Podcast
Questions and Answers
Which information should not be placed under the past medical history?
Which information should not be placed under the past medical history?
Which item should not be included in Personal and Social History?
Which item should not be included in Personal and Social History?
What is a standard drink equivalent to?
What is a standard drink equivalent to?
Which term describes symptoms that support a possible diagnosis?
Which term describes symptoms that support a possible diagnosis?
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Known allergies of a patient should be documented in which section?
Known allergies of a patient should be documented in which section?
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Study Notes
Medical History and Documentation
- Past medical history should include active medical problems, remote medical problems, screening tests, and alcohol intake, but not comorbidities.
- Personal and social history encompasses personality, occupation, education, and significant relationships, excluding comorbidities.
- Known allergies should be noted in the past medical history, while maintenance medications belong there as well.
Alcohol Consumption Definitions
- A standard drink is equivalent to 12 oz of regular beer, 5 oz of malt liquor, 8 oz of wine, or 1.5 oz of 80-proof spirits.
- Moderate drinking for women is defined by specific limits; exact figures need to be referenced according to guidelines.
Clinical Diagnosis Terminology
- Pertinent positives are symptoms or signs that support a diagnosis when a possible cause is suspected.
- Specificity refers to the ability of a test to correctly identify those without the condition, while sensitivity identifies true positives.
History of Present Illness (HPI)
- HPI includes a chronological story of the patient’s problem, detailing onset, setting, manifestations, and previous treatments.
- Scanning is the inquiry method often used in assessing the history of present illness.
Skin Lesions and Conditions
- Pressure ulcers result from sustained compression and shear forces, commonly seen in bedridden patients.
- Nonblanching lesions examples include purpura and petechiae; cherry angiomas do not fall under this category.
Miscellaneous
- Be aware of how to differentiate between types of lesions and where to document relevant patient information in medical records for accuracy and clarity.
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Description
Test your knowledge on the appropriate categorization of past medical history and social history in healthcare. This quiz challenges you to differentiate between various types of medical information and their relevance. Answer questions about standard drink measurements and more.
