Week 4 - Health HX

Question 1

Why is it important to obtain a good clinical history from a client?

Answer 1

• To evaluate the clinical information and make provisional and possible differential diagnosis.
• To determine appropriate investigations and actions required based on the provision diagnosis.
• To prioritise and delegate interventions, timeframes and appropriate escalation processes.
• To commence development of an appropriate and effective comprehensive care plan with the client, families, carers and other support people, and the multidisciplinary team.

Question 2

What are three steps in the diagnostic process?

Answer 2

1. Form differential diagnoses.
2. Form a working diagnoses.
3. Definitive diagnosis

Question 3

Why should practitioners diagnose their clients?

Answer 3

Practitioners diagnose clients to help with care, as all care focuses mainly on that diagnosis.

Question 4

Why is a “working” diagnosis called such?

Answer 4

Diagnosis that is most probable based in history and a regional examination.

Question 5

What is a differential diagnosis?

Answer 5

Form of hypothetical deductive reasoning begins with a theory about how things work. This theory is the either supported or refuted by the results.

Question 6

What are 4 components of the case history?

Answer 6

1. Personal details: Name, age, sex, occupation
2. Presenting illness/Chief complaint: in the clients own words the LODCTRRAPPA
3. Life factors
4. System review

Question 7

Where does 80% of the diagnosis come from?

Answer 7

History.

Question 8

What are the specific areas questions when evaluating the chief complaint or presenting illness?

Answer 8

LODCTRRAPPA

Question 9

What information should be sought when evaluating your clients medications?

Answer 9

• Time of consultation
• Name of medication
• How much
• Why the client is taking it

Question 10

What does LODCTRRAPPA stand for?

Answer 10

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

Question 11

What is the chief complaint?

Answer 11

The main reason the client has come in.

Question 12

What are 7 primary Masquerades?

Answer 12

• Depression
• Diabetes
• Drugs
• Anaemia
• Thyroid and endocrine disorders
• Spinal dysfunction
• Urinary Tract Infection (UTI)