Building A Complete Health History
1. Communication techniques used to obtain a patient’s health history
2. Recording and documenting patient information
3. SOAP note documentation
4. Subjective vs ob
...
Building A Complete Health History
1. Communication techniques used to obtain a patient’s health history
2. Recording and documenting patient information
3. SOAP note documentation
4. Subjective vs objective information when documenting
5. Ethical decision-making and beneficence
Diversity and Health Assessments
6. Cultural awareness and diversity
7. Socioeconomic, spiritual, and lifestyle factors affecting diverse populations
8. Functional assessments
Assessment Tools and Diagnostic Tests in Adults and Children
9. Growth, Development, and Measurements in children and adults
10. Nutritional assessment to include recommended water intake and energy requirements
11. Macronutrients vs Micronutrients
Macronutrients:
Micronutrients:
12. Significance of a food diary
13. BMI measurements for normal, overweight, obesity, morbid obesity
14. Pernicious Anemia
15. Examination techniques and equipment
Inspection
Palpation
Percussion (must be performed against bare skin)
Auscultation
16. Diagnostic Assessment tools and tests to include tuning forks, BP monitoring, use of stethoscope, otoscope, ophthalmoscope
Tuning Forks
BP monitoring
Stethoscope (3 kinds)
Otoscope
Ophthalmoscope
Assessment of the Skin, Hair, and Nails
17. Skin lesion characteristics
18. Documenting skin lesions using “ABCD” rule
19. Anatomy and physiology of skin layers
20. Abnormal nail findings in older adults
21. Psoriatic skin lesions
22. Vesicular skin characteristics
23. Normal vs abnormal hair distribution during aging
24. Characteristics of hair distribution
Assessment of Head, Neck, Eyes, Ears, Nose, and Throat
25. Cranial Nerves associated with the HEENT system
26. Normal assessment findings of an adolescent’s nose and throat
27. Normal examination findings of an infant’s fontanelles
28. Examination findings of a patient with hypothyroid and hyperthyroid
29. Techniques for examining the HEENT systems
30. Examination findings for a patient with sinus symptoms
31. Appropriate tuning fork frequencies to approximate vocal frequencies
32. Examining the oral mucosa
33. Hearing loss findings when examining the elderly patient
34. Examination techniques used to examine the trachea and thyroid
Assessment of the Abdomen and Gastrointestinal System
35. Organs involved in the alimentary tract
36. Correct assessment order for examining the abdomen
37. Examination technique and findings of the liver
38. Examination findings associated with appendicitis
39. Examining McBurney’s sign
40. Assessment of abdominal pain in women
41. Landmarks for abdominal examination
42. Characteristics of bowel sounds heard during auscultation
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