what is the mneumonic for all the comprehensive history that needs to be included in a comprehensive history
PAM HUGS FOS EAST SODA
past history
allergies
meds
hospitalizations
urinary complaints
gut complaints
sleep
family history
occupation
support in life
exercise
appetite
stress
trauma
smoking
obs history
drugs
alcohol
what is a common cause of burning sensation
diabetic neuropathy
what type of pain does a nerve entrapment cause
shooting
what type of pain is expected with MS
electric shock like pain
what is trigeminal neuralgia aka
tic doulareaux
what is the term for when pain follows a dermatomal pattern and is commonly related to nerve root pathology
radicular
what is hypoestesia
numbness
what usually causes hypoestesia
nerve root entrapament
what is the word for tingling or pricking sensation in the absence of external stimulation
parasthesia
this disease commonly is associated with saddle anesthesia
cauda equina
______ pain is usually characterized as poorly localized
visceral
if someone has heart attack symptoms but the pain is relieved by rest and nitro, what do they have
angina pectoris
pancreatitis from alcohol consumption causes what pain where
unrelenting pain in the middle of the back
gallbladder pain occurs where and refers to where
right upper quadrant and it refers to the right scap
this is associated with mcburneys point
appendix
what makes gastric ulcers worse
eating
what makes duodenal ulcers worse
hunger
pain in the kidneys refers to where
testicles and groin area
what is the difference between common and classic migraine
classic is the same as common but it is preceeded by prodromal aura
who gets cluster headaches more commonly
young boys
if someone has head pain in the morning that gets better as the day goes on and the pain increases with changes in head position what do they probably have
brain tumor
this is characterized as the worst headache a patient has ever had
subarachnoid hemorrhage
what is the normal resp rate for adults and newborns
14-18
44
what is the normal pulse rates for men, women, kids, newborns and old people
72
80
90-140
120-160
70-80
what are the sounds heard while taking BP
korotkoff
ausculatoatory gaps may cause ____ reading while taking BP
low
what is a risk factor or positive finding wile doing the subclavian auscultation
`10mm Hg difference between systolic and diastolic
what is the name of the test where the patient rotates their head from side to side
barre leiou sign
what is the purpose of the barre leiou sign
ipsilateral vertebral artery buckling
what is the test where the patient has their head extended off the table and the head is rotated
dekleyns test
what is the purpose of dekleyns test
vertebrobasilar circulation compromise
what is the move where the patient is supine with eyes open and head extended off the table as the examiner provides support for the weight of the head and they move the head with lateral flexion and look for nystagmus
hallpike maneuver
what is the purpose of hallpike
vertebral, basilar, carotid artery stenosis or compression
what is the test where the patient is seated and the head is neutral, then the patient extends the arms forward and elevates them to shoulder level with the hands supinated
hautants test
what is the purpose of hautants test
vertebrobasilar vascular compromise
what would a positive hautants test look like
arms drifting off the original position
The patient stands with eyes open, arms down, and feet close together.
The examiner should remain close to the patient during the entire exam to prevent a fall if the balance is compromised.
The patient closes the eyes, and extends the arms forward and el
underbergs test
what is the purpose of underbergs test
vertebrobasilar stenosis or compression
temporal arteritis labs show what
ESR increase
allergies labs show increase in
eosinophils and IgE
acid phos test is for
prostate carcinoma
A/G ration is for what
MM, RA, hepatitis
increased albumin means
dehydration
decreased albumin means
nephrosis
alk phos increase shows what
osteoblastic lesions, hepatic disease
increased amylase means what
acute pancreatitis
ANA/FANA test is for what
collagen disease
ASO titer test is for what
rheumatic fever, acute obstglomerulonephritis
BUN increased means what
kidney disease
BUN decreased means what
liver disease
increased CA test means what
hypothyfoidism, hyperparathyroidism, increased vit D or metastatic bone disease
desceased CA test means what
opposite of increased
coombs test is for what
hemolytic disease
Rh factor
CPK increased means what
muscle necrosis
C reactive protein test increase means what
tissue necrosis
downey cells means what
mono
ESR test increase means what
acidosis infection, RA, TB, infection, temporal arteritis, MM
descreased ESR means what
sickle cell, polycythemia
decreased glucose in the CSF means what
meningitis
heterphile test is for what
mono
HCG test increase means what
Hydatidiform mole
choriocarcinoma
seminoma
testicular cancer
multiple pregnancy
HCG test decrease means what
ectopic pregnancies
what is the avg cholesterol
200
increase LDH test means
MI
muscular dystrophy
lipids atherosclerosis tests increased means what
early starvation
DM
lipids atherosclerosis decreased test means what
late starvation
liver disease
LE prep test is for what
SLE
increased phosphorus test means what
acromegaly
kidney
hyper D
decreased phosphorus test is for what
rickets
hypo D
hyperparathyroidism
potassium increased means what
addisons
kidney failure
potassium decreased means what
renal disease
insulin
diuretics
increased protein in the CSF means what
meningitis
RA latex test is for what
RA
SGOT test is for what
MI liver
SGPT test is for what
liver
increased T3/4 means what
hyperthyroidism
decrased T3/4 means what
hypothyroidism
will an overwhelming infection, is WBC count up or down
down
lymphocytes come around with what
chronic infections
monocytes come around with what
viral infections
eosinophils come around with what
allergies or parasites
basophils come around with what
heparin production
lymphocytes are increased in
mono
monocytes are increased in what
virus or cancer
casophils are increased in
myeloid leukemia