Term
| 5 componets of patient history |
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Definition
cheif complaint
history of present illness
sample
past med history
current health status |
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Term
| what is the chief complaint? what are 4 ways the cheif complaint is commonly characterized by |
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Definition
pain
abnormal function
a change in normal state
an unusual heart rate |
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Term
| what accroynm dictates patients history of medical illness |
|
Definition
O- Onset/ origin
P- Provokes
Q-quality
R-radiates/ region
S-Severity
T-Time |
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Term
|
Definition
Signs symptoms
Allergies
Medications
Past medical history
Lasts
Events leading up to the situation |
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Term
| List common types of allergies |
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Definition
Tentanus shots
antibiotics
radiographic contrast medium
Sulpha drugs
Nacrotics |
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Term
| 4 things to consider when assessing patients current medication useage |
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Definition
What medications do they take and why
Do they comply with their current medication reccomendations
What OTC medications are they using?
Recreational drugs (street)? |
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Term
| when asking about medical history what are some important points to consider |
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Definition
Strokes and seizures
Heart conditions (angia, etc)
Lung conditions
DIgestive conditions
Diabetes?
Recent surgeries or doctor visists? |
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Term
| 4 sources for aquiring past medical history |
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Definition
Patient
Family
Friends
Bystanders |
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Term
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Definition
Last meal- important for surgery
Last menstural period- women with abdominal pain (contraceptive use, veneral disease,Urinary tract infections, ectopic pregnancy)
Last Bowel movement (diahrea, bloody BM, Constipation)
Last urinations- Hematuria, uretheral discharge, pain or burning with urination. frequent urination, inability to void |
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Term
| 4 points to consider when determing patients current health status |
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Definition
Personal habbits (tabbaco, exercise)
Diet (stimulants, appetite, weight loss and gain)
Immunizations
Ongoing medical testing |
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