Midterm Flashcards

1
Q

explanation proposed for a patients problems

A

diagnosis

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2
Q

a diagnosis is based on…(3)

A

symptoms
signs
laboratory

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3
Q

IPPA for physical exam

A

Inspection
Palpation
Percussion
Auscultation

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4
Q

Diagnostic terms (5)

A
  1. differential
  2. tentative/working
  3. admitting
  4. final/discharge
  5. preoperative and postoperative
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5
Q

differential

A

not sure; could be one of several diseases

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6
Q

tentative

A

H&P done before lab/test results

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7
Q

“rule out”

A

still a possibility

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8
Q

admitting

A

newly admitted to hospital

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9
Q

final/discharge

A

end of encounter

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10
Q

preoperative/postoperative

A

Operations

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11
Q

choice of dx. influenced by…

A

third-party payers

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12
Q

etiology

A

cause of disorder, syndrome, or disease

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13
Q

secondary etiology

A

something other than the main organ involved

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14
Q

organic

A

problem in tissues or organs is visible

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15
Q

functional

A

no disease is visible

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16
Q

symptoms

A

get details

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17
Q

signs

A

verbal report

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18
Q

history is usually obtained by….

A

a series of questions

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19
Q

other ways to get a dx

A
  1. overlapping content
  2. thorough h&p
  3. dictated in short, clipped phrases
  4. may seem to jump around
  5. technical words may replace laymen’s terms
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20
Q

source of history

A

questioning the patient
family
previous charts
consultation with other HCPs

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21
Q

symptoms of history (10)

A
  1. quality
  2. intensity
  3. onset
  4. duration
  5. indeterminacy
  6. location
  7. radiation
  8. inciting/aggravating or alleviating factors
  9. prior episodes of similar pain
  10. associated symptom
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22
Q

most important part of history

A

HPI

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23
Q

statement of patients presenting problem

A

chief complaint

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24
Q

“the heart” the medical history

A

CC is followed by detains in HPI as to why they sought help

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25
Q

how is HPI obtained

A

chronological order

26
Q

what is asked of the patient (8)

A
  1. starts with brief dscription
  2. sate and time of onset symptoms
  3. traces progress of illness
  4. appearance of new signs and symptoms
  5. effect of symptoms on patients lifestyle
  6. pre-existing condition
  7. note: multiple unrelated CCs can increase length
  8. HPI always in
27
Q

why is family history important

A

many diseases or developmental abnormal are either hereditary or familial and it provides clues to environmental exposures

28
Q

what is included in the family history (4)

A
  1. age and state of health of all close, blood family members
  2. age at death and cause of death of each deceased family member
  3. medical conditions in more distant relatives
  4. “noncontributory” if info not relative to present illness
29
Q

Drinking hx. questions

A

Cut down
Annoyed
Guilty
Eye opener

30
Q

varicella

A

chicken pox

31
Q

pack-year hx

A

pack a day for a year

32
Q

habits may be included in what hx

A

social

33
Q

important factors for hospitalized kids

A

eating-caffeine usage
sleeping
exercise and recreation
sexual activities

34
Q

general info about past med. hx. (8)

A
  1. past med info not covered elsewhere in hx.
  2. prior illnesses and hospitalizations
  3. prior injuries/trauma
  4. past surgeries
  5. allergies
  6. immunizations
  7. chronic diseases and disabilities
  8. current meds.
35
Q

number one cause of mortality between ages 1-19

A

injuries

36
Q

what info should you obtain as much as possible

A

serious or recent injuries

37
Q

when should one get the Tdap booster

A

every ten years or if pregnant

38
Q

what should be known about current meds

A

name, dosage, frequency, purpose of drugs taken at home

39
Q

what is a sign of meningitis

A

nuchal rigidity

40
Q

“sense of warning”

A

aura

41
Q

“curtain” falling across vision or flashes of light

A

detaching retina

42
Q

loss of balance

A

disequilibrium

43
Q

epistaxis

A

nosebleed

44
Q

holes in nasal septum could be a sign that the patient is…

A

snorting cocaine

45
Q

overeating

A

bulimia

46
Q

deficiency of vitamin B12

A

red, beefy tongue

47
Q

chest pain due to decreased oxygenated blood flow to heart muscle

A

angina pectoris

48
Q

signs of CV problems

A
angina pectoris
dysrhythmia
varicose veins
anorexia
ankle edema
orthopnea
49
Q

difficulty breathing unless sitting upright

A

orthopnea

50
Q

echocardiogram uses…

A

ultrasound

51
Q

what is a cardinal symptom of CVD

A

chest pain

52
Q

attacks of “difficulty breathing” that awaken the patient at night

A

paroxysmal nocturnal disease

53
Q

palpitations may include…

A

forceful heartbeat
tachycardia
dysrhythmia

54
Q

pale in color

A

pallor

55
Q

decreased oxygenated blood flow to lower extremities

A

intermittent claudication

56
Q

intense cramping pain in calf and occurs with walking and relieved by rest

A

intermittent claudication

57
Q

obstructing blood clot forms in the lumen of an inflamed vein

A

thrombophlebitis

58
Q

predisposing factors for DVT

A

local injury
obesity
oral contraceptives
sudden immobilization by illness, surgery, or sitting for long periods of time while traveling

59
Q

airway constriction with wheezing

A

asthma

60
Q

infection of two branches

A

bronchitis

61
Q

infection in air sacs

A

pneumonia