Exam 1 Physical Diagnosis Objectives

From Iusmicm

Contents 1 Chapter 1 2 Chapter 2 3 Chapter 7 4 Chapter 9 5 Chapter 10 6 Chapter 11 6.1 Ear 6.2 Nose 7 Chapter 13 8 Chapter 17

Chapter 1

1. Apply the guidelines for using a medical interpreter when a medical interpreter is needed for a patient interview.
2. Define the “rule of 5 vowels” and use the 5 vowels in a patient interview.
3. Recognize the difference between a “symptom” and a “sign”.
4. Select the appropriate terminology and questions to begin a medical interview.
5. Apply the use of open-ended questions when conducting a medial interview.
6. Apply the use of direct questions when conducting a patient interview.
7. Discriminate patient symptoms using the O-P-Q-R-S-T mnemonic.
8. Discriminate which questions to avoid and not use when interviewing a patient.
9. Describe the parts of the medical history and include each part when writing a medical history.

Chapter 2

1. Describe the various responses to illness in a patient.
   1. Anxiety
   2. Depression
   3. Denial
   4. Projection
   5. Regression
2. Describe the variety of patient types and how to approach them during an interview.
   1. The silent patient
   2. The overtalkative patient
   3. The seductive patient
   4. The angry patient
   5. The paranoid patient
   6. The insatiable patient
   7. The ingratiating patient
   8. The aggressive patient
   9. The help-rejecting patient
   10. The demanding patient
   11. The compulsive patient
   12. The dependent patient
   13. The masochistic patient
   14. The borderline patient
3. Describe how disease can influence the type of patient response.

Chapter 7

1. Describe the “Four Principles of Physical Examination”, their importance, and clinical application.
2. Describe what the examiner should observe while taking a history and how to apply clinically when evaluating a patient.
3. Apply the “preparations for the physical examination” clinically when evaluating a patient.
4. Discriminate which comments to refrain from when performing the physical examination.
5. Apply the precautionary guidelines for health-care workers from the CDC and OSHA and how to apply them when examining a patient.

Chapter 9

1. Describe and recognize common symptoms of diseases involving the neck: neck mass and neck stiffness.
2. Interpret the signs and symptoms of diseases involving the neck: neck mass and neck stiffness.
3. Apply the components of the physical exam of the neck to a patient.
4. Clinically correlate the symptoms and physical findings for the following disease processes: hyperthyroidism, hypothyroidism, thyroid nodules.
5. Using the symptoms and/or physical exam findings pertaining to the neck, generate a diagnosis and a differential diagnosis.

Chapter 10

1. Describe the actions and innervations of the eye and extraocular muscles.
2. Identify the major symptoms of eye disease.
3. Interpret the symptoms of the major diseases of the eye and apply them clinically to a patient: loss of vision, eye pain, diplopia, tearing or dryness, discharge, and redness.
4. Apply the components of the physical examination of the eye to a patient.
5. Clinically correlate the symptoms and physical exam findings pertaining to the eye for the following disease processes: visual field defect, red eye (acute conjunctivitis, acute iritis, narrow-angle glaucoma, and corneal abrasion), diabetes, hypertension, and papilledema.
6. Give a differential diagnosis based on symptoms and/or physical exam findings pertaining to the eye.

Chapter 11

Ear

1. Describe the structure and innervations of the ear.
2. Identify the major symptoms of ear disease and how these symptoms can identify diseases involving the ear: hearing loss, vertigo, tinnitus, otorrhea, otalgia, and itching.
3. Interpret the symptoms of diseases of the ear and apply them clinically to a patient.
4. Apply the components of the physical exam of the ear to a patient.
5. Clinically correlate the symptoms and physical exam findings pertaining to the ear for the following disease processes: conductive and sensorineural hearing loss, otitis media. Serous otitis media, otitis externa, and vertigo.
6. Generate a diagnosis and/or differential diagnosis based on symptoms and/or physical exam findings of the ear.

Nose

1. Describe the structure of the nose.
2. Illustrate how the major symptoms of nose diseases are used to identify nose diseases.
3. Interpret the symptoms related to the nose and apply them clinically to a patient.
4. Apply the components of the physical exam of the nose to a patient.
5. Clinically correlate the symptoms and physical exam findings pertaining to the nose for the following disease processes: allergic rhinitis, sinusitis, and nonallergic rhinitis.
6. Generate a diagnosis and/or differential diagnosis based on symptoms and/or physical exam findings of the nose.

Chapter 13

1. Describe the topographical landmarks of the chest and utilize that knowledge to describe physical findings of the chest.
2. Recognize the main symptoms of pulmonary disease and how these symptoms can identify disease.
3. Interpret the symptoms of pulmonary disease and apply them clinically to a patient.
4. Apply the components of the physical exam of the chest to a patient.
5. Clinically correlate the symptoms and physical exam findings pertaining to the chest:
   1. Pulmonary Edema
   2. Pneumothorax
   3. Asthma
   4. Pneumonia
   5. Emphysema
   6. Pulmonary Embolism
   7. Pleural Effusion
6. Generate a diagnosis and/or differential diagnosis based on symptoms and/or physical exam findings of the chest.

Chapter 17

1. Describe the topographical landmarks of the abdomen and utilize that knowledge to describe physical findings of the abdomen.
2. Recognize where abdominal structures are located by topographical quadrants of the abdomen.
3. Recognize the main symptoms of abdominal disease and how these symptoms can identify disease.
4. Interpret the symptoms of abdominal disease and apply them clinically to a patient.
5. Apply the components of the physical examination of the abdomen to a patient.
6. Clinically correlate the symptoms and physical exam findings pertaining to the abdomen.
7. Generate a diagnosis and/or differential diagnosis based on symptoms and/or physical exam findings.