acronym for what should be in subjective - Answers OLDCCAARTSAP
OLDCCAARTSAP meaning - Answers onset
location
duration
characteristic
circumstances
attributions
aggravating
relieving
timing
severity
associated
progression
what should PMH include if positive - Answers previous diagnosis, timing of diagnosis, and current state
of control
what should PSH include if positive - Answers previous surgeries, when they were performed, and
complications if any
what should be included in meds section - Answers med name, dosage, frequency, route of
administration
what should be included for immunizations section - Answers name of vaccine and timing
what should be included for allergies if positive - Answers type of reaction and name of allergen
what should be in FH - Answers whether relatives are alive or dead and their medical problems
what should be in SH (social history) - Answers social shit
- if you get vague response, probe deeper
full review of systems vs focused review - Answers - full = investigate every body system and intersystem
- focused = concentrate on symptoms involved in chief complaint
, how should HPI (history of present illness) be recorded - Answers head to toe fashion, regardless of the
order in which the info was obtained
acroynym for what goes under plan - Answers MOTHRR
MOTHRR means what - Answers medications
omm
tests
humanistic
referral
return
average oral temperature - Answers 37 degrees C (98.6 degrees F)
average temp in early morning hours - Answers 35.8 degrees (96.4 F)
average temp in late afternoon/evening - Answers 37.3 C (99.1 F)
temperature variation by technique
- oral
- rectal
- tympanic (ear)
- axillary - Answers - oral = normal
- rectal = +.7
- tympanic = + 1.4
- axillary = -1
causes of elevated temp - Answers - infectious agents
- microbial products
- tissue damage
- tissue ischemia/necrosis
- hypoxia
causes of decreased temp - Answers main cause is exposure to cold