Advanced health assessment midterm
Questions And Answers
subjective means - ANS interview
objective means - ANS physical exam
an HPI is a - ANS problem focused history and physical exam
For each problem let the patient describe using - ANS oldcart
OLDCART - ANS onset, location, duration, characteristics, associated sxs (ROS), relieving
and aggravating factors, treatment
pertinent negatives - ANS what they don't have (important to rule out to form hypothesis /
diagnosis
ID (identifying data) - ANS date/time of appointment, name, DOB, referral, source of
reliability
CC (chief compliant) - ANS quote patients own words
Present illness HPI - ANS use old cart, also ask about medications, allergies, tobacco,
alcohol, and drugs, risk of pregnancy for women of childbearing ages
Past history - ANS childhood, adult, surgical, ob/gyn, psychiatric, health maintenance
(immunizations/screenings)
Personal/social history - ANS Education, employment , family unit, stress, social support,
sleep , exercise, diet, safety, lifestyle habits
ROS (review of systems include) - ANS general, skin, heent, neck, breasts, respiratory,
cardiovascular, gastro, unirtnay, and peripheral vascular, muscoloskeltal, genital, psychiatric,
neurologic, hematologic, endocrine
what is the purpose of ROS - ANS may uncover problems that patent has overlooked
four basic techniques used during physical exam to obtain objective data? - ANS IPPA ,
inspection, palpation, percussion, aucultation
, nutritional factors play a prominent role in the development of chronic diseases including - ANS
coronary heart disease, cancer, stroke, type 2 diabetes, hypertension, osteoporosis, and obesity
negative outcomes related to illness - ANS infectious complications, poor skin integrity,
delayed wound healing, surgical complications, increased length of hospital stay, higher costs,
poor treatment tolerance
obesity is most common in the - ANS U.S.
Kwashiorker in child is a condition caused by - ANS protein deficiency
Determine your nutritional health - ANS D-diease
E- eating poorly
T-tooth loss/mouth pain
E-Economic hardship
R- Reduced social contact
M- multiple medications
I- Involuntary Weight loss/gain
N- Needs assistance in self gain
E- Elder years above age 80
BMI overweight - ANS 25-29.9
risk factor for body weight - ANS 20% over or under ideal levels
percussion notes and characteristics - ANS flatness - high pitch, short duration, example
of location is the thigh
Dullness- medium pitch, medium duration, example of location is the liver
resonance- low pitch, long duration, example of location is healthy air filled lung
Hyperresonance- lower pitch, longer duration, could be from COPD
Tympany- high pitch, N/A duration, gastric air bubble or puffed out cheek
General appearance (objective data) - ANS Height/weight, general state of health,
posture, motor activity, gait, dress, grooming, personal hygiene, odors of body or breath, facial
expressions, manner affect, speech
vital signs are - ANS blood pressure, heart rate and rhythm, respiratory rate and rhythm,
temperature, oxygen saturation, pain
blood pressure normal - ANS 120 over 80
Prehypertension - ANS 120-139/80-89 mmHg
