History Taking Flashcards

(51 cards)

1
Q

What are the presenting complaints for Trauma?

A
  1. Pain
  2. Swelling
  3. Deformity
  4. Inability to bear weight
  5. Inability to walk
  6. Loss of function
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2
Q

What are the On-direct questions you ask for a Trauma case?

A
  1. Loss of consciousness
  2. Chest pains
  3. Hematuria
  4. Hematemesis
  5. Ability to walk after trauma
  6. Vomiting
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3
Q

What is the effect of cigarette smoking on wound healing?

A

Slows down wound healing

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4
Q

The summary of a trauma case is composed of ?

A
  1. Age
  2. PC + Duration
  3. Positive Symptoms
  4. Important Negatives
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5
Q

A trauma injury can be?

A

Low, moderate or high energy injury

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6
Q

What is Myomectomy?

A

It is the surgical removal of fibroids from the uterus

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7
Q

What is the full meaning of ATLS?

A

Advanced Trauma Life Support

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8
Q

When is ATLS used?

A

For high energy trauma injury

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9
Q

What is Primary Survey?

A

It is the rapid survey of the patient from head to tail

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10
Q

In primary survey what are the 6 alphabets we look at?

A
A - Airway
B - Breathing & Ventilatory Support
C - Circulation & control of external hemorrhage
D - Disability
E - Exposure and Environment
F - Finger & Tubes in every orifices
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11
Q

Mention one equipment for ventilatory support ?

A

Ambu bag

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12
Q

What do you access for during the D of primary survey?

A
  1. Patient’s consciousness

2. AVPU - Alert, Verbal, Pain, Unresponsiveness

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13
Q

What is GCS?

A

Glasgow Coma Scale

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14
Q

What is the Glasgow Coma scale used for?

A

It is a clinical scale used to reliably measure a person’s level of consciousness after a brain injury such as a car accident

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15
Q

Where in the primary survey is the Glasgow Coma scale used?

A

D - Disability

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16
Q

What do you do during the F stage of primary survey?

A
  1. Drain the urinary bladder

2. Vaginal, anal and bladder examination

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17
Q

What do you check for first in an unconscious patient?

A

Breathing

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18
Q

What is the secondary survey?

A

All other inquiries after identifying inquires that pose immediate threat to life

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19
Q

What is tertiary survey?

A

A careful and complete examination followed by serial assessments help recognize missed injuries and related problems, allowing a definitive care management

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20
Q

What are the 3 things to be done during physical examination of a trauma case?

A

Look, Feel, Move

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21
Q

During Physical examination of a trauma case you look for ?

22
Q

During Physical examination of a trauma case you feel for ?

A
  1. Tenderness

2. Crepitus

23
Q

Crepitus is a physical sign of a

24
Q

During Physical examination of a trauma case what do you move?

A
  1. Joint above and below the injury
25
In testing for the nerve function of the limbs what do you test for?
Sensation and motor function
26
Effect of hypogonadism on weight?
Leads to increase in weight gain
27
Genu valgum is commonly known as?
Knock-knee
28
What is hypogonadism?
Occurs when your sex glands produce little or no sex hormones.
29
What are the 2 types of hypogonadism?
1. Primary hypogonadism | 2. Central (secondary) hypogonadism
30
Primary hypogonadism is due to
Malfunctioning gonads
31
Central (secondary) hypogonadism is due to
Malfunctioning hypothalamus and pituitary gland
32
What are the hormones to test for in hypogonadism?
1. Follicle Stimulating Hormone (FSH) 2. Luteinizing hormone (LH) 3. Estrogen level 4. Testosterone level
33
The two major hormones produced by the thyroid gland?
1. Triiodothyronine (T3) 2. Thyroxine (T4)
34
Which hormones does the Thyroid Function Test test for?
1. Thyroid-stimulating hormone (TSH) | 2. Thyroxine (T4)
35
How does hypothyroidism cause weight gain?
When your thyroid makes less of its hormones your metabolism slows down which slows down the rate at which you burn off calories and you'll gain weight.
36
What is the difference between Valgus and Varus?
Whenever the distal part is more lateral, it is called valgus whiles whenever the distal part is more medial, it is called varus.
37
What is Hemiepiphysiodesis?
Guided growth is a minimally invasive surgical procedure where a tension-band plate (also called a guided growth plate) is applied to a crooked bone to gradually straighten it as a child or adolescent grows
38
A tension-band plate is aka
Guided growth plate
39
Hemiephiphysiodesis is aka?
Guided growth
40
Medial collateral ligament (MCL) is aka
Tibial collateral ligament (TCL)
41
Lateral collateral ligament (LCL) is aka
Fibular collateral ligament
42
What is a Nonunion fracture?
It is a permanent failure of healing following a broken bone unless intervention (such as surgery) is performed
43
What is Strabismus?
It's a condition in which the eyes do not properly align with each other when looking at an object
44
Strabismus is aka
Crossed eye
45
Give 3 types of Strabismus?
1. Estropia 2. Exotropia 3. Hypertropia
46
What is Exotropia?
A form of strabismus where the eyes are deviated outward
47
What is Estropia?
A form of strabismus in which one or both eyes turns inward
48
What is Hypertropia?
Visual axis of one eye is higher than the fellow fixating eye
49
What is Hypotropia?
Eye with the visual axis lower than the fellow fixating eye.
50
What is a goniometer?
It's an instrument that either measures an angle or allows an object to be rotated to a precise angular position.
51
Causes of wound dehiscence
``` Diabetes mellitus Uremia Hypoalbunemia Sepsis Inadequate closure Obesity Poor wound healing Increased intraabdominal pressure Corticosteroid use Immunosuppression ```