptoms
dewdrops on a rose petal, fever, malaise, pruritic, pain maculopapular > vesicles > pustules > crusted lesions
27
herpes zoster etiology
varicella-zoster virus
28
herpes zoster route of transmission
respiratory secretions or contact w/ fluid from vesicles; after initial infection, dormant virus reactivation from cranial nerve sensory ganglia and spinal dorsal root ganglia
29
tinea corporis
fungal infection
30
tinea corporis signs and symptoms
ring-shaped lesions w/ advancing scaly border and central clearing/scaly patches with a distinct border, itching, burning, stinging, superficial cracks, macerated skin
31
tinea corporis etiology
fungal organisms
32
tinea corporis route of transmission
direct contact
33
eczema signs and symptoms
pruritic, macular and/or papular rash w/ a distinct presentation in different ages/races, intermittent exacerbations w/ familial, environmental and emotional components
34
eczema etiology
increased skin sensitivity and | characteristic manifestations
35
eczema route of transmission
nontransmissable
36
kaposi sarcoma signs and symptoms
occurs largely in gay men w/ HIV infection as an AIDS-defining illness, red or purple plaques or nodules on skin or mucous membranes
37
kaposi sarcoma etiology
Herpes virus 8(HHV-8)
38
kaposi sarcoma route of transmission
HHV-8 may be present in | saliva and other body fluids
39
past history in patient encounter
includes pertinent negative associated symptoms, pertinent positive and negative non-symptom data, pertinent Past Medical History (PMHx), Past Social History (PSHx), Family History (FHx), Social History ( SocHx)