PMMH - INTRO TO MODULE Flashcards

1
Q

Fundamental tools

Five senses
Fundamental tools

A

smell
touch
sight
hear
taste

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2
Q

Pain

OPQRST

A

Onset
Provocation
Quality
Radiates
Severity
Time

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3
Q

Pain

SOCRATES

A

Site
Onset
Character
Radiation
Associated symptoms
Timing
Exacerbating factors
Severity

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4
Q

History Taking

SAMPLE

A

Signs and symptoms
Allergies
Medication
Past medical history
Last oral intake
Events

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5
Q

History Taking

CHAMPS

A

Complaint
History (Hxpc)
Allergies
Medication
Past medical (PmHx)
Social Hx

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6
Q

History Taking

PILS

A

Pills - regular meds
Injections
L ILLicit drug use
Sensitivities (allergies)

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7
Q

History Taking

JAMTHREADS

A

Jaundice
Anaemia
Myocardial infarction
Tuberculosis
Hypertension
Rheumatic fever - inflammatory disease (cardio)
Epilepsey
Asthma + COPD
Diabetes
Stroke

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8
Q

History Taking (Social)

WHATS SACRED

A

Work
Home
Alcohol
Tabacco
Sleep

Sex
Alternative meds
Caffine
Religion/roaming
Excercise
Diet

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9
Q

Plan of action - injury

PRICE

A

Protection
Rest
Ice
Compression
Elevation

Mostly regarding bone Injury

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10
Q

Plan of action

ED

A

?Red flags

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11
Q

Plan of action

Minor Injury Unit

A

Consider X-Ray facilites

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12
Q

Plan of action

Self care

A

Give worsening care advice
Refferal if required
PRICE

- Signs and symptoms pt should look out for

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13
Q

Sight

MSG USI

A

Movement
Sitting to standing
Gait

Undressing
Skintone
Injury

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14
Q

Sight - Injury observation

SWEADES

OSPE RELEVANT

A

Swelling
Wounds
Exudate - leaky fluid
Atrophy - decrease in size
Deformity
Erythema - abnormal redness
Scars

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15
Q

Sight

JACCOL

A

Jaundice
Anaemia
Cyanosis
Clubbing
Oedema
Lymphadenopathy - swelling of the lymph

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16
Q

Touch

WECCS

A

Warmth
Efusion - abnormal collection of fluid
Cool skin
Crepitus
Swelling

17
Q

Look, Feel, Move

OSPE RELEVANT

A

Look - swelling, deformity etc
Feel - structures, heat, sensation etc
Move - ROM of joint

JOINT ABOVE AND JOINT BELOW

Don’t forget sensation

18
Q

Movement

Active

A

unassisted movement with full pain free ROM

Limitation noted, muscle power assessed

19
Q

Movement

Passive

A

clinician moves pt stress taken by inert tissue

Eliminates muscle, tendon etc.

If ROM = Active - inert tissue cause
If ROM = better than Active - muscle cause

20
Q

Movement

Resisted

A

Isolates contractile tissue, multiple causes

do not attempt if A/P painful

21
Q

MSC

Nerves

A

Movement and sensation

22
Q

MSC

Vessels

A

distal circulation to injury
perfusion
?transient - cold weather
if comprimised - affects sensation

23
Q

MSC

Sensation

A

Intermittent? Consistent? Radiating?
Pt description - pins & needles etc.