Its all in the approach
systems
anything goes
signs and symptoms
cardiac
100
Greet the patient, establish rapport, invite the patient's story, establish the agenda, ask questions to expand and clarify the patient's story, and negotiate a plan
What is the sequence of the health history interview?
100
A=symmetry, B=irregular borders, C=color changes, D=diameter > 6mm, E=evolution
What are the ABCDEs of melanoma?
100
a forceful pulse that is large in amplitude,
What is the pulse associated with an elevated temperature?
100
rash that may appear on back, chest, upper extremities that itches a lot; occurs frequently with those who work outdoors, darker patches with sharp borders and fine scales
What is tinea versicola?
100
A scotoma is an area of partial alteration in the field of vision consisting of a partially diminished or entirely degenerated visual acuity that is surrounded by a field of normal – or relatively well-preserved – vision.
What is a scotoma?
200
A technique that encourages to client to continue to tell his/her story
What is facilitation?
200
a small mass that is mobile, usually non-tender, sometimes not palpable
What is a lymph node?
200
fair skin, light hair, family history of melanoma, heavy sun exposure
What are risk factors for skin cancer?
200
A eruption that looks like a Christmas tree, starts with one large patch, then more erupt on chest and back
What is pityriasis rosea?
200
ear pain, pain when the ear is manipulated, ear canal is narrowed and erythematous,
What is external otitis?
300
do you have sex with men, women, or both?
What is an appropriate question in a taking a sexual history
300
small scattered lymph nodes behind the sternocleidomastoid muscles, bilaterally
What is the posterior cervical chain of lymph nodes?
300
usually on the head, a flattened papule of similar color as the rest of the skin, covered with a dry scale, feels round and hard.
What is seborrheic keratosis?
300
Episodes of dizziness, sometimes accompanied by nausea and vomiting, tinnitus, weber localizes to the right, Rinne test AC=BC, nystagmus
What is signs of Meniere's disease?
300
Palpating the carotid pulse while listening for a murmur
What is a method to determine if the murmur is systolic or diastolic
400
when was your last drink?
What is an appropriate question when obtaining a history of alcohol use?
400
Closure of the aortic, then the pulmonic valves
What is the action responsible for inspiratory splitting of S2?
400
raised, red area at the margin of the eyelid that is tender to palpation,
What is a hordeolum?
400
A murmur that is associated with a "thrill"
What is a grade 4 murmur?
400
Eyeballs that appear to be protruding
What is exothalmos?
500
level of consciousness, signs of distress, dressing, grooming, and personal hygiene
What is observations the provider makes and notes in the general survey of the patient?
500
size, symmetry, and skin color of the lower extremities
What is important aspects of a peripheral vascular examination
500
a homogenous, sharply demarcated area of blood at the lateral aspect of the base of the eye, the corneal is clear, there are no signs of trauma or injury
What is a subconjunctival hemorrhage?
500
information observed by the practitioner
What is objective findings?
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