Things a Dr might Say
This shouldn't hurt a bit
What's the difference between invasive and non-invasive? Give an example of each
Dislocated Hip
acute pain, unable to walk/stand, leg externally rotated and longer
This virus was once predominant here in the US but has thankfully greatly subsided. Caused paralysis to different parts of the body (could be different for different ppl) Can be deadly, we do not vaccinate for it
Polio
When was the last time...and system
You pooped, digestive system
When was your last...? Needed to know before an xray especially; what system are we talking about
Last Menstrual Period; reproductive
Causes, S/S of _____, DX test to confirm
Concussion: Whiplash, hit head: tinnitus, n/v, headache, unsteady gait, decreased LOC, memory loss, sensitivity to light; CT
Burns
Name 3 types of burns: 1st superficial, 2nd partial thickness; 3rd full thickness
run under cool water, wrap in sterile dressing loosely, aloe, silvadene; no oils, remove jewelry, take to ER if pain not controlled, facial burns, difficulty breathing, 3rd deg, high risk for dehydration and infection
What is Foreign Accent Syndrome and what system is typically at risk/fault?
Suddenly speaking in a foreign accent, neuro, brain function; neurodivergent
Can you take a deep breath and cough for me?
What system is this? Describe wheezing and crackles
Respiratory, wheezes: musical sound, crackles: fluid build up such as pneumonia, CHF, snap crackle and pop
Lack of blood flow
Ischemia, Angina
Are you sexually active?
5 Concerns: pregnancy
STDs: HIV, Herpes, Hepatitis, Gonorrhea, chlamydia, genital warts
Abdominal Trauma
Dehiscence and evisceration: surgical wound opens up and intestines are protruding, apply sterile gauze, call 911 get to ER/OR stat
This is a rare autoimmune issue that causes rigidity and limited mobility, spasms, unsteady gait, slurred speech, fall risk
Stiff person syndrome
Can I take your vitals?
Proper order, what does a BP mean? top and bottom #s
T P R BP
Systolic pressure exerted on the artery walls when the heart is contracting/working
Diastolic pressure exerted on the artery walls when the heart is resting
Translate:
49 y.o. female w/GSW to right lateral thorax, Hypotensive @ 80/42, tachy @160, R shallow @44, BS clear left, absent right
Explain what all this means and what is probably occuring
With gun shot wound right outer chest/side, low blood pressure, high heart rate, fast resps, breath sounds clear left, absent right
She is probably having a hemothorax
Do you have an advanced directive?
A written document that spells out what a pt wishes to have done in the event they are unable to make medical decisions
Amputation
Why? gangrene, trauma, diabetes, infection
Neurological condition in which the pt believes they are missing a part of their body or that part is necrotic
Walking Corpse Syndrome
Compound Fx, how do you tx? What are things we as nurses/drs/ therapists assess for
Surgery; pins, plates, screws typically
Compartment syndrome: paresthesia, pulselessness, poikilothermia, pain, pallor, paralysis
Pre-existing condition
Co-Morbidity
What do these mean?
a condition that you have before you get new insurance
other issues that may complicate your current illness: obesity, diabetes, seizures, etc...
TIME of DEATH: 18:02
S/S of impending death of chronic illness: death rattle, mottling, change in LOC, decreased urine output, hypotension, bradycardia
Post-Mortem care: remove any tubes/equipment, clean them up, change gown, put dentures in, remove jewelry, give to family, put name tag/toe tag on, call pt and funeral home
TBI
Traumatic Brain Injury: hard blow/fall to head, repeated blows such as football, soccer
s/s persistent n/v, change in LOC, irritable/angry, poor self control, unsteady gait, seizures, depression, change in sleep/eating patterns
What is the genetic disorder that is caused by a lack of melanin all over? Pts usually have eye problems
Albinism
Did I do that right?
Proper response to someone who collapsed and is not breathing and pulseless
Assess the scene, ask questions if anyone avail, call 911, get AED, apply PPE, 30 compressions, nipple line, 2 inches deep (adult), 1.5 in deep infant) 2 rescue breaths, pinch nose, head tilt chin lift, watch for chest to rise, repeat for 2 min, reassess or do 200 straight chest compressions, remove PPE, wash hands
Get them to the OR stat!!
What is an Enucleation?
Removal of an eyeball