Académique Documents
Professionnel Documents
Culture Documents
ASSOCIATED
BRUISES:
MENSES,
LESIONS,
BLEED
DISORDERS,
meds,description
of
diet,
trauma,
transfusions,
nosebleeds,
gum
bleeds,hematuria,
stool
color,abuse,
anemia,
eye
hemorrhage,
hearing,
paralysis,
vertigo,
anosmia,
lethargy,fatigue,
palpitations.
PHYSICAL
EXAM:
heent,
cv,
pul,
ext,
abd,
bruised
limb
WORK
UP:
blood
smear,
bone
marrow
exam,
cbc
with
diff,
urine
analysis,
pt,
ptt
inr,
bleeding
time,
dsdna,
antidsdna
BRUISES
DATTS
VL
DIC
ANEMIA
T
CELL
HODGKIN’S
LYMPHOMA
TTP,
TRAUMA
SLE
VASCULITIS
LEUKEMIA
DOMESTIC
VIOLENCE
CASE
SAFEGARDS
Do
you
feel
safe
at
home
Are
you
afraid
of
your
husband
Family
and
friends
knowledge
about
the
situation
Guns
at
home.
And
have
you
thought
of
using
it
to
harm
yourself
or
the
abuser
(anyone)
Alcohol
involvement
in
the
situation
Relationship:
what
do
you
think
about
your
husband,
what
does
the
husband
think
of
you,
how
is
the
relationship
between
husband
your
children,
has
he
ever
hurt
the
kids,
drug
involvement,
have
you
though
of
committing
suicide
as
the
way
out
of
this
relationship
ASSOCIATED
MVA:
CONTEXT,
COUGH,
SPUTUM,
FEVER,
CHILLS,
HEAD
TRAUMA,
LOC,
HEADACHE,
VISION
CHANGES,
CONFUSION,
MEMORY
LOSS,
WEAKNESS,
NUMBNESS,
CHEST
PAIN,
palpitations,
mood.
WORK
UP:
cxr,
xray
ab,
ct
ab
pulse
oximotry,
sputum
gram
stain,
pluerocentesis,
cbc
urine
analysis.
PHYSICAL
EXAM:
Heent,
cv,
pul,
ab,
(neuro
mme,
motor,
cn,)
inspect
skin
MVA
HISTORY
CASE
AMPLE:
ALLERGIES,
MEDICATION
YOU
ARE
TAKING,
PMH,
LAST
MEAL
EVENTS
BEFORE
THE
ACCIDENT
MVA
DIFF
BREATHING
DD/DX
PPP
HRS
PNEUMOTHORAX
PLEURITIS
PNEUMONIA
HEMOTHORAX
RIB
FRACTURE
SPLENIC
RUPTURE
ASSOCIATED
RASH:
location,
flat,
raised,
blister,
changes,
what
it
first
looked
like,
duration,
new
areas,
progression,
what
happened
before
the
rash,
hot
tub
or
swimming
activities,
new
soap
or
lotions,
itchy,
swelling,
burning,
pain,
vaginal
lesions,
how
often,
insets,
camping,
travel,
fever,
chest
pain,
joint
pain,
red
eyes,
ill
contacts,
travel,
animals,
sob,
outdoors,
camping,
blisters.,
rash
on
scalp
PHYSICAL
EXAM:
HEENT,
neck,
joints,
cv,
pul
abd
WORK
UP:
cbc
with
diff,
esr,
antinuclear
antibody,
antidsdna,rf
assay,
biopsy
rash,
skin
test
for
allergen,
pft
RASH
RASH
BID
OF
PI
RA
ALLERGIC
DERMATITIS
SCABIES,
SLE
HEP
ABC
BLASTOMYCOSIS
INSET
BITE
DRUG
INDUCED
REACTION,DERMATITIS
HERPATIFORM
OCCUPATIONAL
EXPOSURE
FOLLICULITIS
PHOTO
DERMATITIS,PSORIASIS,
PEMPHYGUS,
INFECTION
BAD
BREATH
DKA
LUNG
ABSCESS
TONSILLITIS
RENAL
FAILURE
HEPATIC
FAILURE
PERIODONTAL
ABSCESS
GERD
SINUSITIS
MOUTH
SORES:
HAS
RIPT
HERPES
SIMPLEX
APHTHOUS
STOMATITIS
SLE
REACTIVE
ARTHRITIS
IBD
PEMPHIGUS
TRAUMA
Night
sweats
MED
PIG:
Malignancy,
Endocrine:
hyperthyroidism,
pheochromocytoma,
D:
drugs,
organophosphates,
and
cholinergic
drugs,
p:
panic
attacks
Infection:
HIV
and
tuberculosis,
GAD
generalized
anxiety
disorder