Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

S7- Differential Diagnosis > Week 2- Patient Interview > Flashcards

Week 2- Patient Interview Flashcards

1
Q

PART 1: OSPRO

A

PART 1: OSPRO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does OSPRO stand for?

A

Optimal Screening for Prediction of Referral and Outcome (OSPRO)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

OSPRO-ROS:

  • What is the purpose of the OSPRO-ROS?
  • What areas of the body can it be applied to?
  • ___-item screening tool identified 94.7% of red flag responders.
  • ___-item screening tool identified 100% of red flag responders.
A
  • Used in order to identify red flags. (systemic pathology)
  • Neck, shoulder, low back, and knee
  • 10-item
  • 23-item
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

OSPRO-YF:

  • What is the purpose of the OSPRO-YF?
  • What areas of the body can it be applied to?
  • What (3) main categories were looked at with the OSPRO-YF study?
  • ___-item tool includes items representing all validated outcomes.
  • Different from other multimodal assessments because of the inclusion of ___________/________ constructs.
A
  • Used to assess for yellow flags. (psychosocial aspects)
  • Neck, shoulder, low back, and knee
  • Negative Mood, Fear Avoidance, Positive Affect/Coping
  • 17-item
  • positive affect/coping
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  • OSPRO-ROS = ____ flag

- OSPRO-YF = ______ flag

A
  • red flag

- yellow flag

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  • OSPRO-YF predictive of _____ and ________ outcomes.

- OSPRO-ROS predictive of ______ and ________.

A
  • pain and disability

- QOL and comorbidity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

PART 2: INTERVIEW

A

PART 2: INTERVIEW

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the single most important tool in screening for medical disease, includes 80% of info needed to identify cause of symptoms, and guides the exam?

A

INTERVIEW

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  • Do we want to use open-ended questions or closed-ended questions more often? Why?
  • What can help the patient know that we are listening?
A
  • Open-ended so as to not guide the patients answers.

- Paraphrase what the patient states.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Give some examples of open-ended questions.

A
  • Tell me how I can help you?
  • Tell me why you are here today?
  • Tell me about your injury?
  • What do you think is causing your problem/pain?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are (4) DON’TS during the interviewing process?

A
  • DON’T jump to conclusions based on answers from 1-2 questions.
  • DON’T destroy open-ended questions with follow-up closed-ended questions.
  • DON’T overreact to information gathered.
  • DON’T use leading questions.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • During the subjective examination we want to make note of and have follow-up questions related to __________.
  • Single red flags can be of concern, what is one that is of concern for cardiac issues?
A
  • red flags

- SOB while lying down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What do we want to do at the ending of an interview?

A

Recap findings with patient and answer all of their questions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

PART 3: SCREENING

A

PART 3: SCREENING

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

List of things to screen for. (8)

A
  • Depression
  • Eating Disorder
  • Substance Abuse
  • Falls
  • Domestic Abuse
  • Elder Abuse
  • Adverse drug events
  • Work/Environmental
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

(SQ)

What (2) questions are essential to ask every patient in order to screen for depression?

A
  1. ) During the past month have you been feeling down, depressed, or hopeless?
  2. ) During the past month have you been bothered by having little interest or pleasure in doing things?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are some common risk factors for Eating Disorders? (6)

A
  • Female
  • Caucasian
  • Perfectionist personality traits
  • Personal/family Hx of obesity and/or eating disorders.
  • Sports/athletic involvement
  • Hx of sexual abuse or other trauma
18
Q

Consider the impact of anorexia on ______.

A

BMD

19
Q

S/Sx of Eating Disorder. (13)

A
  • Discolored/stained teeth from stomach acid.***
  • Broken blood vessels in eyes from vomiting.***
  • Dry skin and hair; brittle nails; hair loss/growth (lanugo).***
  • Tooth marks, scratches, scars or calluses on back of hands from induced vomiting. (Russell’s sign)***
  • Weight loss/gain.***
  • Irregular/absent menstrual periods
  • Inability to tolerate cold.
  • Heartburn, abdominal bloating/gas, constipation or diarrhea
  • Bradycardia or low BP
  • Enlarged parotid glands from repeated contact with vomit
  • Skeletal myopathy and weakness
  • Chronic fatigue
  • Dehydration or rebound water retention (pitting edema)
20
Q

What is Lanugo? What is it a sign of?

A
  • Lanugo is soft, feathery hair that can grow all over the body, most often on the back and shoulders.
  • Sign of anorexia.
21
Q

Behavioral S/Sx of Eating Disorder. (7)

A
  • Preoccupation with weight, food, calories, fat grams, dieting clothing size, body shape.
  • Mood swings.
  • Frequent overweight comments despite looking very thin.
  • Excessive exercise to burn off calories.
  • Use of diuretics, laxatives, enemas, other drugs to induce urination, bowel movements or vomiting.
  • Binging and purging.
  • Food restriction.
22
Q

Populations at Risk for Substance Abuse:

  • Teens/adults with _____/______.
  • History of _______.
  • Individual with ________ disorders.
  • Individuals with ________/________ disorders.
A
  • ADD/ADHD
  • PTSD
  • sleep disorders
  • depression/anxiety disorders
23
Q

What are some red flag patterns in Substance Abuse patients? (5)

A
  • Consistently missed appointments
  • Noncompliance with HEP and poor self-care
  • Shifting mood patterns
  • Excessive daytime sleepiness or unusual excessive energy
  • Deterioration of appearance/hygiene
24
Q
  • Tobacco use causes vaso________ and delayed _____ ________.
  • Smoking has been linked with disc _________/________.
A
  • vasoconstriction and delayed wound healing

- degeneration/herniation

25
Q

What are some Performance-Based Outcome Measures used to screen for falls? (3)

A
  • Functional Reach Test
  • Berg Balance Scale
  • TUG
26
Q

What are some Balance Confidence/Fear of Falling Questionnaires (Outcomes) used to screen for falls? (3)

A
  • ABC (Activities-Specific Balance Confidence) Scale
  • FES (Falls Efficacy Scale)
  • SAFE (Survey of Activities and Fear of Falling In the Elderly)
27
Q

What are the (5) most common factors in falls?

A
  • Vision/hearing
  • Balance
  • BP regulation
  • Medications/substances
  • Elder abuse
28
Q

Risk Factors/Red Flags for Domestic Violence:

  • Women with _________.
  • _________ impaired adults.
  • Chronically ill and dependent adults (esp >__yo).
  • _______ pain patients.
  • ______/______ abuse Hx.
  • Daily _____.
  • Previous Hx of many injuries and accidents.
  • Injury seems inconsistent with client’s explanation.
A
  • disabilities
  • cognitively impaired
  • (>75 yo)
  • chronic pain
  • physical/sexual
  • daily HA (issue related to stress)
29
Q

What are the (3) categories of cues that can be seen with S/Sx of Domestic Abuse?

A
  • Physical Cues
  • Social Cues
  • Psychological Cues
30
Q

What patient populations are we required to report abuse?

A
  • Minors
  • Elderly
  • Cognitively impaired
31
Q

(SQ)

Elder Abuse S/Sx. (8)

A
  • Multiple trips to ER
  • Depression
  • “Falls”/fractures (spiral)
  • Bruising/suspicious sores
  • Malnutrition/weight loss
  • Pressure ulcers
  • Changing MDs/therapists often
  • Confusion attributed to dementia
32
Q
  • What are the most common side effects of Adverse Drug Events? (4)
  • What are some more severe reactions? (4)
A

Common

  • Constipation
  • N/V/D
  • Abdominal pain
  • Sedation

Severe

  • Confusion
  • Drowsiness
  • Weakness
  • Loss of coordination
33
Q

What are the (4) Ds associated with OTC drug use?

A
  • Dizziness
  • Drowsiness
  • Depression
  • Visual Disturbance
34
Q

Adverse Drug Events Risk Factors:

  • ____/_____
  • Small physical size
  • _____pharmacy
  • Prescribing ________
  • Taking meds prescribed for someone else
  • _______ impairment/dysfunction
  • Concomitant _______ consumption
  • ____ of ADE (adverse drug event)
  • Mental deterioration/dementia
  • Unable to read/understand directions
  • Herbal/home remedies
A
  • age/sex
  • polypharmacy
  • prescribing cascade (pt given drug to treat symptom of initial medication)
  • cognitive impairment/dysfunction
  • alcohol consumption
  • Hx of ADE
35
Q

(SQ)

What are some common MSK side effects associated with antibiotics?

A
  • TENDINOPATHY/TENDON RUPTURE
  • skin reactions
  • noninflammatory joint pain
36
Q

(SQ)

What are some common MSK side effects associated with NSAIDs?

A

-BACK/SHOULDER pain

37
Q

(SQ)

What are some common MSK side effects associated with statins?

A

-MYALGIA

38
Q

NSAIDs can also cause damage to the __ ______ and is related to thousands of hospitalizations and deaths anually.

A

-GI tract

39
Q

What are the (4) biggest risk factors for NSAID Gastropathy?

A
  • > 65 yo
  • Hx of peptic ulcer disease, GI disease, or RA
  • Chronic use of NSAIDs (>3m)
  • Use of acid suppressants
40
Q 
(SQ)
NSAID GI S/Sx:
-Indigestion/heartburn/epigastric or abdominal pain
-Esophagitis, dysphagia, odynophagia
-Nausea
-Unexplained \_\_\_\_\_ lasting more than 1-2 weeks
-Ulcers/ perforations, bleeding
-Melena
A

-fatigue

41
Q 
(SQ)
NSAID MSK S/Sx:
-Increased symptoms \_\_\_\_\_\_\_ \_\_\_\_\_\_\_ med and with \_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_
-\_\_\_\_\_/\_\_\_\_\_\_ pain
-muscle \_\_\_\_\_\_\_\_
-restless leg syndrome
-paresthesias
A
  • Increased symptoms after taking med and with ingestion of food***
  • back/shoulder pain
  • muscle weakness

S7- Differential Diagnosis (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions