General Diagnosis Flashcards
(66 cards)
health history includes
chief complaint
past health history
personal and social history
review of systems
chief complaint
covers the reason patient is seeking care and should be obtained in the patient’s own words
present illness
OPQRST onset palliative/provoking quality of pain radiation/referral site/setting/severity timing
past health history
serious illness previous injuries hospitalizations surgeries medications allergies
family health history
cardiovascular disease
diabetes
stroke
cancer
social/personal history
marital status occupation diet exercise bowel/urinary patterns sleep alcohol, tobacco, drug use stress
CAGE questionnaire
for if you think the person might be an alcoholic
C- cutting down (have you ever felt you need to cut down on the amount of drinking you do?)
A- annoyed by others’ criticisms
G-guilty feelings
E- eye openers (do you feel like you need a morning eye opener drink?)
normal temperature values
oral 98.6
rectal and tympanic 99.6
axilla 97.6
range: 96-99.5F/35-37C
normal respiratory rates
adult: 14-18
newborn: 44
normal BP values
90-120/60-80
HTN value
140-90
hypotension value
90/60
auscultatory gap
take a palpatory systolic readiing
auscultatory gap is the loss and reappearance of pulsatile sound while listening with the stethoscope during cuff deflation
Korotkoff sound
low pitched sounds produced by turbulent blood flow in arteries
a difference of ____in systolic readings can indicate ___ such as…?
10-15mmHg
arterial occlusion
subclavian steal syndrome on the side of decreased value
blood pressure readings are ____in lower extremities
20% higher
barre-lieou
patient seated, examinera instructs the patient to rotate head maximally from side to side
done slowly at first, then accelererated to patient tolerance
pre-syncope, vertigo, nystagmus, nausea= positive for VBAI
DeKleyn’s
patient supine, the examiner instructs the patient to rotate and extend the head off the table and turn to each side for 15-45 seconds
nystagmus, dizzines, lightheadedness, blurred vision, nausea= positive for VBAI
Hallpike
an enhanced DeKleyn’s patient supine, head extended off table
examiner offers support for the skull
examiner brings head into extension, rotation and lateral flexion
nystagmus, dizziness, lightheadedness, blurred vision, nausea= positive for VBAI
Hautant’s
patient seated, arms extended forward to shoulder level with hands supinated
maintain for a few second
patient then closes eyes, rotates and hyperextends the neck to one side
repeat to other side
arms wave with eyes closed and head rotated and extended back= positive for VBAI
Underberg
patient stands with eyes open, arms at side, feet close together
patient closes eyes, extends arms and supinates hands, then patient extends and roates head to one side
then in this position patient is instructued to march in place
Maigne’s
patient is seated, examiner brings head into extension and rotation
scaly eyebrows indicates?
seborrhea
loss of lateral 1/3 of eyebrows indicates?
myxedema (hypothyroidism)
