Intro to PSP Flashcards
4 C’s for every patient encounter
Capture, connect, consider, conclude
What does capture mean in an encounter
SEE every feature of patient
LISTEN to the patient’s story
SMELL for clues about the patient
TOUCH to show empathy and to diagnose
What does connect mean in an encounter
Acknowledge Eye Contact Proximity Tone of Voice Comment: compliment, affirmation, agreement, shared interest
what does consider mean in an encounter
Refer to subjects learned Past Experiences Class Attendance Faculty Textbooks Web Extracurricular experiences
what does conclude mean in an encounter
put it all together
diagnose
symptom
subjective experience of the patient
sign
objective evidence noted by the clinician
can symptoms also be signs?
YES
what is a SOAP note
method of documentation employed by health care
providers to write outnotesin a patient’s chart
what does SOAP stand for?
S – Subjective
O – Objective
A – Assessment
P – Plan
common concerning symptoms relating to skin
Growths
Rashes
Hair loss or nail changes
what information regarding growths should you ask patients
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
what information regarding rash should you ask patients
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
what information regarding hair loss or nail changes should you ask patients
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
skin lesion
discoloration, elevation, depression, or any skin change which is usually localized
primary
initially appearing as a result of a disease process
secondary
evolve from a primary lesion or as a consequence of the patient’s activities
HPI (breakdown of chief complaint)
O: onset L: location D: duration C: character A: associated symptom R: radiation T: timing/treatment S: setting/severity
F.I.F.E.
describing patient’s feelings, ideas, function, and expectations in 5 minute presentation
ROS
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.
allergic reaction caused by ___
effects of released
mediators on target end organs
allergic reaction signs and symptoms
vasodilation, permeability
changes, visceral smooth muscle contraction, mucous
secretory gland stimulation, and tissue inflammation
allergic reaction etiology
IgE antibodies occupy receptor sites on mast cells.
After exposure, a multivalent antigen links adjacent IgE molecules, activating and degranulating mast cells.
allergic reaction route of transmission
nontransmissable
herpes zoster
shingles/chicken pox
herpes zoster signs and symptoms
dewdrops on a rose petal, fever, malaise, pruritic, pain
maculopapular > vesicles >
pustules > crusted lesions
herpes zoster etiology
varicella-zoster virus
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
tinea corporis
fungal infection
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
tinea corporis etiology
fungal organisms
tinea corporis route of transmission
direct contact
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
eczema etiology
increased skin sensitivity and
characteristic manifestations
eczema route of transmission
nontransmissable
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
kaposi sarcoma etiology
Herpes virus 8(HHV-8)
kaposi sarcoma route of transmission
HHV-8 may be present in
saliva and other body fluids
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)
