Introduction
What are examples of nonverbal communications?
Facial expressions, tone of voice, movement, eye contact, gestures and posture
What is signposting
Transitioning into a new topic
What spO2 reading indicates severe hypoxia
85%
In what phase of the hair growth cycle do we see the hair resting before shedding?
Telogen before exogen (shedding)
What separates an allergy from an intolerance or side effect
An immune response
explicit vs implicit biases
Explicit: you’re aware of it (Hate speech and discrimination)
implicit: subconscious (internalized gut reactions and unconscious attitudes)
Comprehensive vs problem oriented health history
Comprehensive health histories are taken with new patients in an office or hospital. Problem oriented health histories are used for established patients or urgent care type visits
How can ceremun impact vitals signs gathering?
Earwax can cause a decrease in tympanic membrane temperature reading
What do we cause nail thickening, subungual debris most often caused by a pathogenic fungus
Onychomycosis
airborne vs droplet precautions (both PPE and reason for the extra precaution)
droplet precautions: droplets can only travel 3 feet or so (with Covid being able to travel around 6 feet). Airborne conditions can travel much further distances. Both use gloves and a gown. Droplet uses a mask. Airborne uses a respirator mask and a negative pressure room.
What are the 5 social determinants of health?
Education access and quality, economic stability, social and community context, neighborhood and built environment, health care access and quality
What is guided questioning?
Starting with broad, open ended questions then moving to more specific questions (7 features of every symptom) to the pertinent positives and negatives/ review of symptoms
How slow are we supposed to deflate the blood pressure cuff
No faster than 2-3 mmHg per second
Diffuse, non-scarring hair shedding in young women can be suggestive of what
Hyper or hypothyroidism or iron deficiency anemia
Acronym used when asking about a patient’s spirituality
FICA (faith and beliefs, importance/ influence, community, address)
What are the five steps to a clinical encounter?
Initiate the session, gather data, perform physical exam, explain and plan, close session
What acronym do we use when thinking about showing empathy towards a patient?
NURSE (name, understanding, respect, support explore)
Define orthostatic hypertension
SBP falls more than 20 mmHg OR DBP falls more than 10 mmHg after 5minutes of standing
OLD CARTS but make it ~derm~
Onset, DISTRIBUTION (location), duration, character, aggravating/ alleviating, EXPOSURE (radiation), EVOLUTION (timing), SYSTEMIC SYMPTOMS (severity)
Acronym used when gathering patient personal and social history
FED TACOS (food/diet, exercise, drugs, tobacco, alcohol, caffeine, occupation, sexuality)
What are the 5 Rs to cultural humility?
Respect, relevance, resilience, reflection, regard
What acronym do we use for gathering data with every chief complaint?
OLD CARTS (onset, location, duration, character, agitating/ alleviation, radiation, time, severity)
Four components of physical exam in order
Inspection, auscultation, percussion, palpitation
What differentiates tinea capitis from alopecia areata
Tinea capitis (ring worm) comes with scaly patches whereas alopecia areata is smooth
Walk through all of the components of a comprehensive health history
this is all of lecture 5 so I’m not writing it out again, but if you did it all of it in order, I’m proud of you and you get 1 million points :)