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IRENE GOLD PART 2 – HISTORY / GENERAL DIAGNOSIS – Q&A
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IRENE GOLD PART 2 – HISTORY / GENERAL DIAGNOSIS – Q&A
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IRENE GOLD PART 2 – HISTORY / GENERALDIAGNOSIS – Q&A
Health history includes the following: ✔️Ans - • chief complaint
• past health history
• personal and social history
• review of systems
The chief complaint covers what? ✔️Ans - The reason the patient is seeking
care & should be obtained in the patient's own words
This covers the reason the patient is seeking care and should be obtained in
the patient's own words: ✔️Ans - chief complaint
The attributes of a symptom:
• Onset
• Palliative/Provoking
• Quality of pain
• Radiation/Referral
• Site/Setting/Severity
• Timing ✔️Ans - Present illness
Past health history:
++ immunizations are listed separate category than these ✔️Ans - • serious
illness
• previous injuries
• hospitalizations
• surgeries
• medications
• allergies
Family Health History: ✔️Ans - • degenerative diseases
• cardiovascular diseases
• diabetes
• strokes
• cancer
Social/Personal History: ✔️Ans - • martial status
,• occupation
• diet
• bowel/urinary patterns
• sleep/naps
• alcohol, tobacco, and drug use
• stress
What am I?
• Information acquired during history that indicates alcoholism, move to this
questionnaire. ✔️Ans - •CAGE questionnaire
C= cutting down (have you felt the need to cut down on your drinking?)
A= annoyed by others criticism (Have you ever felt annoyed by criticism of
your drinking?)
G= guilty feelings (have you ever felt guilty about your drinking?)
E= eye openers (Have you ever felt the need for a morning eye-opener drink?)
Review of system:
Can Greg Pinch me? ✔️Ans - •General exploration of the various organ
systems of the body
Cardiovascular: palpation, pain you feeling as a while
Allergies: food, env.
Nervous: numbness/tingling
Gastrointestinal: bowel mvt, pain, bloat
Respiratory: breathing, asthma
Endocrine: hormones
Genital urinary: kidneys, male/female
Psychological: abuse, depression
,Integumentary: rashes, hives, cancer
Neck: goiters
Hematocrit: bruise, blood clots, healing
Musculoskeletal: muscle, lig, tendon, bones
EENT: Ears, eyes, nose, throatConstitutional:how are you feeling as a while
Latin for old: ✔️Ans - Presby
What vital sign am I?
• Standing platform scale with a height attachment ✔️Ans - Height and
weight
Normal oral temperature ✔️Ans - 98.6° F
Normal rectal and tympanic temperature ✔️Ans - 99.6° F
Normal axillary temperature ✔️Ans - 97.6° F
Normal temperature range ✔️Ans - 96.0°-99.5° F or 35.0°- 37.5° C
Normal adult pulse ✔️Ans - 60-100 bpm
Normal newborn pulse ✔️Ans - 120-160 bpm
Normal elderly pulse ✔️Ans - 70-80 bpm
Normal adult respiratory rate ✔️Ans - 14-18 cycles per minute
Normal newborn respiratory rate ✔️Ans - 44 cycles per minute
Normal adult blood pressure ✔️Ans - 90-120/60-80
Hypertension values ✔️Ans - over 140/90
, Hypotension values ✔️Ans - under 90/60
What am I?
• may be seen in hypertensives by taking palpatory systolic reading
• loss and reappearance of the pulsatile sound when listening with the
stethoscope during cuff deflation ✔️Ans - Auscultatory Gap
What am I?
• low pitch sounds produced by turbulent blood flow in arteries ✔️Ans -
Korotkoff Sounds
What am I?
• difference of 10-15mm Hg in systolic readings can indicate arterial occlusion
such as _____ on the side of the decreased value ✔️Ans - Subclavian Steal
Syndrome
Where in the body are blood pressure readings 20% higher? ✔️Ans - Lower
extremities
Blood pressure is what in the lower extremities? ✔️Ans - 20% higher
A difference of 10-15 mmHg in systolic readings can indicate what? ✔️Ans -
Arterial occlusion such as subclavian steal syndrome on side w/decreased
value
These are tests for what?
• Barre-Lieou
• DeKleyn's
• HallPike
• Hautant
• Underberg
• Maigne ✔️Ans - Vertebrobasilar Artery Insufficiency (VBAI)
What is the Barre-Lieou test for Vertebrobasilar artery insufficiency? ✔️Ans
- •Patient seated
•Pt rotate head maximally from side to side
•Done slowly at 1st then accelerated to patient tolerance
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