Bates - Chapter 1 - Physical Examination and History Taking Questions With 100% Correct Answers.

7 components of the adult health history? - 1) Identifying Data and Source of the History 2) Chief Complaint 3) Present Illness 4) Past History 5) Family History 6) Personal and Social History 7) Review of Systems Is it okay to ask about culture and family in the personal and social history? - -> yes, culture plays an important role in health seeking behaviour and defining illness Overview of the physical examination - order of it? - 1) General survey (eg posture, weight) 2) Vital signs 3) Skin (eg. clammy) 4) Head, eyes, ears, nose throat 5) Neck 6) Back 7) Posterior Thorax and Lungs 8) Breats, Axillae and Epitrochlear nodes 9) Anterior Thorax and Lungs 10) Cardiovascular System 11) Abdomen 12) Lower Extremities 13) Nervous SystemSubjective vs Objective data - *subjective* -> what the pt. tells you, chief complaint, history etc *objective* -> what you detect during the exam what are the 4 cardinal techniques of examination? - - inspection - palpation -percussion - auscultation What comprises the 1) Identifying Data and Source of the History? - *Identifying data* - such as age, gender, occupation, marital status *Source of the History* - usually pt., may come from family, from referral *Reliability* - varies according to pt. memory, mood etc What comprises the 3) Present Illness - symptoms (OPQRST), thoughts and feelings about illness (FIFE), medications, alelrgies etc What comprises the 4) Past History - - childhood illness - adult illness - self-care practices What comprises the 6) Personal and social History? - -> education, family of origin, current household, personal interests, lifestyle When asking about present illness is it appropraite to ask about medications, allergies and habits? - -> yes, may be pertinent to the present illness When would you conduct a comprehensive assessment vs focused? - *Comprehensive* -> new pt.-> very sick -> strengthen pt-ph relationship -> get baselines for future reference *Focused* -> established pt. routine visit -> focused concerns/symptoms