R
- what does it screen for, what are the questions, scoring - ANS - Screens for
E
MDD
H
- It is the first two questions of the PHQ9
IG
- In the last two week, have you been feeling these (not at all, several days, more than
half the day, nearly everyday):
H
- Little interest or pleasure in doing things?
G
- Feeling down, depressed, or hopeless?
IN
Scoring:
A single yes or score >3 (out of 0-6) = possible clinical depression ⇒ due the PHQ9
LY
If the pt screens (+) ⇒ continue to eval with the PHQ9
about PHQ9
treating
F
- what its used for, questions, scoring - ANS Used for screening, diagnosing, and
- It asks about functioning impairments which is needed for the DSM-based diagnosis
Includes asking about suicide or hurting self
, 2
Scoring:
0-27 available
0-4: Minimal/none
R
Monitor; may not require treatment
E
5-9: Mild
H
Use clinical judgment; follow-up in one month
10-14: Moderate
G
Use clinical judgment; may need meds if functionally impaired
I
15-19: Moderately Severe
H
Warrants active treatment with psychotherapy, meds, or combo
G
20-27: Severe
Warrants active treatment with psychotherapy, meds, or combo
IN
American Society of Anesthesiologists Anesthesia Classification System 1-4 - ANS
Y
ASA Class 1: healthy, normal patient
L
ASA Class 2: patient with mild systemic disease
F
ASA Class 3: patient with severe systemic disease
ASA Class 4: patient with severe systemic disease that is a threat to life
anaphylaxis ss - ANS Occurs within 5-30 minutes of exposure to:
Generalized itching with or without hives
Swollen lips, throat, body part
, 3
Difficulty breathing, cough
Chest tightness
Abdominal cramping
NVD
R
Feeling of impending doom
HE
are most DM PO agents taken the day of surgery? - ANS yes
G
Bell's Palsy
I
- definition, etiology, SS, PE, treatment - ANS DEFINITION
H
- Acute, unilateral weakness or paralysis of the facial nerve with an onset of , 72h and
G
unknown cause
N
ETIOLOGY
I
- genetics, vascular, nerve compression, infectious, and metabolic ▲
Y
- HSV, VZV ⇒ cause latent infections in nerves ⇒ reactivation of these can cause Bell's
SS
FL
- may have pain behind the ipsilateral ear preceding the paralysis by 1-2 days
- may have altered taste and ↑ sensitivity to sound
* Timing is ESSENTIAL *
- presents within 38-72h
- slower, progressive, or relapsing is a different entity
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