Medicine, diagnostics & clinical reasoning Flashcards

1
Q

What is a differential and what are they used for?

A
  • Possible ideas as to what might be wrong
  • Used to determine diagnostic tests to run that confirm/deny the diagnosis
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2
Q

What is signalment? (5)

A

The patients basic characteristics including;
1. age
2. gender
3. entire vs desexed/neutered
4. breed
5. species

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3
Q

What is your role in taking a history?

A
  • detailed questioning of the owner
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4
Q

Examples of questions to ask:

A
  • worming
  • vaccinations
  • lifestyle
  • other animals?
  • previous conditions?
  • weight loss
  • food/diet change
  • recent medication?
  • acute vs chronic?
  • blood?
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5
Q

What does NAD mean?

A

No Abnormality Detected

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6
Q

When writing a problem list, start with ___ to ____ specific

A

most; least

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7
Q

The problem list is used to create ….

A

a differential diagnosis

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8
Q

Order the diagnosis list from _____ to ____ likely

A

most; least

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9
Q

When making diagnostic and treatment plans, take into account…. (4)

A
  • cost
  • invasiveness
  • speed of results
  • convenience
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10
Q

After diagnosing and making a treatment plan, let the owner know the …..

A

Prognosis
- how long
- what should the expect
- likelihood of full recovery
- when to call back

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11
Q

What are the two types of diagnostic tests?

A

In vivo
In vitro

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12
Q

What is an in vivo diagnostic test?

A
  • Observation, imaging (radiographs, ultrasound, endoscopy etc),
  • Therapeutic trials
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13
Q

What is an in vitro diagnostic test?

A

Analysis of samples collected (fluid, tissue)

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14
Q

List some types of in vivo tests (5)

A
  1. Radiography
  2. Ultrasound
  3. Endoscopy
  4. Computed Tomography (CT)
  5. Magnetic Resonance Imaging (MRI)
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15
Q

List some types of in vitro tests (8)

A
  1. Haematology
  2. Clinical chemistry
  3. Cytology
  4. Fluid analysis
  5. Histology
  6. Microbiology
  7. Serology
  8. Toxicology
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16
Q

What are common “in house” tests to run?

A
  • Basic blood tests CBC & MBA
  • Stool tests (Fecal flotations, Fecal egg counts)
  • Urine tests (Dipstick, USG)
  • Basic cytology (Fine needle aspirate, Vaginal cytology)
  • Basic skin tests (Scrapes, hair plucks)
17
Q

Who is responsible for formulating Tx plan?

A

Veterinarians

18
Q

Who is responsible for delivering in-house Tx?

A

Veterinarians & Vet Techs

19
Q

Types of treatments/therapy? (4)

A
  • Drugs/medicines
  • Dietary changes
  • Physical therapy
  • Surgery
20
Q

What does IV mean?

A

Intravenous

21
Q

What does SC/SQ stand for?

A

Subcutaneous

22
Q

What does IM mean?

A

Intramuscular

23
Q

What does topical mean?

A

Treatments applied directly to the surface of the body, like the skin or mucous membranes

24
Q

What are other routes of delivering treatment? (3)

A
  • Inhalation - Anaesthesia (gaseuous)
  • Intranasal - Vaccines
  • Rectal - Emergency administration
25
What are the 2 types of reasoning?
1. Intuitive - pattern recognition 2. Analytical - pathophysiology
26
What is clinical reasoning?
The method of processing data related to clinical cases
27
How do we learn clinical reasoning? (3)
1. case specific knowledge 2. cognitive processing skills 3. meta-cognitive skills or reflective self-awareness