Unit 2 Seminar Overview I Human review Harvey Hoya (solved) 2021

 I Human review o Harvey Hoya  Essential HTN o You will initially get an overview of the patient but you need to start asking questions o HPI  How can I help you today? Is a good opening question  Do you have any other symptoms or concerns?  Current or past medical problems that you have?  Tell me about the health of your grandparents?  Tell me about your diet and what you normally eat?  Do you have any problems with fatigue, difficulty sleeping?  Any nausea, vomiting, constipation, diarrhea?  Ask about urination  Ask about allergies  Ask about prescription medication  Ask how severe their symptoms or problem is  Ask about heat/cold intolerance  Ask about dizziness, weakness, numbness  Ask about alcohol intake  Ask about tobacco use  Ask about drug use  Ask about thyroid problems  Any chest pain  Any breathing issues  Ask about musculoskeletal issues  Ask when symptoms started o Exam  Look at skin  Look in eyes  With ophthalmoscope o Look for retinopathy  Look at mouth  Palpate the neck  Measure the JVP  Look at chest wall anterior and posterior  Palpate PMI and listen to heart  Palpate the chest and lungs then auscultate  Auscultate the abd and femoral arteries  Measure abd girth  Palpate and percuss the abd  Check mental status This study source was downloaded by from CourseH on :24:03 GMT -05:00 .  Auscultate the carotid arteries o Key findings and problem statement  Key findings are blood pressure measured times 2  Note other important findings during the exam  The most key thing would be the blood pressure  Choose differentials  Hypertension, primary and secondary  White coat HTN  Obstructive sleep apnea