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1st Thing that needs to be assessed |
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Definition
Is it an emergency or life-threatening!!! |
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How to arrive at a clinical diagnosis? |
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Definition
1. Information about the current illness/problem of the patient 2. The Patient's history 3. The physical examination 4. Diagnostic testing |
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Current Illness Questions |
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Definition
1. When did the symptoms/signs start? 2. What are the circumstances? 3. Is this the first time the patient has had these symptoms? 4. Are the symptoms getting worse, better, or remaining stable? 5. What steps did the patient take? 6. Did anything help or change? 7. If the patient had this in the past, was there a significant change? |
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Definition
1. Get current and past medical history 2. Are there other concurrent medical problems? 3. Are there other relevant patient issues, such as smoking, alcohol, drugs, social issues, employment 6. Family history 7. any other information that might be helpful with the case |
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Definition
1. Cultivate the art of observation 2. Be systematic in your examination 3. Develop a routine that you follow 4. Know your tools 5. The future - mobile ultrasound devices |
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Diagnostic tests and procedures What is the difference between non-invasive and invasive procedures |
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Definition
Non-invasive procedures - Don't break the skin Ex. urine test, throat swab, imaging, EKG, eye, ear, throat inspection, reflexes
Invasive Procedures - break the skin ex. blood draw, spinal tap, biopsy, endoscopy
*not accepted definition for "invasive procedure" |
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Definition
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CBC +Differential Complete Blood Count |
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Definition
White Blood Cell (WBC) range 4.0 to 10.0 k/mcL
Increase in NE (Neutrophils) Possible Bacterial infection
Increase in LY (Lymphocytes), Possible Virus infection
RBC count differs between men and women Women 4.0 to 5.4 million cells per mcL Men 4.5 to 6.1 million cells per mcL
Platelets - 150 to 400 k/mcL |
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Term
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Definition
Lymphocytes -
Granulocytes
Neutrophils
Eosinophils |
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ECG or EKG Electrocardiogram |
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Definition
Measures the electrical activity of the heart |
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Definition
Measures the electrical activity of the brain |
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Definition
Measures the electrical activity of muscles |
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Electrical conduction of the heart |
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Definition
Sinus Node (SA node) = Sinoatrial node AV node = atrioventriculart node |
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Definition
P wave - atrial depolarization
QRS complex - ventricular depolarization
T wave - repolarization of the ventricle |
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Term
ST elevation in the QRS complex |
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Definition
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Definition
250-300 beats per minute
Sinusoidal (Bad) |
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Definition
No clear electrical activity (Worse) |
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Definition
a way of charting CBC and CMP |
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CMP Comprehensive metabolic panel |
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Definition
Measures electrolytes (Na, K, Cl, Ca), glucose, BUN (blood urea nitrogen), Crea (creatinine), Liver enzymes (AST, ALT) |
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Definition
Albumin, enzyme, immunoglobulins |
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Definition
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Thyroid, testosterone, estrogen, and many other |
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Myocardial infarct, pancreatitis, liver disease, renal disease |
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Alcohol, other substances |
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ESR Erythrocyte sedimentation rate |
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Definition
Not used much today only for myeloma, temporal arteritis, and polymyalgia rheumatica |
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Definition
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Definition
Protein, microorganism, pH, Blood |
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Definition
Collecting cerebrospinal fluid Looking at cells, proteins, and microorganisms |
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Lecture 1 One hand (Right) was swollen and red, especially around the knuckles, mostly around the ring finger. Both hands had scrapes and scabs on both hands and knuckles. |
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Definition
Boxer's Fracture Bar Room Fracture
The X-ray showed a break on the right-hand ring finger knuckle |
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