what info. is considered subjective?
history chief complaint review of systems
what info is considered objective?
physical exam findings lab results
what are the 7 attributes of a symptom?
CLORIDE character or quality location onset radiation intensity duration exacerbation or alleviation
what should you do at the beginning of the exam
wash your hands clean your stethescope
what are the 4 cardinal techniques of examination
inspection palpatation percussion auscultation
what are instrumental ADLs ?
using telephone, shopping managing money
what does an asterisk mean in ROS (Review Of Systems)?
there is some positive response to a question
In the physical exam, what is the "plexor"? the "pleximeter"?
plexor - striking finger pleximeter - finger against chest, abdomen, back
How to calculate BMI?
weight (kg)/height (m^2)
What are the BMI ranges?
25 is overweight >30 is obese
how would you assess the peripheral vascular system?
palpate fermoral pulses palpate inguinal lymph nodes inspect for lower extremity edema, discoloration, vericose veins, or ulcers
what labs are in a complete blood count (CBC)?
White blood cell Red blood cell Hemoglobin Hematocrit Mean corpuscular volume (MCV) Platelet count
Normal values for WBC
4,500 - 10,000 cell/mL
Normal values for RBC
4 - 5.5 x 10^6
Normal values for Hemoglobin
12 - 16.5 g/dL
Normal values for Hematocrit
36 - 50 %
Normal values for MCV
80 - 100
Normal values for platelet
100,000 - 450,000 plt
What labs are in a CMP (complete metabolic panel)
Na K Cl Mag Ca HCO3 BUN Creatinine (Cr) Glucose Phosphate albumin Total Bilirubin Alkaline phosphate AST/ALT
Normal values for Na
135 - 147 (mEq/L)
Normal values for K
3.5 - 5.2 (mEq/L)
Normal values for Cl
95 - 107 (mEq/L)
Normal values for Mag
1.6 - 2.4 (mEq/L)
Normal values for Ca
8.8 - 10.3 (mEq/L)
Normal values for HCO3
23 - 29 (mEq/L)
Normal values for BUN
7 - 20 mg/dL
Normal values for Cr
0.5 - 1.4 mg/dl
normal values for glucose
60 - 110 mg/dL
What labs are used to determine clotting tendancy of blood?
PT 10 - 14 s PTT (intrinsic pathway) 25-39 s INR = PT test / PT normal 0.8 - 1.2
what is being tested in a pregnancy test?
hcG (made by placenta) norm 0-5 ml (not pregnant)
Draw a fishbone diagram