1The_Patient_History_An_Evidence_Based_Approach_to_Differential.pdf
51.3 MB
πApproach to Symptoms ..
πΉApproach to Symptoms playlist βͺοΈ SOMS Channel
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πApproach To Symptoms
π°( Medicine )
Ψ¨Ψ§ΩΩΨ³Ψ¨Ψ© ΩΩ adult ΩΩ emergency Ψ§ΩΨ§Ω ΩΨ± Ψ§ΩΩ ΩΩ Ψ© .
βͺοΈ Always Updated.
πΈGeneral :
- Approach to fever
πΉNeurology :
πΉMusculoskeletal :
πΈGastrointestinal :
- Approach to dysphagia
- Approach to Jaundice
- Approach to acute vomiting
πΈ GenitoUrinary :
- Approach to Hematuria
πΉCardiovascular :
πΉRespiratory : β
- approach to Cough
- approach to Hemoptysis
- approach to Dyspnea :
π° Acute dyspnea
π°Chronic dyspnea
ββ
βͺοΈDerma :
β«οΈENT :
- approach to Epistaxis
π°( Medicine )
Ψ¨Ψ§ΩΩΨ³Ψ¨Ψ© ΩΩ adult ΩΩ emergency Ψ§ΩΨ§Ω ΩΨ± Ψ§ΩΩ ΩΩ Ψ© .
βͺοΈ Always Updated.
πΈGeneral :
- Approach to fever
πΉNeurology :
πΉMusculoskeletal :
πΈGastrointestinal :
- Approach to dysphagia
- Approach to Jaundice
- Approach to acute vomiting
πΈ GenitoUrinary :
- Approach to Hematuria
πΉCardiovascular :
πΉRespiratory : β
- approach to Cough
- approach to Hemoptysis
- approach to Dyspnea :
π° Acute dyspnea
π°Chronic dyspnea
ββ
βͺοΈDerma :
β«οΈENT :
- approach to Epistaxis
Dysphagia.pdf
2.1 MB
β
For more and more Details .
πΈDDx.
πΈFocused Hx ( important Q. ) :
-show me with your finger at which level does the food get stuck?
-due to solid or liquid or both?
-painful or painless?
-transient, intermittent or progressive?
-associated Symptoms?
-Did you notice bulging of the neck while eating or drinking?
-ASK about - PMH , drug , exposure to radiation
πΈDDx.
πΈFocused Hx ( important Q. ) :
-show me with your finger at which level does the food get stuck?
-due to solid or liquid or both?
-painful or painless?
-transient, intermittent or progressive?
-associated Symptoms?
-Did you notice bulging of the neck while eating or drinking?
-ASK about - PMH , drug , exposure to radiation
π Keep in your Mind :
βͺοΈ Dysphagia should always be taken seriously and should prompt further evaluation .
βͺοΈ Distinguish between oropharyngeal and esophageal dysphagia at the beginning of the interview.
βͺοΈ The duration and frequency of a patientβs dysphagia provide useful clues and can help make the
diagnosis.
βͺοΈ Dysphagia to solid food is most often due to a mechanical obstruction, whereas dysphagia to solid and liquid food is often due to a motor (motility) disorder.
βͺοΈ Dysphagia should always be taken seriously and should prompt further evaluation .
βͺοΈ Distinguish between oropharyngeal and esophageal dysphagia at the beginning of the interview.
βͺοΈ The duration and frequency of a patientβs dysphagia provide useful clues and can help make the
diagnosis.
βͺοΈ Dysphagia to solid food is most often due to a mechanical obstruction, whereas dysphagia to solid and liquid food is often due to a motor (motility) disorder.
Hematuria.pdf
1.9 MB
β
For more and more Details .
πΈDDx.
πΈFocused Hx ( important Q. ) :
- at the beginning of micturition or at the end or throughout?
-feel pain or burning during micturition?
- associated with frequency, urgency or hesitancy?
- have loin pain? radiate to the groin? have pain in lower abdomen or generalized abdominal pain?
βοΈ (If the patient complains of any pain, take detailed history ..)
- noticed bleeding from any other part of the body?
- have fever?
βοΈ (If yes, take detailed history of fever).
- associated with nausea or vomiting?
- noticed any rash? Is it associated with joint pain and swelling?
- Did you ever pass stones previously?
- Did you suffer from any kind of trauma?
- Did you suffer from skin infection or sore throat recently?
- have hypertension, exertional breathlessness and swelling of the body?
- In female, enquire whether she is menstruating.
- ask about Drug hx / PMH / hx of renal diseases in his family / Exposure to radiation / travel
πΈDDx.
πΈFocused Hx ( important Q. ) :
- at the beginning of micturition or at the end or throughout?
-feel pain or burning during micturition?
- associated with frequency, urgency or hesitancy?
- have loin pain? radiate to the groin? have pain in lower abdomen or generalized abdominal pain?
βοΈ (If the patient complains of any pain, take detailed history ..)
- noticed bleeding from any other part of the body?
- have fever?
βοΈ (If yes, take detailed history of fever).
- associated with nausea or vomiting?
- noticed any rash? Is it associated with joint pain and swelling?
- Did you ever pass stones previously?
- Did you suffer from any kind of trauma?
- Did you suffer from skin infection or sore throat recently?
- have hypertension, exertional breathlessness and swelling of the body?
- In female, enquire whether she is menstruating.
- ask about Drug hx / PMH / hx of renal diseases in his family / Exposure to radiation / travel
π Keep in your Mind :
βͺοΈ The first priority is to determine whether the discoloration is due to blood in the urine or another cause.
βͺοΈ All patients with even a single episode of gross hematuria should receive a thorough history and physical examination
followed by urologic or nephrologic evaluation .
*Both microscopic and gross hematuria can be manifestations of serious disease, including malignancy.
βͺοΈEven in patients with transient causes, if there are significant risk factors for malignancy, further evaluation should be considered.
βͺοΈ older men with microscopic or gross hematuria are more likely to have a genitourinary malignancy, diagnostic evaluation should be pursued even in the presence of nocturia, polyuria, and decreased force of urinary stream ( suggestive of BPH ).
βͺοΈ The first priority is to determine whether the discoloration is due to blood in the urine or another cause.
βͺοΈ All patients with even a single episode of gross hematuria should receive a thorough history and physical examination
followed by urologic or nephrologic evaluation .
*Both microscopic and gross hematuria can be manifestations of serious disease, including malignancy.
βͺοΈEven in patients with transient causes, if there are significant risk factors for malignancy, further evaluation should be considered.
βͺοΈ older men with microscopic or gross hematuria are more likely to have a genitourinary malignancy, diagnostic evaluation should be pursued even in the presence of nocturia, polyuria, and decreased force of urinary stream ( suggestive of BPH ).