PCMI Midterm Flashcards
Gravitational Line Landmarks
External Auditory Canal Lateral head of the Humerus Third Lumbar Vertebra Anterior third of sacrum Greater Trochanter Lateral Condyle of the knee Lateral Malleolus
Gait Cycle - Stance Phase
Initial Contact
Load Response
Heel Off
Opposite Initial Contact
Gait Cycle - Swing Phase
Toe off
Feet Adjacent
Tibia Vertical
Next Initial Contact
Subjective
Chief Complaint History of Present Illness Review of Systems Past Medical Hx Past Surgical Hx Meds Allergies Family Hx Social Hx
Objective
Exam Findings
Laboratory Data
Radiology Data
Assessment
NOT ALWAYS A DIAGNOSIS
Basic description of problem
Diagnosis
Differential Diagnosis (probable cause of the assessment, listed in order of most likely to least likely
Plan
What Doctor plans to do about problems identified
HPI
OLDCAAARTS Onset Location Duration Character Alleviating Factors Aggregating Factors Associated Symptoms Radiation Timing Severity
Social History
FEDTACOS Food Exercise Drugs - recreational Tobacco Alcohol Caffeine Occupation Spirituality/Sexuality
Exercise Recommendations
Adults:
150 min/week of moderate activity with 2 days of strength training
Children:
1 hour or more/day
Pack Years
Packs/day * years smoked= pack years
Alcohol CAGE Questions
- Has anyone suggested you CUT back?
- Are you ever ANNOYED when people talk about your drinking
- Do you ever feel GUILTY about your drinking?
- Do you ever need a drink in the morning to steady your nerves (an EYE OPENER)
Alcohol AUDIT-C Questions
-How often do you have a drink containing alcohol?
(Never, Monthly/less, 2-4 times/month, 2-3 times/week, 4+ times/week)
-How many drinks containing alcohol do you have on a typical day when you are drinking?
(1 or 2, 3 or 4, 5 or 6, 7-9, 10+)
-How often do you have 6 or more drinks on one occasion?
(Never, less than monthly, monthly, 2 or 3 times/week, 4 or more times/week)
Safe Drinking Limit
Women:
No more than 3 drinks on any single day, no more than 7 drinks/week
Men:
No more than 4 drinks on any single day, no more than 14 drinks/week
The Five Ps
Partners Practices Prevention of Pregnancy Protection from STIs Past History of STIs
