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Section one of gen med

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Question
Answer
OSHA   BBP standards, barriers, disinfection  
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PPE   required by NCAA must cover immmunizations, allergies, illness, CV, neuro, musculoskeletal  
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Stages of Prevention   Primary, secondayr tertiary  
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Primary Stage of prevention   Goals:reduce risk factors Intervention:nutrition, exercise, monitoring environmental risks, prevention and educational programs  
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Secondary Stages of Prevention   Goals:early detection, early intervention, inhibit proliferation Intervention:regular medical checkups, self-examination, early medical treatment  
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Tertiary Stage of Prevention   Goal:limit established disease Intervention:medical treatment, supporitve and restorative  
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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  
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General Medical Evaluation   History, Systemic Review, Physical Exam, Assessment, Plan  
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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  
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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  
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Systems in a systemic review   Skin, HEENT, lymphatic, GI, endocrine, male/female, chest/lungs, CV, hematology, genitourinary, musculoskeletal, mental  
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skin   appearance and color  
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HEENT   head, eyes, ears, nose and throat HA, seizures, syncope, contacts, tinnitus,vertigo, irritation  
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lymphatic   swelling, pitting edema  
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GI   heart burn, vomit, diarrhea, constipation  
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Endocrine   temperature, tolerance  
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Male/female   breast pain, swelling, lumps, LMP  
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Chest/lungs   SOB, dyspnea, night sweats, sputum  
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Cardiovascular   chest pain, exertional SOB  
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Hematology   easily bruise  
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Genitourinary   frequency, volume, color, dysuria  
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General survey-physical exam   observe current state of health  
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physical exam-vital signs   height and weight, bp, pulse rate and rythem respiration rate, temp  
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height and weight   body comp, BMI  
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BP   stephoscope, sphgnomanometer, size, procedure, normal levels, position  
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pulse rate and rythme   location(radial, brachial, carotid, popliteal, post tib dorsal pedal), active c resting measurements, normal bradycardia, tachycardia  
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respiration rate   normal level 12 per min, symmetry of movement  
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temp   normal values, sites of taking temp, most accurate fever  
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evaluation tools   stethoscope, opthalmoscope, otoscope, tuning fork, snellen eye chart  
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diagnostic test   imaging, lab(urinalysis0-ph, RBC, WBC, glucose, specific gravity, protien)(CBC-RBC, WBC, hemoglobin, hematocrit)  
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Evaluation techniques   neurological testing, palpation, percussion, ausculation  
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neurological testing-eval techniques   dermatomes, myotomes, DTR  
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palpation-evaluation techniques   light- 1cm deep-4cm  
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percussion   direct:ulnar aspect of fist indirect:finger and hand Tone:air/lungs-loud, fluid(less loud, solid-soft  
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Auscultaion   high pitch:bowl, lung, normal heart(diaphram) low pitch:heart murmers(bell)  
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diagnosis   regers to the specific injury, illness, disease or condition a patient has, as determined by medical examination  
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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  
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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  
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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  
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