Problem-Oriented Approach Flashcards
What are the 9 steps to information collection?
Signalment Owner's complaint History and TPR Physical exam Working problems list Differential diagnoses Diagnostic plan for each DDx Prognosis and treatment plan Therapy and monitoring
What is the problem oriented approach?
Rules for how to gather clinical information, use databases to make a diagnosis and to monitor treatment.
What is signalment?
Age, sex, breed.
What is the most important step in the problem oriented approach?
Owner’s complaint.
Why is the diagnostic plan useful?
Helps us rule out DDx from our list to get a definitive diagnosis for our master problem list.
What is key to watch during treatment?
Efficacy, side-effects and toxicities.
What does SOAP stand for?
Subjective
Objective
Assessment
Plan
What is subjective?
Qualitative information on patient.
What is objective?
Quantitative info on patient.
What is the assessment?
Where are we? Is our plan working?
What is the plan?
Where do we go from here?
When do you use SOAP?
When monitoring diseases and to present a case to colleagues (start with signalment and history).
