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Diff Dx Exam 1
Various lists for exam 1
31
Health Care
Graduate
10/03/2012

Additional Health Care Flashcards

 


 

Cards

Term
Decision-making process (7 steps)
Definition
1. ID problem
2. Collect data
3. Evaluate info
4. Develop PT dx
5. Develop Px
6. Intervention
7. Outcome msmt
Term
Phases of dx decision-making (J. Jamison) (4 steps)
Definition
1. Detect abnormality
2. match presenting problem c known disease
3. Determine working dx
4. Make definitive dx (practice pattern from PT Guide)
Term
Themes in dx decision-making (3)
Definition
1. Pattern recognition
2. Probability reasoning
3. Causal thinking
Term
Extraneous factors affecting decision making process (5)
Definition
1. Time sched
2. Pt behavior (compliance)
3. Facilities
4. ++ comorbidities
5. Reimbursement
Term
Pitfalls in Decision-Making (5)
Definition
1. Based on external factor only
2. Failure to recognize alternative dx
3. Failure to select critically (valid tests)
4. Inappropriate assessment tools
5. Invalid assessment
Term
Categories of McGill Pain Questionnaire (4)
Definition
vascular,
neurogenic,
musculoskeletal,
emotional lability
Term
Pain characteristics (6)
Definition
1. Location
2. Description of sensation (P&N, boring, etc)
3. Intensity
4. Duration
5. Frequency
6. Pattern
Term
Systemic pain descriptors (4)
Definition
constant,
night,
very intense,
not well localized
Term
HR red flags (6)
Definition
1. bradycardia c chest pain
2. pauses >3sec
3. HR>90 c chest pain/fainting/SOB
4. CHF, CAD
5. RHR >140 in elderly
6. Fainting/chest pain in elderly
Term
BP red flags (3 [6])
Definition
>180/110 (MD)
>22/130 (ER)
diffuse thoracic pain c hx of HTN (MD)

incr systolic BP disproportional to incr work load
decr BP c ex
∆BP >20 mmHg
Term
Temp red flags (4)
Definition
>100ºF c sorethroat, wheezing, diffuse aching, back/neck/abd/flank pain
>100ºF c SOB, cough, DOE
>99ºF in elderly
<97ºF in elderly/fatigued
Term
RR red flags (4)
Definition
<12 c SOB
>20 at rest
Persistent cough in pt c disc probs
>20 while on O2
Term
Steps for Referral (4)
Definition
1. Call practitioner
2. Provide pt's name, age, descrip of sx/dx
3. Urgent prob: state concern, provide sx & vitals
4. Discuss appropriate referral (office, ER, 911)
Term
Types of anemia (5)
Definition
1. Fe deficiency
2. Dietary
3. Chronic disease
4. Infectious disease
5. Neurologic condition
Term
Thrombocytopenia watch-fors (4)
Definition
spontaneous bleeding,
GI,
CNS (UMNL signs),
swelling
Term
Thrombocytopenia avoid (3)
Definition
BP cuff,
IASTM/STM/etc,
bearing down ex
Term
Hematologic ex-contraind values
WBC
Hct
Hgb
Platelets
PT
Definition
WBC: <5000/mm3
Hct: <25%
Hgb: <8 g/dL
Platelets: <20,000/mm3
PT: ≥2.5x ref range
Term
Non-cardiac causes of chest pain (5)
Definition
1. Pleuropulmonary
2. Musculoskeletal
3. Neurologic
4. GI
5. Breast pain
Term
Pulmonary red flags (3)
Definition
1. mod/severe DOE c 1 flight of stairs
2. awakened at night c SOB
3. relief by leaning forward/pursed lip breathing (emphysema, COPD)
Term
Causes of cough (3)
Definition
pulmonary,
L-sided heart failure; CHF
valve dysfxn, position induced
Term
PVD S/Sx (5)
Definition
1. LE pain > UE pain
2. sharp, dull, ache, throb, burning
3. pitting edema
4. skin discoloration, trophic ∆s
5. skin blanch p ex
Term
Cardiac red flags (MD) (5)
Definition
1. "Viselike" pain behind sternum; radiates to shoulder, neck
2. Nausea
3. Diaphoresis
4. Throbbing pain, incr c ex
5. "Pulsating abd mass"
Term
Heart valve disease s/sx (5)
Definition
1. Easily fatigued
2. Dyspnea
3. Edema
4. Chest pain
5. Tachycardia/palpitation
Term
Vascular disorder s/sx (4)
Definition
1. Pain at rest or c walking
2. Cold probs
3. Sensitivity
4. Decr blood flow
Term
Cardiac meds side effect red flags (ER) (3)
Definition
Abd pain
Dyspnea
Difficulty swallowing
Term
Pain pattern: Tracheobronchial
Definition
neck, anterior chest
Term
Pain pattern: Pleural
Definition
chest (constant)
Term
Pain pattern: Diaphragmatic pleura
Definition
costal; sharp pain in traps, shoulder
Term
Pulmonary red flags (5)
Definition
1. Rapid drop in BP c weak, rapid pulse
2. Confusion c decr ventilation
3. Fainting
4. Diaphoresis
5. Hyperventilation s pain/anxiety
Term
Pleuropulmonary ACUTE conditions (5)
Definition
PE,
DVT,
Cor pulmonale,
Pleurisy,
Pneumothorax
Term
Respiratory tests (5)
Definition
Spirometry,
MRI,
XR,
CT,
Auscultation
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