PTICP Flashcards
What organs refer pain to the jaw and shoulder (C3-5)
Liver, diaphragm, pericardium
What organs refer pain to the midback, scapular region, and intercostal region?
Gallbladder, stomach, pancreas
What organs refer pain to T5-T6 ipsilateral thoracic spine and shoulder?
Lungs
What organs refer pain C3-C6 and shoulder?
Diaphragm
What organs refer pain to T1-T5, cervical upper thorax, LUE?
Heart
What organs refer pain to T4-T6 substernal and upper abdomen?
Esophagus
What organs refer pain to T6-T7 and midthoracic spine?
Small intestine
What organs refer pain to T11-L1, lower abdomen, and mid thoracic?
Large intestine
What systems should you screen if your patient presents with thoracic spine pain?
Cardio/peripheral vascular, pulmonary, GI, urogenital
What systems should you screen if your patent presents with L/R shoulder pain?
Cardiovascular, pulmonary, GI
What systems should you screen if your patient presents with lumbo-pelvic pain?
GI, urogenital, peripheral vascular
What systems should you screen if your patient presents with R/L knee pain?
Peripheral vascular
What systems should you screen if your patient presents with an inconsistent symptomatic pattern?
Psychological, endocrine, neurological (consider rheumatic conditions and adverse drug reaction)
What are some good questions to ask following up on a patients social/health habits?
Have you ever smoked? Caffeine intake? How many drinks containing alcohol do you have each week?
What should you ask about when screening a patient’s general health?
Fatigue, malaise, fever/chills/sweats, unexplained weight change, nausea/vomiting, weakness, change in mental status
What are some good ways to frame questions inquiring about a patient’s general health?
Resolved/unresolved, how long have you felt this way, is there an explanation, have you mentioned this to MD, if MD is aware has it become worse, quantify symptoms
How might you ask a question to a patient quantifying fatigue?
Over the past 2 weeks, have you felt able to function how you normally do at home, work, school, or socially?
How might you ask a question to a patient quantifying weight change?
Have you lost or gained 5% of your body weight over a 4 week period?
How might you follow up with a patient on PMH?
Current condition, past problem (resolved?), describe the condition (what, when, manifestation, treatment, next MD visit, how condition impacts pt)
How might you follow up with a patient on medication?
What are they taking it for, for how long, dosage level, dosing schedule, helping/not helping, side effects noted, is MD aware of OTCs
Describe the adult preventative care guidelines ages 21-64
- Lipid screen every 5 years after age 20
- Glucose test at age 45
- Colon CA screen every 5-10 years after age 50
- DEXA scan female >65 male >70 without risk
- AAA if smoked and age >65
What are the adult preventative care guidelines for females ages 21-64?
- PAP every 3 years
- HPV every 5 years ages 30-65
- Mammogram every 1-2 years ages 50-74, begin at age 30 for high risk
What are all the different possible pathologies that can cause pain?
Trauma, inflammation, metabolic, vascular, degenerative, tumor, congenital neurogenic, psychogenic
How might you follow up with a patient on current complaint and pain/symptom diagram?
O - onset P - what provokes/relieves Q - quality R - region or radiating S - severity T - timing
