Diseases and their
Organic - vs – Psychosomatic
Loss of normal regulatory control
Signs –vs- Symptoms
Symptoms- Patient’s perception of the change.
Sign – The actual onset of the disease that can
be measure through physical examination.
SOAP (treatment options)
Subjective – fact or myth?
Subjective info from patient
Objective- The truth that can be measured
Assessment- What it is…
Diagnosis and reviews literature
Preliminary conclusion of outcomes
Plan- What were going to do about it
Simple vs complex
Options discussed and plan finalized
A woman presented to you
in the emergency room
complaining of severe hip pain, knee pain, and nausea.
Her pulse was 62, yet her blood pressure was 145/100,
and she had a fever of 101.7 degrees.
While taking her temperature orally, the patient
vomited. Since her skin appeared pale and she had
vomited, intravenous fluids were started. X-rays were
taken of the area of complaint and showed a fracture of
the left femur and had ruptured her L-4, L-5
intervertebral disc. After placing her leg in a splint, you
notified the hospital’s on-call orthopedic physician.
A 37 year old woman, who
was 5 months pregnant,
complaining of bleeding, chronic coughing, and
congestion. Her pulse was normal, 88, blood pressure
was 106/60, and she had a slight fever of 100 degrees.
She was not experiencing any premature contractions,
but had abdominal pain due to the coughing. A pelvic
ultrasound was performed and the patient was found to
have placenta previa. Upon auscultation, you heard
slight whistling in the bronchial tubes, which leads you
to believe she has bronchitis. In addition, you notice
inflammation within the nasal cavities. Patient is sent
home with instructions to remain in bed on her left side
and with a prescription for Erythromycin 3Xday,
Robitussin Cough & Cold every 6 hours, and Tylenol
every 4 hours