Week 4 Flashcards
Why is it important to obtain a good clinical history from a client?
To get a better understanding and so you can refer back to it
What are three steps in the diagnostic process?
Construct a thorough history:
1. Differential Diagnoses
2. Working Diagnosis
3. Establish a Definitive Diagnosis.
Revisit each as required.
Why should practitioners diagnose their clients?
Helps us with their care. We base the care on the diagnosis
What are 4 components of the case history?
- Personal Details: Name, age, sex, occupation
- Presenting Illness/Chief Complaint: in the clients own words then LODCTRRAPPA
- Life factors
- Systems Review
Where does 80% of the diagnosis come from?
the patients history
What are the specific areas questioned when evaluating the chief complaint or presenting illness? and examples of sayings
LODCTRRAPPA
examples. So what brings you here today?” or “What seems to be troubling you?”
What information should be sought when evaluating your client’s medications?
Many symptoms can be caused by medication and some medications may contraindicate aspects of your management. Ask the client to tell you at the time of consultation or, if not available, at a later date the names of all medications they are taking.
What does LODCTRRAPPA stand for?
L – Location Site
O – Onset/Cause
D – Duration
C – Course/Frequency
T – Type/Character/Intensity
R – Radiations
R – Relieving factors
A – Aggravating factors
P – Hx of Previous episode
P – Previous Hx of Tx/Investigations
A – Associated Sx
What is the chief complaint?
The reason the person is coming in/presenting today.
What are 7 primary Masquerades?
Depression
Diabetes
Drugs
Anaemia
Thyroid and endocrine disorders
Spinal dysfunction
Urinary tract Infection (UTI)
What does S and Sx mean?
Signs and symptoms respectively
what is a differential diagnoses
look at the patients personal details and health history and ensure you arent missing anything
