General diagnosis - hypothesis driven hx Flashcards

1
Q

name

A

legal requirement, establish rapport, clue to ethnic background

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

age

A

DJD=older; disc=middle age; strain/sprain=young adults

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

sex

A

osteoporosis=female; AAA=male; SLE/RA=female; BPH=male only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

weight

A

obesity may contribute to DJD, diabetes and hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ethnic background

A

African=Sickle Cell Disease, Ashkenazi Jews=Tay Sachs disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

height

A

Tall=Marfan’s, gigantism, Klinefelter’s syndrome; short=Down’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

HPI

A

History of the presenting illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Onset

A

<3m=acute, >6m=chronic, acute=better prognosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Mechanism of injury

A

Rear end collision=whiplash, rotation and extension=facet problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Provocative factors

A

flexion=DH, lateral bending and extension= facet problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Palliative factors

A

Rest=sprain/strain, not better with rest= bone cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Prvious care

A

Pain not better with NSAIDs= some bone tumors or psychological

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Quality

A

burning=radiculopathy; deep dull ache=mm or bone pathology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Radiation

A

Dermatome=radiculopathy; loin to groin= kidney stones; chest to left arm=MI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Site

A

Possible location of the disase and therefore focus of examination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Severity

A

Purpose of comparison to see if treatment is effective or not

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Timing

A

Pin worse at night= bone cancer or osteomyelitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Associated Symptoes

A

focus for review of systems and PE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

PMH

A

Past medical history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Serious illness

A

possible recurrence or complication of treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

last PE

A

Might shed light on possible Dx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Injuries/accident/truama

A

Hyper-flexion of hyper-extension= vertebral fx

23
Q

Medication

A

Possible drug side effect: Lipitor-mm aches, diuretics-mm cramps

24
Q

diagnostic studies

A

clue as to possible Dx

25
Q

Hospitalization/surgery

A

may be a complication to surgery or treatment

26
Q

Immunizations

A

May be linked with Guillain-Barre syndrome

27
Q

FSH

A

Family and social hisotry

28
Q

marital status

A

unhappy relathion=psychological pain, being single worse than smoking

29
Q

Children

A

infertility=endometriosis;psycological stress

30
Q

Family hisotry

A

inherited disease like Huntington, Duchenne dystrophy, diabetes or cancer

31
Q

diet

A

food rich in omega 6s make RA and other diseases worse

32
Q

exercise

A

overuse may aggravate condition like CTS or TOS

33
Q

Alcohol use

A

alcohol abuse=avascular necrosis, pancreatitis, psychological stress

34
Q

recreational drug use

A

intravenous drug use = ostomyelitis; cocaine=MI in young adults

35
Q

stress

A

chronic unresolved stress is linked with a poor prognosis

36
Q

hobbies

A

lack of interest= depression; specific hobby with overuse

37
Q

occupation

A

sex workers=HIV/AIDS; asbestosis=mesothelioma; miners=silicosis

38
Q

tobacco use

A

lung, bladder and esophageal cancers

39
Q

sleep

A

conditions that may affect sleep: bone cancer, CHF and diabetes

40
Q

ROS

A

review of symptoms

41
Q

Constitutional

A

unexplained weight loss= cancer; fatigue= depression

42
Q

allergies/immunology

A

recurrent infections=multiple myeloma or HIV/AIDS

43
Q

neurological

A

bladder/bowel control issues=CES

44
Q

gastrointestinal

A

blood in stool=colon cancer; clay colored stool=pancreatic cancer

45
Q

respiratory

A

blood in sputum=lung cancer or TB

46
Q

EENT

A

recurrent sore throats=HIV/AIDS, multiple myeloma, leukemia

47
Q

psychological

A

persistent sadness=depression, affects prognosis and healing time

48
Q

integumentary

A

Silvery scales= psoriasis; malar rash= SLE; red shin bumps=sarcoidosis

49
Q

neck

A

small joint pains and swelling = RA; avoid upper cervical adj

50
Q

cardiovascular

A

chest pain worse with movement of trunk= MSK cause

51
Q

hematological

A

fatigue=leukemia; swollen nodes= lymphoma; bleeding= leukemia

52
Q

MSK

A

multiple aches/pain= polymyalgia rheumatica and fibromyalgia

53
Q

endocrine

A

mm cramps= hypoparathyroidism; heat intolerence= hyperthyroidism