Exam 1 PD Objectives
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Revision as of 00:49, 10 January 2012 by 134.68.138.157 (Talk)
Lange: Chapter 1: I Have a Patient with a Problem: How do I figure out the possible causes?
- Pages 1-9
- Define the steps in the diagnostic process.
- Define sensitivity, specificity and likelihood ratio.
- Understand how true negatives, false negatives, false positives and true positives are determined.
Chapter 8: Chest Pain
- Pages 130-148
- Know the differential diagnosis of chest pain by anatomical organization.
- Know the key factors in the history and on physical examination and initial diagnostic evaluation that accompany each of the following diagnoses:
- Stable Angina
- GERD
- Myocardial Infarction
- Unstable Angina
- Aortic Dissection
- Pleural Effusion
- Acute Pericarditis
Chapters 13 & 14: The Chest and the Cardiac Examinations
- Pages 362-390, Pages 391-437
Chapter 15: Peripheral Vascular System
- Pages 438-454
- Define and describe the components for the physical examination of the peripheral vascular system.
- Differentiate ulcers caused by arterial insufficiency and venous insufficiency.
- Define and differentiate intermittent claudication and pseudoclaudication.
- Differentiate skin changes caused by arterial insufficiency and venous insufficiency.
- Identify important risk factors for the development of thrombus formation.
- Recognize the symptoms of emboli affecting various organ systems.
- Clinically correlate abnormal findings when found on the examination of the arterial system. The student should be able to correlate and interpret the physical finding with the following disease processes: abdominal aortic aneurysm, renal artery stenosis, coarctation of the aorta, obstructive aortoiliofemoral disease, atherosclerosis of the carotid artery, and peripheral vascular disease.
- Define and differentiate generalized lymphadenopathy, localized lymphadenopathy, lymphangitis, and lymphedema.
- Define and appropriately apply the Allen test on a patient. The student should be able to interpret the findings of this test.
Chapter 16: Breast
- Pages 455-476
- Differentiate the clinical significance of a lump that enlarges during the premenstrual and menstrual stages of the cycle and the breast lump which does not change during the menstrual cycle.
- Describe and identify the changes of the skin and nipple which are strongly suggestive of neoplasm.
- Describe the different types of nipple discharge. Differentiate and identify the different types of nipple discharge and their clinical significance.
- Describe the components of the physical examination of the breast and the proper positioning of the patient for each component.
- Describe the following changes of the breast: erythema, edema, and dimpling. Identify and describe the differential diagnosis for each of the above physical findings.
- Describe the proper physical exam technique for axillary examination. Describe and name which lymph node regions that should be palpated on physical examination.
- Describe the characteristics which should be used to describe a breast mass which is found on physical examination.
- Based on a clinical description, differentiate between cystic disease, a benign adenoma, and a malignant tumor.
Chapter 19: Female Genitalia
- Pages 549-583.
- Identify and describe the components of the physical examination of the female genitalia.
- Recognize abnormalities that can be found on each component of the exam.
- Recognize and differentiate the clinical features of genital ulcerations.
- Describe and give recommendations for screening for cervical cancer for a patient based on the American cancer Society recommendations.
- Define and recognize the following sequelae of pelvic floor relaxation: cystocele, rectocele, and uterine descent.
- Define and differentiate the following: amenorrhea, menorrhagia, metorrhagia, menometrorrhagia, and postmenopausal bleeding.
Chapter 22: Integrating the exam
- 696-706
