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a patient has an appointment for management of her diabetes. what type
of visit would this be?
ANSWERS: health management
who is the first person to speak with the patient after he/she is place in a
room?
ANSWERS: Nurse/MA
What are the meaningful use requirements the nurse/MA will obtain?
ANSWERS: Chief complaint; Vital signs (HR, BP, T, RR), Height, weight, BMI;
Smoking status
What does H&P abbreviate and who performs this evaluation?
ANSWERS: history and physical, performed by the provider
,Is a differential diagnosis necessary for a health maintenance visit?
ANSWERS: nope.
what information will be included in the patient's plan? give 3 examples.
ANSWERS: F/U for specialist, instructions for lifestyle, F/U for next routine
appointment
name the 8 elements of the HPI
ANSWERS: Location, Quality, Severity, Context, Timing, Duration,
Associated signs and symptoms, Modifying factors
polydipsia
ANSWERS: excessive thirst
paresthesia
ANSWERS: sensation of tingling or numbness
anticoagulant
ANSWERS: a drug that prevents blood clotting
chronic illness
ANSWERS: longer than 3 months
, if a patient has had respiratory symptoms for the past 5 weeks, are the
symptoms considered chronic?
ANSWERS: No
Having multiple comorbidities increases the __ of patient care
ANSWERS: complexity
List two ways comorbidity increases complexity?
ANSWERS:
-The treatment of one disease may affect or contradict the treatment of the
second
-Adverse drug interactions
-Compounding symptoms may lead to poor compliance with treatment plan
(mo' drugs, mo' problems)
-If both illnesses affect a specific organ system, the patient is at
increased risk of organ failure
Type 2 diabetes
ANSWERS: the inadequacy of insulin in controlling the blood glucose level
(insulin resistance)
diabetes risk factors
ANSWERS: obesity, high carb diet, lack of exercise, HTN, HLD, FHx
chief complaint of diabetes
ANSWERS: weight loss or gain. polyuria, polydipsia, blurred vision, fatigue
, physical exam diabetes
ANSWERS: distal paresthesias, pedal edema, weight change
diagnosis of diabetes
ANSWERS: fasting blood glucose, hemoglobin A1c
Diseases caused by diabetes
ANSWERS: peripheral neuropathy, PVD, Diabetic retinopathy, renal failure,
cardiac disease
non-pharmacological management for DM
ANSWERS: weight loss, low-carb diet, exercise, blood glucose log