what to ask to patient Flashcards
(23 cards)
Acronym for Diabetes follow up
DIABBEEETIC-NPHH
Define DIABEEETIC NPH
Duration of the diabetes Insuline or other drugs A1c Blury vision Bloating Emotion Energy Erection Trauma -foot ulcer Infection Cardiac risk factors Numbness, tingling or weakness perfect control of blood sugar Home glucose device Hypoglycemia episode
what to check in Insuline or other drugs (2)
check compliance
check regularity
what to ask in Blurry vision
last eye exam
Emotion
check for depression
what to check in trauma
check foot ulcer
for infection what to check (3)
skin
URI
UTI
cardiac risk factors (4)
Hypertension
high cholesterol
stroke
heart disease
what to check during hypoglycemic episode
availability of juice
How to approach forgetfullness
FFORGETTS HIM + DEATH SHAFT
FORGETS HIM + DEATH SHAFT
Fall hx Family hx of Alzheimer Orthostatic hypotension Running urine-incontinence Gait abnormality Eye- visual changes Trauma Tingling-weakness and numbness Seizures Speech Sleep problem Support system Headache Infection hx Mood -depression Dressing yourself Eating by yourself Ambulatory -can you find your way home Toiletry: use toilet by yourself Hygiene: can you shower yourself Shopping Housework Accounting: do you pay your bills Food prep Transportation: can you drive
ADL
activity of daily livings: DEATH
IADL
Instrumental activity of daily livings: SHAFT
What infection should we check in forgetfullness (2)
Syphilis
Meningitis
Insomnia
INSOMNIA STRIKES HIM
INSOMNIA STRIKES HIM
Interruption of sleep during night Naps during the day Snoring On the clock-what time do you go to bed Morning awakening-early Narcolepsy-sudden fall asleep Ilness Activity before going to sleep Sadness- stress Tremor Irritabillity Kaffeine Exercice Sweating skin or hair changes Heat intolerance Menstrual irregularities
Dizziness approach
DTH3FUN
DTH3FUN
Dizziness- Tinnitus Hearing loss Fever Fullness of ear Falls URI or other infections such as diarrhea Nausea
Question to ask in Dizziness (6)
Description Onset duration Frequency Alleviating factor Exacerbationg factor
Approach to Jaundice
JAUNDICE B
JAUNDICE B
Journey-recent travel Joint pain Abdominal Pain-SIQORAAA Up temperature Nausea and vomiting Diarrhea or constipation Itchy pruritis Immunization before travelling Color of urine or Stool Eating habits-appetite and weight change Blood transfusion in the past
Approach to cough
B PRODUCTIVES
B PRODUCTIVE
Blood in sputum Productive Pet exposure Recent travel Odor Duration URI Color of sputum TB exposure Infection Volume of sputum Energy loss Shortness of breath
