Long case Flashcards
Guarded prognosis
Refers to a prognosis given by a physician when the outcome of a patient’s illness is in doubt
What word refers to a prognosis given by a physician when the outcome of a patient’s illness is in doubt
Guarded prognosis
ammenable
open and responsive to suggestion; easily persuaded or controlled
open and responsive to suggestion; easily persuaded or controlled
ammenable
elucidate
to make something clear / explain
think: luc = light
‘to shed light on’
another way to say:
“I would like to get more information”
“I would like to elucidate further detail…”
“I would first elucidate his allergy history…”
Better way to say
“I’ve already talked about this”
“Which I have previously detailed”
How would you describe when a patient has good insight into some aspects of their health, and poor insight into others?
Variable insight
What is a good sentence to link problems
eg. OM due to foot ulcers & T2DM
It is therefore very relevant to disucss his T2DM
how to describe someone to is losing independence
Threat to independence
How could you describe someone who is NOT depressed
She has a ‘positive outlook’
She is ‘well adjusted to her disabilities’
How do you describe complete reduced sensation of the feet
insensate feet
a general phrase for ‘lots of things for to do’?
There are many opportunities for optimisation
Word to summarise issues which don’t ‘help’ each other / are opposiing
Competing issues
How would you describe discussing with another specialist?
I would confer with my urology colleagues
have discussions; exchange opinions.
“the officials were conferring with allies”
What is a word to describe “have discussions; exchange opinions”.
Confer
I would confer with my surgical colleagues
A set of symptoms
Symptmatology
His sympotamtology is in keeping with fluid overload
How to quantify orthopnea?
3 pillow orthopnea
Right now
At present
How to link a problem of CV risk factors if they haven’t had IHD
Although X had never need diagnosed with cardiovascular disease, she does have a number of significant risk factors.
Non-modifiable risk factors include…
Modifiable risk factors…
The next problem to discuss…
In regard to…
The next problem is that of…
Regarding…
In regards to…
In terms of…
Concerning…
With respect to…
To elaborate on…
To his first / next problem, which is that of…
Um
Someone who lives rural as a noun
Their rurailty
This could be representative of
This could be emblematic of
Overarching term for group of immunosupression
Overarching term if on one immunosupressive agent
multimodal immunosupression therapy
single-agent immunsupression
immunosupression monotherapy
Myxomatous
Myxomatous degeneration of the cardiac valves is the non-inflammatory progressiveremodelling of the valve structure.
It can be primary degeneration or related to underlying CTD.
in the summary, a way to summarise that a number of the issues are problems are inter-related
intersecting medical issues
intersecting medical problems
i.e. this word indicates you’re synthesizing
Low mood
Pervasively low mood
Anhedonia (i.e. loss of pleasure)
Don’t forget about this issue…
… maintaining independence and QoL
When there are a group of problems but there is one main issue eg obesity to discuss
The main issue
The overarching problem
When you want to refer to something as an acronym from now on
Human immunodeficiency virus which I will herein or hereafter refer to as HIV
Michelle Leech immunosupression and Infection speil?
NOT blood sugar level but..
blood glucose level
Medications not accounted for
Medications for which I have not accounted include
Pap smear
Cervical screening
When a patient doesn’t check they’re BGL prior to driving…
When a patient hasn’t had their denosumab injection in > 6 months…
“Of concern she does not check her BGL prior to driving”
“Of concern, she is overdue for her denosumab with her last dose > 6 months ago”
Sentence for educating a patient with poor insight
I need to have an open, frank discussion with Latoya with honest and clear communication.
I would involve those closest to her including her sister and her GP.
Good term for diabetes post transplant or steroid induced diabetes?
New onset diabetes after transplantation (NODAT)
Glucocorticoid-induced diabetes
Names for MTX and other conventional, biological, and targetted synthetic DMARDs…
Steroid Sparing Agents
Adverbs to give your opinion that this is important
Importantly
Interestingly
Of note
Notably
Adverbs to give your opinion that this is concerning
Concerningly
Notably
Worryingly
Alarmingly
Adverbs to give your opinion this is good information
Pleasingly
Reassuringly
I am pleased to note
Regimen or regime?
Drug regimen
(Regime is for Kings and Queens)
When you’re answering a question and you are aware you might not 100% know
“To my knowledge” then state what you know
Hepatitis C complicated by cirrhosis
Diabetes complicated by peripheral neuropathy
consequent
Hepatitis C and consequent cirrhosis
Diabetes and consequent peripheral neuropathy
Complications of both the disease itself and its treatment
Treatment and disease-related complications
Grades of financial stress
- Comfortable without financial stressors
- Low income, without current, active financial stressors
- Surviving financially on a low income
- Current financial stressors
When a patient says something
citing
He reports current life stressors citing unfair dismissal at work
Pressure ulcer
Decubitis ulcer
Assess risk
Risk stratify
Stroke of unclear origin
Cryptogenic stroke
