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IDC > Unit 2 Medical Hx > Flashcards

Unit 2 Medical Hx Flashcards

1
Q

In the 2 min. Drill what goes in box 1

A

C/C, vitals SpO2, allergies, meds

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2
Q

Box 2

A

OLDCAARTS P

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3
Q

Box 3

A

Previous Med Hx (hospitalizations, surgeries, major adult/childhood injuries, injuries that led to disability)

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4
Q

ROS: General

A

Pain, fever, chills, malaise, fatigue, night sweats, weight changes

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5
Q

Skin

A

Rash, itching

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6
Q

Lymph nodes

A

Swollen or tenderness

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7
Q

lungs

A

Dyspnea, wheezing, cough, sputum

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8
Q

Breasts

A

Pain, tenderness, discharge, lumps

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9
Q

Heart

A

Chest pain, palpitations, hypertension, previous MI

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10
Q

Peripheral vasculature

A

Claudification, bruise or bleed easy

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11
Q

Hematologic

A

Anemia

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12
Q

GI

A

Appetite, digestion, heartburn, nausea, vomiting, diarrhea, constipation, hematemesis, hemorrhoids,

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13
Q

Endocrine

A

Swollen thyroid, diabetes, unexplained weight change

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14
Q

GU

A

Flank pain, urinary urgency, dark discolored urine, hernias, polyuria, nocturia, hematuria

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15
Q

MSK

A

Joint stiffness, pain, redness, swelling

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16
Q

Psych

A

Depression, anxiety, agitation, tension, irritability, SI

17
Q

Neuro

A

Syncope, seizures, paralysis, tremors, loss of memory

18
Q

Male Genitalia

A

Penile discharge, testicular pain

19
Q

HEENT

A

Head - dizziness, headaches
Eyes - blurring, diplopia, photophobia, pain, change in vision
Ears - hearing loss, pain
Nose - epistaxis, sinus pain, post nasal drip
Throat - recent tooth extractions, sore throat frequency, disturbance of taste

20
Q

Order of ROS

A

General 7, Skin, HEENT, lymph, heart and lungs, breasts, peripheral vasculature, hematologic, GI/GU, endocrine, MSK, neuro, psych, male and female genitalia

21
Q

PMHx

A

General health and strength before injury
PHA, IMMZ, recent labs
Hospitalizations, surgeries, major childhood/adulthood illnesses, injuries that led to disability
Meds: prescription/ non-prescription (dosage, route, schedule, last dose)
Allergies: meds,food, environment; reaction; red tags

22
Q

SHx

A

Personal status- place of birth/raised, education, married, satisfied w life, stressors
Habits-diet,sleep,caffeine intake, tobacco, alcohol
Self care- exercise, alternative therapy, breast/teste exam
Sex- bc/protection, STDs, concerned with sexual performance/desire
Occupation- work conditions and hours, exposure to heat/cold/toxins, PPE

Travel Hx, Deployment, PDHA, PDHRA,
Religious preference

IDC (3 decks)

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