chief complaint the reason why the patient came to see the physician history of present illness explanation of the cc to determine the onset of the illness pa
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lOMoAR cPSD| 15988909
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lOMoAR cPSD| 15988909
NHA CCMA EXAM REVIEW 2022|
2023
Chief Complaint - the reason why the patient came to see the physician.
History of Present Illness - explanation of the CC to determine the onset of the illness.
Past,family,and social history - summary of personal and family health problems as well
as social to include marital status, occupation, use of drugs, etc.
Body Processes necessary for life: - Body Temperature, Respiration, Heart Function
Vital Signs of body function: - temperature, pulse, respiration, blood pressure
Febrile - presence of fever
afebrile - absence of fever
intermittent fever - fluctuating fever that returns to or below baseline
remittent fever - fluctuating fever that remains elevated and does not return to baseline
continuous fever - fever that remains constant; does not fluctuate
axillary temperature - least accurate; taken under the arm
tympanic temperature - useful for children; placed in the ear
rectal temperature - per rectum; most effective
normal adult pulse range - between 60-100 bpm
apical pulse - taken over the apex of the heart by auscultation
normal respiration rate - 12-20 per minute (Adults)
apnea - temporary complete absence of breathing
tachypnea - respiration rate greater than 40 per minute
bradypnea - decrease in the numbers of respiration
cheyne stokes - regular pattern of irregular breathing rate
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lOMoAR cPSD| 15988909
orthopnea - decrease in numbers of respiration
hypoventilation - reduced amount of air enters the lungs resulting in decreased oxygen
level
hyperpnea - abnormal increase in the depth and rate of breathing
hyperventilation - increased amount of air entering the lungs
Systole - the highest amount of pressure exerted during the cardiac cycle
Diastole - the lowest amount of pressure exerted during the cardiac cycle
Palpation - the sense of touch to determine the characteristics of an organ system
Percussion - tapping or striking the body to determine the position, size and density of
the underlying organ/tissue
Auscultation - listening to sounds produced by internal organs
Horizontal Recumbent Position - patient lies on back w/legs extended (used for most
physical exams)
Dorsal Recumbent Position - patient lies on back with knees flexed and soles of the feet
flat on the bed
Fowler's Position - semi/sitting position where back of the table is elevated.
Dorsal Lithotomy Position - patient lies on back with knees flexed, legs seperated and
thighs are acutely flexed. feet are usually in stirrups,
Prone position - patients lies on abdomen with head turned to side
Sim's position - patient lies on left side with right knee flexed against the abdomen and
left knee slightly flexed
knee-chest position - patient is on knees with chest resting on the bed and elbows
resting on the bed above head
OSHA - Occupational Safety and Health Administration
external hemorrhage - controlling the bleeding is most effectively accomplished by
elevating the affected part above heart level
Shock - occurs when there is insufficient return of blood flow to the heart
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