Unit 4- Medical Office Flashcards
when to measure height:
- admission to healthcare facility
- yearly exam
when to measure weight:
- admission to healthcare facility
- every physician visit
- when retaining fluid (heart/kidney disease) (measured daily)
- calculating medication dosage
types of scales:
- mechanical
- digital
- wheelchair
- bed scale
- infant scale
units of measurement
height:
- feet (‘) inches (“)
- meters (m) centimeters (cm)
weight:
- pounds (lb) ounces (oz)
- kilograms (kg) j
documenting height/weight:
- plotted on growth chart
- compares height and weight of others of same age and gender
BMI
- calculation that measures weight in relation to height
- used to define:
• overweight
• underweight
• normal
• obese
• morbidly obese
children and adolescents
- age and gender are considered
- obese = 95%
- overweight = 85%-95%
- healthy weight = 5%-85%
- underweight = less than 5%
vision screening
measures visual acuity and ability to perceive and comprehend the sense of sight
myopia
- nearsightedness
• problems with distance vision
hyperopia
- farsightedness
• problems with close vision
~ presbyopia = age related problem with close vision
color blindness
inability to distinguish certain shades of color
- issues seeing red, green and blue
when do you do a visual exam?
- during a physical exam
- when you get a visual exam
optometrist = doesn’t deal with diseases ophthalmologist = deals with diseases
snelling eye chart
- test far vision
- series of lines of characters varying in 20mm-200mm
- patient stands 20ft from chart
- normal vision = 20/20
• top number: ft away from chart
• button number: amount of mm able to read
Jaeger chart
- test close vision
- chart with paragraphs types in different size fonts
- patient holds chart 14-16” away from eyes
ishihar plates
- tests for color vision
- numbers printed in colored dots against a background of contrasting colors
- normal test = patient able to accurately identify numbers
documentation
-date
-time
- patient identification
- test results for snellen, Jaeger and Ishihara screenings
• OU# OD# OS#
-signature and title
strep throat
bacterial infection of the throat and tonsils caused by streptococcal bacteria
common symptoms
- sudden severe sore throat
- fever >101
- swollen tonsils and lymph nodes (glands)
- white/yellow patches in back bright red throat
*highly contagious
• infectious droplets
• sharing food/drink - incubation period(time exposed to time you experience symptoms)= 2-5 days
diagnosis
- rapid strep test: • back of throat is swabbed • results within minutes • can have false negatives - throat culture: • back of throat is swabbed • takes 2 days • most accurate
treatment
- antibiotics
• contagious for 24 hours - acetaminophen or ibuprofen
complications
- spread of i️infection
- inflammatory reaction
• kidney inflammation
• rheumatic fever
> joint inflammation
> heart valve damage
• scarlet fever
documentation
- depends of healthcare facility
- date,time,test performed,result(if available), signature
