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 theirsymptoms 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 mentalstatus

▪ 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