Week 1 Study Qs Flashcards
What is the difference between recording the location of the patient’s reported complaint vs having them point to the area?
Pts don’t always know the name of their painful body part
If symptoms radiate into an extremity, what 3 key characteristics should you chart regarding the location?
where,
how far,
quality of the radiation
In trauma cases what are the two key components regarding the forces involved that you should seek to get information on and analyze?
Did the patient brace (more force into muscles) or were they caught unaware (more force into ligaments)
What are some additional facts you need to find out in a trauma case like a slip and fall?
vectors
patient position
magnitude of trauma (speed, size/make of vehicles
amt damage) force amplifiers on the neck (seat belt, foot on brake) and dampeners (air bag deployed, seat broke, head rest position)
When a patient doesn’t know what caused their back pain, what kind of questions should you ask relative to etiliogy?
Have you changed your fitness routine, your pillows, your bed, your desk or chair or shoes?
What is the “imaginary” line that separates the onset questions from the chronology and timing questions?
Chronology includes the Sx patterns.
Onset is all about what happened and when it happened.
What is best to find out first when beginning the chronology and time set of questions?
Intermittent or constant?
What is the complete line of questioning that comprises the chronology and timing line of
inquiry?
Intermittent (% of day)/constant? Worse in the morning or end of day? Progressing or staying the same? Night pain? Has this ever happened before?
Before measuring ADLs, what questions should be asked regarding the impact of the patient’s condition on their life?
Are you missing work? How much work have you missed? Are there any activities or chores around the house or at work they are now having difficulty with?
What questions should be asked regarding modifying factors?
Is there anything that increases your pain? What makes it better? Avoiding/changing/resting/medication?
What are the 5 constitutional symptoms?
Fever, malaise, weight loss, loss of appetite, fatigue
What are the main facts that you need to get regarding each of the various practitioners whom the patient may have seen before seeing you?
Who, when, tests, dx, treatment, better?
What are some of the key prognostic yellow flags to be alert for during your interaction with the patient?
Catastrophizing, fear avoidance, depression, anxiety, poor sense of health
Generally, what is thought to be the most worrisome red flag for cancer from the history?
D/t risk of recurrence, Hx of cancer is the most sig single red flag.
What is the story of night pain relative to being a red flag for serious diseases?
Night pain used to be listed. However there is no correlation with serious disease. There may still be concern when the P is severe, progressive or unabated by position.
