Physical exams
Name 1 physical exam sign that would be concerning for appendicitis
What is... McBurney's Rovsing sign, Psoas sign, Obturator sign, Jump test
Sounds that are heard in addition to the expected breath sounds
What are adventitious lung sounds
Name 2 components of an HPI
What is... Severity, context, region, associated symptoms, timing, character, history, modifying factors, duration/onset (SCRATCH MD)
Section of the chart that an EKG get documented
What is... Medical decision making under Assessment or Plan
What is... the HPI and ROS
System where you would document "right facial droop"
What is... neurological
A flat, distinct, discolored area of skin less than 1 centimeter
What is.. a macule
Name at least 2 important medical history diagnoses that would be important to include in your HPI
What is... HTN, DM, HLD, CVA, CAD, CHF, MI
What 2 sections of the chart are subjective?
HPI and ROS
This is diagnostic of pneumonia
What is... a chest x-ray
Name a finding contradictive of "regular rate and rhythm"
What is... tachycardic, bradycardic, irregular rhythm, irregularly irregular rhythm
Melena
What is... black tarry stool
True or false: We do not need to include every question asked by the provider in the HPI
False!
Section of a chart that observations go into
What is... the physical exam
Activities to avoid during clinical
What is scroll through Instagram (social media) between seeing patients, check personal email.
CVA tenderness stands for...
What is costovertebral angle
Cephalgia
What is... headache
What does a GTPAL score stand for in a female's history
What is gravidity (pregnancies including current); term (pregnancies carried to 37+ weeks); preterm (pregnancies carried between 20 and 36 6/7 weeks); abortion (losses before 20 weeks); and living
Section of the chart that diagnoses are documented
What is... Assessment and Plan
Name 2 of the 4 types of patient histories we are interested in
What are... personal past medical history, surgical history, family history, social history
System that pharyngeal exudates should be documented in
What is... ENT
Medical term for a urinary tract infection
What is... acute cystitis
Name 3 pertinent positives/negatives for a chief complaint of headache
What is nausea, dizziness, vision changes, numbness, tingling, weakness, neck stiffness/pain
Section of the chart that includes all pertinent and negative symptoms
Name a anticoagulant medication