Social History (LOST)
-Lifestyle: caffeine? Nutrition? Exercise? Alcohol? Drugs? Tobacco?
C- Have you ever felt the need to cut down?
A- Has anyone annoyed you by telling you to drink less?
G- Have you ever felt guilty because of drinking?
E- Have you eve
Past Medical History- general state of health, chronic medical problems,
hospitalizations, surgical, health maintenance (vaccines,
Genetics: Things to Review
SMA (spinal muscular atrophy)- most common inherited cause of infant
Second most common recessive human disorder
Cryptic Splice Sites- randomly occurring splice site in the genome that
is not normally
Bates CV System
Systole occurs during S1, in which the mitral valve shuts. Diasole is occurring during
S2, in which the aortic valve shuts. (left ventricle)
S3 normal in kids
S2 splits into two sounds, A2 and P2 (aortic and pulmonary val
Review of Systems: (ROS) Inventory of the Body
Review of systems is the second component piece of the history and can be challenging to distinguish
from other components. Defined by the AMA/HCFA Guidelines as an inventory of the body systems,
The Mini-Mental State Examination. The maximum total score is 30. In patients older than 65 years of age, a
total score of 24 or higher can be interpreted as normal. Recent research has attempted to qualify the
impact of education and other cultural modif
Family history of suicide attempts or substance abuse?
Psychomotor (movement and speech changes, agitation)
Essential Clinical Anatomy
the circulatory system is made up of the cardiovascular and
2 circulations that the heart runs via its two muscles: pulmonary
circulation and systemic circulation
o pulmonary: the right h
OVERVIEW OF MANAGING
COMMON SYMPTOMS IN
S A H A R S H PAT E L
Most patients in the terminal phase of a serious and/or lifethreatening illness such as cancer develop gradually
worsening physical and psychosocial symptoms in the wee
At the end of this session, you should be able to:
- Explain the characteristics of a well-done systematic review
- Identify the dimensions that determine our confidence in the estimates of effect according to GRADE
- Recognize qualit
Doctor Centered Interview
Begin by filling in the history of present illness.
Define the cardinal features of the patients chief concern.
Define the cardinal features of other symptoms in the
organ system of the pa
Anorexia nervosa has highest mortality rate of any mental illness. Up to 20%!
Problems include cardiac, osteopenia, infertility, stunted growth, kidney damage,
leukopenia. Bulimia is 3% and complications are eleytes abnl, dental erosion,
all at 30 degreesThe Harrell Center Cardiovascular
Be able to identify the significance of a
Positive finding of any of these tests
Ask about chest pain, palpitations,
shortness of breath, or swelling
The Harrell Center Vital Signs
Ask about changes in weight
Ask about general symptoms (Fatigue,
weakness, chills, sweats)
Position patient properly
Confirm no food, alcohol,
Skin Hair and Nails Harrell Center Checklist
Have you noticed any changes in your skin? Hair? Nails?
Any rashes, sores, itching, lumps?
Have you noticed any moles that have changed in size, shape, color or sensation?
Any new moles?
Inspection, Palpation, Percussion, Auscultation, Special tests for each
The Harrell Center Chest
Ask about chest pain, shortness of
breath, wheezing, cough, hemoptysis
(coughing up blood)