Quiz #1

ED FLOW

101 cards·by crystaleaves72

Study this deck

Subjective Vs Objective?

Feeling (info from patients) vs. Fact (info from dr)

Pain Vs. Tenderness?

sensation occurring without touching vs. sensation on palpation (objective only)

Chief Complaint w/ abr.

CC: Patient's main symptom, focus scribing on that

Distress

The doctor's judgment of discomfort-objective

Level of acuity

1 (high) to 5(low)

respiratory therapist

RT: administers breathing treatments

ED flow?

check in and CC, physician assessment, objective orders and results, medical decision making, disposition

past medical history

PMHx

Past surgical history

PSHx

Family History

FHx

Social History

SHx

Vital Signs

Heart rate (HR, BPM), Blood Pressure (BP, MMHg), Respiratory Rate (RR), Temperature (C/F), Oxygen Saturation (SaO2, %)

pt says high blood pressure

hypertension HTN

pt says high cholesterol

hyperlipidemia HLD

pt says thyroid problem

usually hypothyroidism, sometimes hyperthyroidism

pt say diabetes

diabetes mellitus, type 2 NIDDM, type 1 IDDM

pt says heart disease

usually coronary artery disease CAD

pt says heart attack

myocardial infarction MI

pt says heart failure

congestive heart failure CHF

pt says irregular heart beat

atrial fibrillation AFIB

pt says murmur

heart murmur

pt says episodes of abnormally fast/racing heart

supraventricular tachycardia SVT

pt says emphysema/chronic bronchitis

chronic obstructive pulmonary disease COPD

pt says blood clot in lung

pulmonary embolism PE

pt says reflux

gastroesophageal reflux disease GERD

pt says ulcer

gastric ulcer or peptic ulcer disease

pt says bladder infection

UTI

pt says kidney infection

pyelonephritis (pyelo)

pt says kidney stones

renal calculi

pt says "i'm on dialysis"

chronic renal failure CRF

pt says enlarged prostate

benign prostate hypertrophy BPH

pt says stroke

ischemic cerebrovascular accident CVA

pt says mini-stroke

Transient ischemic attack TIA

pt says seizure

epilepsy

pt says brain bleed

hemorrhagic CVA

pt says "blood clot in my legs"

lower extremity deep vein thrombosis DVT

pt says "bulge in aorta" or "triple A"

Abdominal aortic aneurysm AAA

pt says "bad blood flow to my legs"

Peripheral vascular disease

Pt says "numbness in my legs" peripheral neuropathy

answer

pt says bulging/ herniated disc

degenerative disc disease DDD

pt says arthritis

usually osteoarthritis OA sometimes Rheumatoid arthritis RA

pt says joint pain (chronic)

degenerative joint disease DJD

pt says weak/fragile bones

often osteoporosis

pt says (cancer) spread to my...

with metastases to...

pt says they cut it out

status-post surgical resection

pt says its gone

in remission

pt says tonsils removed

tonsillectomy

pt says adenoids removed

adenoidectomy

pt says ear tubes

pressure equalizer tubes P.E.

pt says heart bypass

coronary artery bypass graft CABG

pt says stents

coronary stents

pt says heart cath

cardiac catheterizaion

says balloon

angioplasty

pt says valve surgery

valve repair or replacement (bovine vs mechanical)

pt says pacer

pacemaker

pt says defibrillator

automatic implanted cardiac defibrillator AICD

pt says surgery for afib

fib s/p cardiac ablation

pt says breast removal

mastectomy

pt says hole in my neck

tracheostomy (trach)

pt says part of lung removed

partial lobectomy

pt says appendix removed

appendectomy

pt says gall bladder removed

cholecystectomy

pt says hernia repair

herniorrhaphy

pt says part of my colon removed

partial colectomy

pt says bag to collect stool

colostomy

pt says spleen removed

splenectomy

pt says stomach stapled

gastric bypass

pt says exploratory

exploratory laparoscopy ExLap

pt says kidney removed

nephrectomy

pt says uterus removed

hysterectomy

pt says ovary removed

oophorectomy

pt says ovary and fallopian tubes removed

salpingo-oophorectomy

pt says c-section

cesarean section

pt says prostate removed

prostatectomy TURP

pt says uterine product removed

dilation and curettage D &C

pt says neck artery cleaned

carotid endarterectomy

pt says brain surgery

craniotomy

pt says shunt

ventriculoperitoneal VP Shunt

pt says dialysis fistula

AV (arteriovenous) fistula

pt says dialysis graft

AV graft

pt says PICC line

peripherally inserted central catheter PICC

pt says port

port-a-cath or medi-port

pt says clot filter (low Abd)

IVC (interior vena cava) filter

pt says clot filter (leg)

greenfield filter

pt says leg amputated

Above knee AKA, below knee BKA

pt says joint repair

arthroplasty

pt says metal plates/pins

hardware

pt says neck fused

cervical spinal fusion

pt says back fused

lumbar spinal fusion

pt says hip surgery

open reduction with internal fixation ORIF

Gravida/Para/abortion (meaning)

gravida-total # of pregnancies, para-total # of live births, abortion-total number of miscarriages or elective abortions

#1 cause of seizures in pediatric patients?

Fever

true allergy symptoms?

rash, swelling, itching (anything else is an "adverse reaction")

younger age of onset?

higher genetic risk as opposed to environmental

FHX General

HTN, DM, CA

FHX Cardiac

MI, CAD (less than 55 y/o)

FHX pulmonary

PE, Asthma

FHX Gastrointestinal

Crohns, IBS

FHX Neurological

CVA, aneurysm, seizures

FHX misc.

sickle cell anemia, DVT

Social history SHX

tobacco use, alcohol use, illicit drug use, occupation, living circumstances