Bates' Guide to Physical
Examination and History Taking Ch.
1-5
7 attributes of a symptom - ANS-1. Location- in which is it, does it radiate?
2. Quality- what does it experience like?
3. Quantity or Severity- how terrible is it? (for ache, how bad is it on a scale of 1 to 10?)
4. Timing: Onset, period, & frequency- whilst did it begin, how long does it final, how
regularly does it arise?
Five. Setting wherein it happens- consist of environmental factors, personal activities
(walking), emotional reactions, and every other contributing elements
6. Factors that worsen or alleviation the symptom- what makes it better? What makes it
worse?
7. Associated manifestations
OLDCART
Onset, Location, Duration, Character, Aggravating/Alleviating Factors, Radiating, Timing
or
OPQRST
Onset, Palliating/Provoking Factors, Quality, Radiation, Site, Timing
Addiction - ANS-A number one, chronic, neurobiologic ailment, with genetic, psychosocial,
and environmental factors influencing its development and manifestations.
It's characterised by way of behaviors that include 1 or greater of the following:
- Impaired manipulate over drug use
- Compulsive use
- Continued use in spite of harm
- Craving
Anxiety - ANS-Apprehension or fear that may be centered (phobia) or unfastened floating
(preferred sense of dread)
Assess new gaining knowledge of capacity by means of... - ANS-Giving the affected person
3 or four words to bear in mind; then ask him to copy the phrases after numerous minutes
Assess orientation to... - ANS-Person, vicinity, and time
, Assess recent reminiscence by way of... - ANS-Asking about something current (weather,
national event, etc.)
Assess remote memory through... - ANS-Asking about beyond historical activities
Auscultatory Gap - ANS-A silent c programming language that may be gift between the
systolic and diastolic blood strain
(the sound disappears for some time then reappears)
Autonomy - ANS-Patient's have the right to make their own knowledgeable clinical decision
Ex) The patient is permitted the liberty of choice concerning treatment, together with in
determining whether or not he/she desires to be intubated at some stage in an exacerbation
of COPD, or deciding while he/she wishes to forgo similarly dialysis.
Beneficence - ANS-Act in the first-rate interest of the affected person
Ex) An elderly patient falls at home and has a fractured hip. In the emergency room, the
nurse acts to provide ache medication as quickly as possible in an act of beneficence
Blocking - ANS-Sudden interruption of speech, before the completion of an idea, takes place
in normal humans
BMI for adults - ANS-BMI < 18.5 = Underweight
BMI of 18.5 to 24.9 = normal
BMI of 25 to 29.9 = overweight
BMI of 30 or higher = obese
CAGE Questionnaire - ANS-Cutting down
Annoyance when criticized
Guilty feelings
Eye-openers
2 or more affirmative answers to the CAGE Questionnaire suggests alcohol misuse (very
high specificity ~96%)
Calcium - ANS-Mild, cheese, yogurt, fruit juice, tofu, dark green leafy vegetables
Circumlocutions - ANS-Words or phrases are substituted for the word a person cannot
remember
Ex: "The thing you block out your writing with" indicating an eraser
Circumstantiality - ANS-Speech characterized by indirection
and delay due to the patient's excessive use of details
that have no connection to the point
Examination and History Taking Ch.
1-5
7 attributes of a symptom - ANS-1. Location- in which is it, does it radiate?
2. Quality- what does it experience like?
3. Quantity or Severity- how terrible is it? (for ache, how bad is it on a scale of 1 to 10?)
4. Timing: Onset, period, & frequency- whilst did it begin, how long does it final, how
regularly does it arise?
Five. Setting wherein it happens- consist of environmental factors, personal activities
(walking), emotional reactions, and every other contributing elements
6. Factors that worsen or alleviation the symptom- what makes it better? What makes it
worse?
7. Associated manifestations
OLDCART
Onset, Location, Duration, Character, Aggravating/Alleviating Factors, Radiating, Timing
or
OPQRST
Onset, Palliating/Provoking Factors, Quality, Radiation, Site, Timing
Addiction - ANS-A number one, chronic, neurobiologic ailment, with genetic, psychosocial,
and environmental factors influencing its development and manifestations.
It's characterised by way of behaviors that include 1 or greater of the following:
- Impaired manipulate over drug use
- Compulsive use
- Continued use in spite of harm
- Craving
Anxiety - ANS-Apprehension or fear that may be centered (phobia) or unfastened floating
(preferred sense of dread)
Assess new gaining knowledge of capacity by means of... - ANS-Giving the affected person
3 or four words to bear in mind; then ask him to copy the phrases after numerous minutes
Assess orientation to... - ANS-Person, vicinity, and time
, Assess recent reminiscence by way of... - ANS-Asking about something current (weather,
national event, etc.)
Assess remote memory through... - ANS-Asking about beyond historical activities
Auscultatory Gap - ANS-A silent c programming language that may be gift between the
systolic and diastolic blood strain
(the sound disappears for some time then reappears)
Autonomy - ANS-Patient's have the right to make their own knowledgeable clinical decision
Ex) The patient is permitted the liberty of choice concerning treatment, together with in
determining whether or not he/she desires to be intubated at some stage in an exacerbation
of COPD, or deciding while he/she wishes to forgo similarly dialysis.
Beneficence - ANS-Act in the first-rate interest of the affected person
Ex) An elderly patient falls at home and has a fractured hip. In the emergency room, the
nurse acts to provide ache medication as quickly as possible in an act of beneficence
Blocking - ANS-Sudden interruption of speech, before the completion of an idea, takes place
in normal humans
BMI for adults - ANS-BMI < 18.5 = Underweight
BMI of 18.5 to 24.9 = normal
BMI of 25 to 29.9 = overweight
BMI of 30 or higher = obese
CAGE Questionnaire - ANS-Cutting down
Annoyance when criticized
Guilty feelings
Eye-openers
2 or more affirmative answers to the CAGE Questionnaire suggests alcohol misuse (very
high specificity ~96%)
Calcium - ANS-Mild, cheese, yogurt, fruit juice, tofu, dark green leafy vegetables
Circumlocutions - ANS-Words or phrases are substituted for the word a person cannot
remember
Ex: "The thing you block out your writing with" indicating an eraser
Circumstantiality - ANS-Speech characterized by indirection
and delay due to the patient's excessive use of details
that have no connection to the point
