Health Hx, Interview, and PE
Question style that is the act of moving from open-ended questions to focused questions
What is guided questioning?
General feeling unwell
What is malaise?
Single most important ROS for skin
What is itching pruritis?
Qualifiers that are binary in nature (opposing descriptors), allowing for comparing and contrasting
(ie: acute/chronic, at rest/with activity, constant/intermittent, diffuse/localized, sharp/dull, unilateral/bilateral)
What is semantic question?
Official name for instrument used for measuring height
What is standometer?
This form of nonverbal communication can increase rapport with Pt
What is mirroring Pt's position?
Opens eyes and looks at examiner, responds slowly and confused; alertness and interest decreased
What is obtunded?
In addition to OPQRST, these 2 questions are asked in a directed exam's HPI when dealing with integumentary system
What is evolution and periodicity
S in SBAR .. and give an example of using it
What is situation?
"taking medicine" is classified as this type of ADL
What is instrumental activity of daily living (iADL)?
I in FICA
What is importance and influence?
length of acute pain vs chronic pain
what is 3-6 months vs > 3-6 months?
Hold a group of hairs and pull along hair shaft, ABNORMAL for any hairs to break
What is tug test?
Progress note, not the same as an H&P, think daily updates
What is SOAP note?
2nd F in FIFE
What is effect on function?
Study reports _% if transgender people have had a negative experience in the last year related to their identity in healthcare
What is 33% (1 in 3)?
Rather than Numeric Rating Scale, this illustrative pain scale is also available (and frequently used with kids)
What is Wong-Baker FACES Pain Rating Scale?
mimics actinic keratosis and improves with moisturizers or mild topical steroids
What is superficial xerosis and/or seborrheic dermatitis?
Last section of documentation that explains your thinking, all the way down to the cause of the problem
What is Medical Decision Making?
Pt's forget up to __% of clinical information provided during visit and nearly __% of what they retain can be incorrect
What is 80%, 50%?
Pt lying supine with hips flexed, abducted, and externally rotated, knees flexed. Used for women during pelvic and rectal exams)
What is lithotomy?
Shivering/chills/goosebumps ___ temp, while sweats/hotness __ temp of body
What is rise, lower?
Skin-colored or pink, often has hemorrhagic punctae, occurs with actinic keratoses and SCC ... and name its mimic
What is cutaneous horn/keratotic scale and its mimic = wart?
Succinct encapsulation of your understanding of the patient’s problem and argue in favor of your working diagnosis. 2-3 sentences that includes the CC (in clinical context), pertinent findings from history/exam/diagnostics, and makes a case for the diagnosis based on clinical reasoning
What is Summary Statement?
Yellowish, globular papules, usually with central depression. Telangiectasias go around (not over) this lesion.
What is sebaceous hyperplasia?