Introduction to Clinical Skills- Wilson Flashcards
Medicine and Society
Radiology
getting history (collecting data) learning about lab tests
What are the steps of the scientific method?
- Observations
- Formulation
- Prediction
- Experimental Test (Treatment plan)
- Modify Hypothesis then repeat 3 and 4
What treatment plan is best for the patient?
evidence based medicine
Medical education trains the mind to see reality through what type of lens?
scientific lens
Every disease has a character face that a well-trained diagnostician can recognize, like a friend, in crowd of diseases. True or false?
True
- distension of the external jugular vein
- pink pallor to skin lips
advanced age of emphysema
What is the doctor looking for as a sign of disease or injury most of the time?
asymmetry
A physical examination, when properly conducted, is a __________dissection of the body.
non-invasive
For a scalpel, a physician uses his/her sense of sight, touch, hearing, and smell.
What is an important sign of disease or pathology most if the time ?
asymmetry
except for a few normal exceptions, the identification of asymmetrical structure suggest pathology
(3 branches off the aorta, not 2)
Patient serves as his/her own control. What areas do you look at?
- structure
- sensory sensitivity
- muscular strength
do them bilaterally on the body
An imbalance in muscle tone results in an abnormal posture of the upper limb. What is this condition?
Erb-Duchenne Palsy
The external jugular vein is a large vessel found immediately beneath the skin.
Normally, it is not seen unless its pressure is elevated.
- superior vena cava syndrome
- tumor of right lung
During a physical examination, the pulse is often taken at several locations, bilaterally. A weak pulse on one side may be a sign of what?
vascular disease or obstruction (peripheral artery disease)
What spot in the back can you listen for the lung?
triangle of auscultation
- can ask patient to hunch forward to make the triangle bigger
- not covered with either muscle or bone
The pulse is taken where arteries are?
large
near the surface
Normally, lymph nodes cannot be seen during dissection or palpated unless diseased or infected. True or false?
True
What is the anatomical landmark for the 4th intercostal space?
nipple
What is the anatomical landmark for the L4-L5?
umbilicus
A thorough understanding of__________ provides the clinician with a system of landmarks for mapping the examination.
osteology
- respiratory disease
- cyanosis
- tracheal deviation
- chest pain
- hyperresonance sounds
pneumothorax possibly
What is the osteological landmark for parts of the heart?
aortic valve: 2nd right intercostal space
pulmonary valve: 2nd left intercostal space
tricupsid valve: 5th intercostal space, left sternal border
mitral valve: 5th intercostal space, mid-clavicular line
