ITP Flashcards
conservative treatment
beneficence/nonmaleficence
spinal accessory
pressure on either side of shoulders and face
consequenntialism
ends justify the means. Number game. Action is judged based on outcome. Pros is that its useful daily life. Risk management. Avoids inaction BUT no action is off limits and outcome isn’t always clear prior to action. RESEARCH AND POLICY. Clinical treatment
history of present illness
chronological order of events leading to current complaint. illness, symptoms, previous treatment
- narrative in paragraph form
- attributes of symptoms
- avoid leading qns
valued habits, customs, behaviours, communication patterns, health beliefs, nutritional factors, religions, sociologic, psychologic factors
Alternative health care and therapy
Darby cultural assessment guide
comprehensive patient evaluation steps
demographic, medical and dental history, physical exam, clinical reasoning (lab and imagining results), data review and problem list, summary and treatment plan
medical chart
documentation, communication, research’s statistics, legal, symptoms over time
Chart is also professional standard, ethical obligation, educational tool
Helps track which services are used, changes in healthcare over time, population health, allocation of resources
watch the patient. How they walk, look, etc.
- inspection
perioral and intraoral examination
- lips, all mucosa (buccal, labial, pallatal), palate, floor of mouth and tongue
- salivary gland hypofunction is dry lips, mouth opening from denture, cheilitis (yeast in corners), papilla atrophy
- labial mucosa is inside lip. most common area for trauma bumps NO MIRROR
- linea alba is keratin buildup white line from biting down normal
- tongue is high risk area. papilla can show nutritional deficiency
- floor of mouth check salivary glands (sublingual + mandibular)
- palate is great area for lesions since glands and nerves here. depress the anterior tongue to see (no gag reflex)
corrigan’s sign
carotid pulse in clavicle area
- aortic insufficency and bounding pulse with widened pressure due to some blockage
family history
parents, siblings, offspring, genetics, assess risk for diabetes, heart disease, cancers like breast/ovarian, pulmonary disease, bleeding disorders, connective tissue disease
summary of presentation
CC and related, medical illness, anything that requires special attention
140+ or 90+
stage 2
Argument from authority
important people can be wrong
child and elder abuse. Forgery
legal veracity
own choices and beliefs based on upbringing, faith and experiences
morals
optic nerve does what innervation of brain
cerebrum
neck extraoral exam
lymph nodes, masses, deviation of trachea, sound of breathing, thyroid gland
180+ and 120+
hypertensive crisis
assessment of patient with cardiac disease
- chest pain, freq and what makes it hurt
- SOB, dizzy, lower extremity edema, palpitations, claudication is a sign of peripheral arter disease that causes severe wounds in lower extremities
- blue stuff is cyanosis.
honesty, truthfulness
veracity
chart components
CC, history of present illness, medical history, physical exam, imaging, lab studies, assessment, treatment record, notes
what to check in throat
lips, mucosa, gums, teeth, tongue, palate, tonsils, pharynx
- inspection and then palpate/percussion
- start out to in
cross cultural index
must have flexibility and openness emotional resilience perceptual acuity, personal autonomy