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1

3 things an illness script includes

what is it, who gets it, and what does it look like

2

After accumulating illness scripts, next step is

Hypothesis-driven data gathering

3

After you do HPI and illness scripts, complete a thorough history which includes what 4 categories

past medical history, family history, social history, and review of systems

4

Past medical history questions: what does MASS I AM stand for?

medical problems, accients/injuries, surgeries/gynecologic, screening procedures, immunizations, allergies, medications

5

If you cant think of illness scripts you should use _____________ to gather more data

DOCCLARAPPP

6

what does DOCCLARAPPP stand for

Duration
Onset
Course
Characterization
Location
Associated features
Relieving factors
Aggravating factors
Pertinent risk factors
Patient concerns
Previous evaluation

7

when you are taking the data first, hypothesis later approach, what will follow DOCCLARAPPP?

comprehensive physical examination

8

when doing data first, hypothesis later: following DOCCLARAPPP and physical, the helpful frameworks for developing a differential are:

VINDICATE and CARD

9

VINDICATE stands for

Vascular
Infectious/inflammatory
Neoplastic
Degenerative
Iatrogenic/idiopathic
Congenital
Autoimmune/allergic
Toxin/trauma
Endocrine/metabolic

10

CARD stands for

Common
Atypical presentation
Rare
Dont miss

11

semantic qualifiers-

dichotomous terms used to translate what your patient says into what makes sense to you

12

analytic reasoning-

hypothesis driven

13

non-analytic reasoning-

pattern recognition

14

how long should you listen to a patient

as long as you need to

15

6 key items in the therapeutic relationship with patient

Introduction, Body language, Listening skills, Lack of interruption, Respect, Empathy, an Genuineness

16

Full history done for (3)

initial visits, well visits, and formal assignments

17

focused history done for (4)

sick visits, hospital visits, structured exams, and DXR

18

Components of medical history (6)

Chief Complaint, HPI, Past medical history, family history, social history, and review of systems

19

3 particularly difficult styles of patients:

too quiet, too talkative, and says yes to all your questions

20

the preferred doctor patient relationship model

shared decision-making model

21

4 general rules of the physical exam

Inspect, palpate, percuss, and ascultate

22

Never forget to do vital signs! (6)

heart rate, respiratory rate, blood pressure, temperature, pulse oximetry, and pain scale

23

graphesthesia-

when youre not looking and someone draws on your skin you can tell what letter they drew

24

stereognosis-

youre holding something and know what it is just based on the feel

25

Tanner staging-

sexual maturity rating with adolecents

26

With your history, youre looking for _______
With physical exam, youre looking for ______

symptoms
signs

27

what to do when you cant come up with an illness script

do a thorough patient history and a head to toe exam

28

when did formal modern medical ethics begin?

1960's-70's

29

besides the 4 classical founding principles of the practice of medicine, there are 2 additional ethical principles:

Health care must always be more than a business
Law is the ethical minimum

30

most important of the 4 principles of medicine

non-maleficence