Chapter 1: Overview: Physical Examination and History Taking Flashcards Preview

Bates' Guide to Physical Examination and History Taking > Chapter 1: Overview: Physical Examination and History Taking > Flashcards

Flashcards in Chapter 1: Overview: Physical Examination and History Taking Deck (7)
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1

What are the 7 components of the comprehensive adult health history?
(subjective info only)

Identifying data and source of the history, reliability
Chief complaint(s)
Present illness
Past history
Family history
Personal and social history
Review of systems

(p. 6)

2

What does paroxysmal mean?

Of sudden onset; a sudden increase in severity

3

What are the five segments of the nervous system exam?

mental status
cranial nerves
motor system
sensory system
reflexes

(p. 22)

4

Formulating an assessment and plan is done through the process of...

...clinical reasoning.

(p. 25)

5

A successful plan does more than just describe the approach to a problem. It must include the patient's _________ to the problems identified and to the __________ and ___________ interventions that you recommend.

responses
diagnostic and therapeutic

(p. 26)

6

Each problem in the assessment is listed in order of ________ with an explanation of __________ ________ and a ____________ _________, followed by a plan for addressing that problem.

priority
supporting findings
differential diagnosis

(p. 26)

7

If assessing a patient with a chief complaint of a sore throat, you will need to decide who may have infectious mononucleosis and warrants careful palpation of the...

...liver and spleen.

(p. 5)