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Gen Med Eval
Section one of gen med
Question | Answer |
---|---|
OSHA | BBP standards, barriers, disinfection |
PPE | required by NCAA must cover immmunizations, allergies, illness, CV, neuro, musculoskeletal |
Stages of Prevention | Primary, secondayr tertiary |
Primary Stage of prevention | Goals:reduce risk factors Intervention:nutrition, exercise, monitoring environmental risks, prevention and educational programs |
Secondary Stages of Prevention | Goals:early detection, early intervention, inhibit proliferation Intervention:regular medical checkups, self-examination, early medical treatment |
Tertiary Stage of Prevention | Goal:limit established disease Intervention:medical treatment, supporitve and restorative |
HIPAA | Health Information Poprtability and Accountability ACt Implemented in 2003 Protects Patient Privacy-control over who and how their info is disclosed, full access to their health records |
General Medical Evaluation | History, Systemic Review, Physical Exam, Assessment, Plan |
History | Cheif Complaint, Current Medication, vitamins, supplements, past medical hisotry, current health status, family health history, past med history, current med history, family health history |
systemic review | all systems are review, begins w. a gen assessment(height weight etc) continue system by stystem starting with skin, work head to toe |
Systems in a systemic review | Skin, HEENT, lymphatic, GI, endocrine, male/female, chest/lungs, CV, hematology, genitourinary, musculoskeletal, mental |
skin | appearance and color |
HEENT | head, eyes, ears, nose and throat HA, seizures, syncope, contacts, tinnitus,vertigo, irritation |
lymphatic | swelling, pitting edema |
GI | heart burn, vomit, diarrhea, constipation |
Endocrine | temperature, tolerance |
Male/female | breast pain, swelling, lumps, LMP |
Chest/lungs | SOB, dyspnea, night sweats, sputum |
Cardiovascular | chest pain, exertional SOB |
Hematology | easily bruise |
Genitourinary | frequency, volume, color, dysuria |
General survey-physical exam | observe current state of health |
physical exam-vital signs | height and weight, bp, pulse rate and rythem respiration rate, temp |
height and weight | body comp, BMI |
BP | stephoscope, sphgnomanometer, size, procedure, normal levels, position |
pulse rate and rythme | location(radial, brachial, carotid, popliteal, post tib dorsal pedal), active c resting measurements, normal bradycardia, tachycardia |
respiration rate | normal level 12 per min, symmetry of movement |
temp | normal values, sites of taking temp, most accurate fever |
evaluation tools | stethoscope, opthalmoscope, otoscope, tuning fork, snellen eye chart |
diagnostic test | imaging, lab(urinalysis0-ph, RBC, WBC, glucose, specific gravity, protien)(CBC-RBC, WBC, hemoglobin, hematocrit) |
Evaluation techniques | neurological testing, palpation, percussion, ausculation |
neurological testing-eval techniques | dermatomes, myotomes, DTR |
palpation-evaluation techniques | light- 1cm deep-4cm |
percussion | direct:ulnar aspect of fist indirect:finger and hand Tone:air/lungs-loud, fluid(less loud, solid-soft |
Auscultaion | high pitch:bowl, lung, normal heart(diaphram) low pitch:heart murmers(bell) |
diagnosis | regers to the specific injury, illness, disease or condition a patient has, as determined by medical examination |
differential diagnosis | the identification of several conditions that might have similar clinical presentations, reqruies referral to doc for further lab or imaging studies for clarification of diagnosis |
clinical decision making-the ats diagnosis may lead to actions such as | first aid, emergency transport, treatment and rehab, reassessment, modification of activity, referral to other health care specialists |
RED FLAGS | constant p!, heart palpitations, fainting, night pain or sweats, visual problems, unexplained weight loss, severe shortness of breath, recurrent nausea or comiting, difficult or painful urination, blood in urine or stool, excessive malaise or fatigue |