L1 - Clinical Examination - Hx And Physical Flashcards
What is a problem focused outpatient visit?
A limited examination of the affected body area or organ system
Simple, straightforward, minimal hx reviewed, low medical decision making
What is an expanded problem focused outpatient visit?
A limited examination of the affected body area or organ system and other symptomatic or related body areas or organ systems
Low possibly moderate medical decision making
What is a detailed outpatient visit?
An extended examination of the affected body areas or organ systems and any other symptomatic or related body areas or organ systems
Moderate to high medical decision making
What is a comprehensive outpatient visit?
A general multi system examination (all systems are considered except for eye or psychiatric), or complete examination of a single organ system and other symptomatic or related body areas or organ systems
Moderate to high medical decision making
What are the two types of clinical reasoning?
Non-analytical and analytical
What is non-analytical clinical reasoning?
Based on experience with similar encounters in the past
Often uses pattern recognition
What is analytical clinical reasoning?
An approach requiring investigative reasoning
Evidence based practice
Rule in and rule out dx through systematic means
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