Problem Oriented Approach Flashcards
Diagnosis and Appropriate Treatment
Evidence based medicine
Diagnostic Reasoning Process
signalment, complaint, history, C/S, lab results, rads, U/S
problem oriented approach
- rules about collection of clinical info
- how to use database to make dx
- how to monitor treatment
Signalment
1st thing to collect
-age, sex, breed
owner’s complaint
most important thing to address
-keep them happy, keep them coming back
history and TPR
-minimizes miscommunication
70% of Dx made here
- mental pic of lifestyle and abnormalities
- forms
- art of ppl skills
- medical terms, cross check, open ended questions
- timeline
- summarize
Physical exam
- most important clinical skill
- distance: general appearance, demeanor, gait/posture
- physical: look, listen, feel
Working problem list
Lump and prioritize
-signs from the history and physical
DDx
potential causes/rule out
DAMNIT
Diagnostic plan for each DD
FBC, Biochem, imaging, serology, PCR, etc
- Minimal stress, simple, cheap
- RI/RO common conditions
- Def Dx - master problem list
Prognosis for each treatment plan
one may be more successful but riskier, vice versa
Therapy and monitoring
- Drugs, sx, radiation, etc
- monitory efficacy/side effects/toxicity
SOAP
subjective, objective, assessment, plan
Monitoring patients
-progress notes for records and track efficacy
Medical records
- legal document
- pre-existing/recurring problems
- continuity in case someone other than you cares for pet
- finance
- research
