Old Material questions Flashcards
SOAP Acronym
S: Subjective (History)
O: objective (physical exam)
A: Assessment
P: Plan
Iterative hypothesis testing steps
- Identify abnormal findings
- Localize findings anatomically
- Cluster the clinical findings
- Search for the probably cause of the findings
- Cluster the clinical data
- Generate hypotheses about the causes of the patients problems
- Test the hypotheses and establish a working diagnosis
VINDICATE Acronym
Vascular
Infectious
Neoplastic
Degenerative
Iatrogenic/Intoxication
Congenital
Autoimmune
Traumatic
Endocrine
Comprehensive vs. Focused assessment
Comprehensive: gaining as much information as possible, new patient exam, provides a baseline for future exams
Focused: Established patients, focuses on a specific concern or symptom
OLDCARTS
Onset
Location
Duration
Character
Aggravating/alleviating/associated symptoms
Radiation
TIming
Severity
Physical Exam cardinal Techniques
Inspection
Palpation
Percussion
Auscultation
Differences between fatique, weakness and sleepiness
Fatigue: Weariness or loss of energy
Weakness: loss of muscle power in strength and endurance
Sleepiness: decreased wakefulness and increased desire to sleep
Constitutional symptoms include:
Fever, chills, fatigue/sleepiness, weakness, weight change, night sweats and pain
What is included in the general survey?
Includes appearance, apparent state of health, discomfort or distress, generalized skin changes, dress/grooming/odors, facial expressions, posture, motor activity
BMI Formula
Weight (kg)/Height^2 (m)
T/F check weight at every visit
T
Normal BMI is __ to __
18.5-25
Vital signs
Blood pressure
Heart rate
Respiratory rate
Temperature
(Pain is sometimes called the 5th vital sign)
Hypertension stage 1 BP
130-139/80-89
Hypertension stage 2 BP
> 140/>90
