PMMH - INTRO TO MODULE Flashcards
Fundamental tools
Five senses
Fundamental tools
smell
touch
sight
hear
taste
Pain
OPQRST
Onset
Provocation
Quality
Radiates
Severity
Time
Pain
SOCRATES
Site
Onset
Character
Radiation
Associated symptoms
Timing
Exacerbating factors
Severity
History Taking
SAMPLE
Signs and symptoms
Allergies
Medication
Past medical history
Last oral intake
Events
History Taking
CHAMPS
Complaint
History (Hxpc)
Allergies
Medication
Past medical (PmHx)
Social Hx
History Taking
PILS
Pills - regular meds
Injections
L ILLicit drug use
Sensitivities (allergies)
History Taking
JAMTHREADS
Jaundice
Anaemia
Myocardial infarction
Tuberculosis
Hypertension
Rheumatic fever - inflammatory disease (cardio)
Epilepsey
Asthma + COPD
Diabetes
Stroke
History Taking (Social)
WHATS SACRED
Work
Home
Alcohol
Tabacco
Sleep
Sex
Alternative meds
Caffine
Religion/roaming
Excercise
Diet
Plan of action - injury
PRICE
Protection
Rest
Ice
Compression
Elevation
Mostly regarding bone Injury
Plan of action
ED
?Red flags
Plan of action
Minor Injury Unit
Consider X-Ray facilites
Plan of action
Self care
Give worsening care advice
Refferal if required
PRICE
- Signs and symptoms pt should look out for
Sight
MSG USI
Movement
Sitting to standing
Gait
Undressing
Skintone
Injury
Sight - Injury observation
SWEADES
OSPE RELEVANT
Swelling
Wounds
Exudate - leaky fluid
Atrophy - decrease in size
Deformity
Erythema - abnormal redness
Scars
Sight
JACCOL
Jaundice
Anaemia
Cyanosis
Clubbing
Oedema
Lymphadenopathy - swelling of the lymph
Touch
WECCS
Warmth
Efusion - abnormal collection of fluid
Cool skin
Crepitus
Swelling
Look, Feel, Move
OSPE RELEVANT
Look - swelling, deformity etc
Feel - structures, heat, sensation etc
Move - ROM of joint
JOINT ABOVE AND JOINT BELOW
Don’t forget sensation
Movement
Active
unassisted movement with full pain free ROM
Limitation noted, muscle power assessed
Movement
Passive
clinician moves pt stress taken by inert tissue
Eliminates muscle, tendon etc.
If ROM = Active - inert tissue cause
If ROM = better than Active - muscle cause
Movement
Resisted
Isolates contractile tissue, multiple causes
do not attempt if A/P painful
MSC
Nerves
Movement and sensation
MSC
Vessels
distal circulation to injury
perfusion
?transient - cold weather
if comprimised - affects sensation
MSC
Sensation
Intermittent? Consistent? Radiating?
Pt description - pins & needles etc.
