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Unit 10 > PTICP > Flashcards

PTICP Flashcards

1
Q

What organs refer pain to the jaw and shoulder (C3-5)

A

Liver, diaphragm, pericardium

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2
Q

What organs refer pain to the midback, scapular region, and intercostal region?

A

Gallbladder, stomach, pancreas

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3
Q

What organs refer pain to T5-T6 ipsilateral thoracic spine and shoulder?

A

Lungs

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4
Q

What organs refer pain C3-C6 and shoulder?

A

Diaphragm

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5
Q

What organs refer pain to T1-T5, cervical upper thorax, LUE?

A

Heart

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6
Q

What organs refer pain to T4-T6 substernal and upper abdomen?

A

Esophagus

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7
Q

What organs refer pain to T6-T7 and midthoracic spine?

A

Small intestine

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8
Q

What organs refer pain to T11-L1, lower abdomen, and mid thoracic?

A

Large intestine

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9
Q

What systems should you screen if your patient presents with thoracic spine pain?

A

Cardio/peripheral vascular, pulmonary, GI, urogenital

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10
Q

What systems should you screen if your patent presents with L/R shoulder pain?

A

Cardiovascular, pulmonary, GI

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11
Q

What systems should you screen if your patient presents with lumbo-pelvic pain?

A

GI, urogenital, peripheral vascular

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12
Q

What systems should you screen if your patient presents with R/L knee pain?

A

Peripheral vascular

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13
Q

What systems should you screen if your patient presents with an inconsistent symptomatic pattern?

A

Psychological, endocrine, neurological (consider rheumatic conditions and adverse drug reaction)

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14
Q

What are some good questions to ask following up on a patients social/health habits?

A

Have you ever smoked? Caffeine intake? How many drinks containing alcohol do you have each week?

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15
Q

What should you ask about when screening a patient’s general health?

A

Fatigue, malaise, fever/chills/sweats, unexplained weight change, nausea/vomiting, weakness, change in mental status

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16
Q

What are some good ways to frame questions inquiring about a patient’s general health?

A

Resolved/unresolved, how long have you felt this way, is there an explanation, have you mentioned this to MD, if MD is aware has it become worse, quantify symptoms

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17
Q

How might you ask a question to a patient quantifying fatigue?

A

Over the past 2 weeks, have you felt able to function how you normally do at home, work, school, or socially?

18
Q

How might you ask a question to a patient quantifying weight change?

A

Have you lost or gained 5% of your body weight over a 4 week period?

19
Q

How might you follow up with a patient on PMH?

A

Current condition, past problem (resolved?), describe the condition (what, when, manifestation, treatment, next MD visit, how condition impacts pt)

20
Q

How might you follow up with a patient on medication?

A

What are they taking it for, for how long, dosage level, dosing schedule, helping/not helping, side effects noted, is MD aware of OTCs

21
Q

Describe the adult preventative care guidelines ages 21-64

A
  • Lipid screen every 5 years after age 20
  • Glucose test at age 45
  • Colon CA screen every 5-10 years after age 50
  • DEXA scan female >65 male >70 without risk
  • AAA if smoked and age >65
22
Q

What are the adult preventative care guidelines for females ages 21-64?

A
  • PAP every 3 years
  • HPV every 5 years ages 30-65
  • Mammogram every 1-2 years ages 50-74, begin at age 30 for high risk
23
Q

What are all the different possible pathologies that can cause pain?

A

Trauma, inflammation, metabolic, vascular, degenerative, tumor, congenital neurogenic, psychogenic

24
Q

How might you follow up with a patient on current complaint and pain/symptom diagram?

A 
O - onset 
P - what provokes/relieves
Q - quality
R - region or radiating
S - severity
T - timing
25
Q

What are good questions to use to screen for depression?

A
  • During the past month, have you often been bothered by feeling down, depressed, or hopeless?
  • During the past month have you often been bothered by having little interest or pleasure in doing things?
26
Q

What are good questions to use to screen for suicide risk?

A

Do you ever think of hurting yourself or taking your own life? Do you currently have a plan? What is your plan?

27
Q

What are the 3 common types of skin cancer?

A

Basal cell carcinoma, squamous cell carcinoma, malignant melanoma

28
Q

What are the characteristics in a mole you look for to distinguish between benign and malignant?

A

Size, color, boarders, shape, consistency, friability, ulceration, mobility, rate of change

29
Q

What is friability?

A

Sloughing of skin

30
Q

Do males or females have a higher incidence of ischemic heart disease?

A

Males (increases in females after menopause)

31
Q

What is the most common indicator of CAD?

A

Angina

32
Q

What are some risk factors for ischemic heart disease?

A

Familial occurrence (the younger the parent’s diagnosis the higher the risk), smoking, HTN, diabetes

33
Q

Compare and contrast stable and unstable angina

A

Stable - regular with consistent pattern (onset, duration, mode of treatment)
Unstable - abrupt change in usual pattern

34
Q

What are some symptoms suggesting unstable angina that would lead you to call the MD?

A

Recent increase in pain intensity, frequency, or duration, easier symptom provocation, more frequent use of meds

35
Q

What are some predisposing factors for AAA?

A

60+ yo, men, white, smoking

36
Q

What is the single biggest predictor for AAA?

A

Duration of smoking

37
Q

What are some factors that increase risk of AAA rupture?

A

Aneurysm size, expansion rate, continued smoking, uncontrolled HTN, increased wall stress

38
Q

Which patients should be screened for AAA?

A

MEn between 65 and 75 years of age who have ever smoked

39
Q

Which patients should get AAA surgically repaired?

A

> 5.5cm in asymptomaitc patients, those that increase in diameter by 0.5cm in 6mo

40
Q

What are some exam findings that indicate potential domestic violence?

A

Recurrent trauma, injuries to head neck breasts genitals, symmetrical injuries, unexplained injuries, delay between injury occurrence and seeking medical treatment, physical injury during pregnancy, behavioral cues

41
Q

What does the acronym RADAR stand for?

A 
R - routine screening
A - ask direct questions
D - Document findings
A - Assess patient safety
R - review options and referrals

Unit 10 (7 decks)

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