Term
| What are the three things that you must first note during a consultation? |
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Definition
- The patient's name, age, date of birth, sex and hospital number.
- The time, date and location of the consultation
- The source of referral.
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Term
| What should go under 'Presenting Complaint'? |
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Definition
A short statement, summarising the patients presenting symptoms, for example 'painful right knee' |
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Term
| What should the 'history of presenting complaint' consist of? |
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Definition
| Chronological details of the patients symptoms from the first time they noticed the problem to the present day |
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Term
| What three factors should you consider when questioning the onset of symptoms in HPx? |
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Definition
- Speed of onset (acute or gradual)
- Any precipitating factors (trauma? New drug? Etc.)
- Date and time of symptom onset.
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Term
| What does SOCRATES stand for? |
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Definition
- Site
- Onset
- Character
- Radiation
- Associations
- Timing course
- Exacerbating/Relieving factors
- Severity
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Term
| As a general rule, what time are pain and stiffness from inflammatory conditions worst? |
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Definition
| In the morning, they get better as the day progresses. |
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Term
| If the patient has stiffness and pain in the mornings, what is a good, simple indicator of the severity of the inflammation? |
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Definition
| The duration of the early morning stiffness. |
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Term
| As a general rule, what time is pain resulting fro musculoskeletal or degenerative problems worst? |
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Definition
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Term
| What are 7 sets of things that need to be thought about when recording the HPx? |
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Definition
- Symptom Onset
- Pain, Swelling, Stiffness
- Warmth/Erythema
- Deformity
- Weakness
- Numbness
- Functional Loss and Disability
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Term
| If weakness is localised, is it likely to be a focal or a systemic problem? |
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Definition
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Term
| If weakness is generalised, is it likely to be a focal or a systemic problem? |
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Definition
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Term
| If the patient presents with numbness or paraesthesia, what should you always document? |
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Definition
| Document its distribution and precipitating factors. |
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Term
| Where does numbness present in carpal tunnel syndrome? |
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Definition
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Term
| In terms of numbness and associated hand symptoms, how does Reynaud Phenomenon present? |
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Definition
| Numbness in all digits, along with pallor and provocation by cold weather. |
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Term
| Why should you always record the function of a patient? |
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Definition
| it provides a good marker of progress. |
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Term
| What should you quiz the patient on for the PMH? |
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Definition
| All current and previous medical and surgical disorders, and specific problems where appropriate. |
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Term
| Long term use of which drug group can lead to osteoporosis? |
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Definition
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Term
| Initiation of what therapy can precipitate acute gout? |
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Definition
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Term
| What 6 factors should be recorded in the social history? |
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Definition
Occupation
Domestic Situation
Degree of Independence
Smoking
Alcohol Intake
Dominant Hand |
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