Diseases

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					Diseases and their
Diagnosis


 Organic - vs – Psychosomatic
Organic Diseases

  Pathogens
  Genetics
  Loss of normal regulatory control
   mechanisms
  Degeneration
  Trauma
  Malnutrition
Signs –vs- Symptoms
  Symptoms- Patient’s perception of the change.
       Nausea
       Feeling Light-head
       Pain


  Sign – The actual onset of the disease that can
   be measure through physical examination.
         Inspection
         Palpation
         Percussion
          Auscultation
SOAP (treatment options)
 Subjective – fact or myth?
    Subjective info from patient
    Med history
 Objective- The truth that can be measured
    Physical exam
 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
Time for
SOAP
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,
presented
  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

				
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posted:9/25/2012
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