Approximately PHQ2
- what does it display for, what are the questions, scoring - ANS-- Screens for MDD
- It is the first two questions of the PHQ9
- In the final two week, have you been feeling those (not at all, numerous days, extra than half
the day, nearly regular):
- Little hobby or delight in doing things?
- Feeling down, depressed, or hopeless?
Scoring:
A unmarried sure or rating >three (out of zero-6) = feasible scientific melancholy ⇒ due the
PHQ9
If the pt monitors (+) ⇒ preserve to eval with the PHQ9
about PHQ9
- what its used for, questions, scoring - ANS-Used for screening, diagnosing, and treating
- It asks about functioning impairments which is wanted for the DSM-based diagnosis
Includes asking about suicide or hurting self
Scoring:
zero-27 available
zero-4: Minimal/none
Monitor; won't require treatment
5-9: Mild
Use medical judgment; comply with-up in one month
10-14: Moderate
Use medical judgment; may also need meds if functionally impaired
15-19: Moderately Severe
Warrants energetic treatment with psychotherapy, meds, or mixture
20-27: Severe
Warrants active treatment with psychotherapy, meds, or mixture
American Society of Anesthesiologists Anesthesia Classification System 1-four - ANS-ASA
Class 1: wholesome, normal patient
ASA Class 2: patient with moderate systemic disease
ASA Class three: patient with extreme systemic sickness
ASA Class four: affected person with extreme systemic ailment that is a risk to lifestyles
anaphylaxis ss - ANS-Occurs inside 5-30 minutes of publicity to:
, Generalized itching without or with hives
Swollen lips, throat, frame component
Difficulty respiration, cough
Chest tightness
Abdominal cramping
NVD
Feeling of imminent doom
are maximum DM PO retailers taken the day of surgical procedure? - ANS-yes
Bell's Palsy
- definition, etiology, SS, PE, remedy - ANS-DEFINITION
- Acute, unilateral weakness or paralysis of the facial nerve with an onset of , 72h and unknown
purpose
ETIOLOGY
- genetics, vascular, nerve compression, infectious, and metabolic ▲
- HSV, VZV ⇒ cause latent infections in nerves ⇒ reactivation of these can purpose Bell's
SS
- might also have ache in the back of the ipsilateral ear previous the paralysis with the aid of 1-2
days
- may have altered flavor and ↑ sensitivity to sound
* Timing is ESSENTIAL *
- offers inside 38-72h
- slower, innovative, or relapsing is a unique entity
PE
- have to do a whole CNS examination to r/o stroke, tumor
- need to find that CN7 is the primary peripheral source of the facial weak point
- will purpose a unilateral, complete-face paralysis with an ipsilateral supply indicating a
peripheral nerve trouble
- lack of eyelid closure and absence of wrinkling brow
- look for vesicles → Ramsay Hunt Syndrome
TRTMT
Eye Protection = most impt
- exposure keratitis can reason blindness, cornea can get abrasions
Steroids:
- w/i 72h
- prednisone 60mg/day with five day taper
Antivirals:
- Acyclovir 400mg/day x 7 days
- MUST be given with steroids otherwise no effect