Summary
Complete summary General Medicine
- Course
- Institution
- Book
Summary of the course General Medicine. Includes all the learning outcomes, fact sheets, self-made scheme's, illustrations & pictures
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
More summaries for
-
Common fractures
-
MCQs for clinical medicine
-
Systemic Lupus Erythematosus
Seller
Follow
merelhendrikx
Reviews received
Content preview
GENERAL MEDICINEHNH-27806
,GP patients, examination and diagnosis
Health:
- 1946: A state of complete physical, mental and social well-being ant not merely the
absence of disease or infirmity
- 2012: the ability to adapt and self-manage in the face of social, physical and
emotional challenges
o Individual health, Ability to cope with chronic diseases and disabilities
o Difference: Acceptance that health is not static
The GP-practice
• Three most common conditions in NL:
o Hypertension, urinary tract infections, diabetes
• The GP is part of primary care: first point of consultation
• ICE: medical history
o Ideas: What does the patient think that is going on?
o Concerns: Are they anxious about the symptoms? Why?
o Expectations: what are patients hoping from this consultation?
Diagnostic process
1. History/Anamnesis: Everything the patient can tell you
a. Duration and severity of symptoms, localization of pain, family history,
smoking, medication, past medical history, height & weight
2. Examination: what you can see, hear, feel, smell
a. Inspection: Take a look at skin, problems with posture, tremors – look
b. Auscultation: listening with stethoscope, heart/breathing sounds – hear
c. Percussion: drumming with finger on abdomen or chest – tap
d. Palpation: pressing on painful parts, lumps, firmness, nodules – feel
3. Investigation: imaging or sampling
a. Laboratory (blood/urine), tissue biopsy
b. Spirometry (lung function), ECG
c. Imaging techniques
Differential diagnosis: the distinguishing of a certain disease or situation from others that
present similar signs or symptoms
,Imaging techniques
Name Principle Used for imaging what? Resolution Risk
X-rays Electromagnetic Dense organs: + (bone) +/-
radiation, Bones (fractures), soft - (soft tissue) (radiation)
radiograph, dense tissue, organs
area’s with high
atom density show
white, 2D
CT-scan Multiple angles & X- Structural level: Tumor + (bone) +/-
rays divide patient position & shape, blood - (soft tissue) (radiation
in ‘coupes’, cross- cloths, infections, bones,
sectional, 3D organs
PET-scan 3D by using Disease at - +
radioactive contrast metabolic/cellular level: (radiation)
tracers, isotopes, Cancer, cellular function,
glucose metabolism, brain
activity, Blood flow, oxygen
use
MRI Cross-sectional, no Structural level & soft tissue: + -
radiation but breast cancer, injuries or
magnetic fields. abnormalities of joints,
Magnets produce heart problems, abdominal
strong magnetic organs, brain
field that forces
protons in the body
to align with that
field. When a radio
wave is then pulsed
through the patient,
the protons spin out
of equilibrium,
which is visible on
screen. Dense areas
show dark. 3D
Ultrasound Propagate through Organs, blood vessels, fetus - -
different tissues
and then return the
transducer as
reflected echoes.
Ultrasound waves
are reflected at the
surfaces between
the tissues of
different density.
2D
, Glossary
Term Description
Auscultation Listening with stethoscope – hear
Colo- Colon
Dys- Dysfunction, abnormal, impaired
-emia In the blood
Endo- Inside, within
Eu- Good, well
Gastro- GI-tract
Haem- Blood
Hyper High
Hypo Low
Infirmity Physical or mental weakness
-itis Inflammation
Palpitation Pressing on painful parts
Percussion Drumming with finger
-pnea Air
-poly A lot
Ury/uro- Urine
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller merelhendrikx. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $6.08. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82215 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now