WK ONE - Clinical Approach & Infection Control

Medical Secondary Survey HEAD (History Q’s)

• headaches?

• URTI symptoms?

• visual disturbances?

• dizziness?

• confusion?

Medical Secondary Survey HEAD (Examination)

• pupil reactivity and size

• photophobia

• neck stiffness

• angiodema

• hoarse voice

• raised JVP

• lymphadenopathy

Medical Secondary Survey CHEST (History Q’s)

• palpitations

• chest pain

• SOB

Medical Secondary Survey CHEST (Examination)

• rash/hives

• capilliary refill

• expansion of chest, accessory muscle movements

• heart sounds

• air entry and breath sounds

• tenderness to palpitation

Medical Secondary Survey ABDO (History Q’s)

• vomiting

• nausea

• constipation (or opposite)

• urinary symptoms

• blood loss

• pregnancy

Medical Secondary Survey CHEST (Examination)

• soft or rigid

• distension

• pain

• bowel sounds?

• blood loss

Medical Secondary Survey ARMS/LEGS (History Q’s)

• recent trauma or events

• pain

• weakness

• change in sensation

• redness

• heat

• swelling

• changes in gait/weight bearing

Medical Secondary Survey ARMS/LEGS (Examination)

• neurovasc obs

• nail clubbing

• oedema

• gait

• weakness

• pressure areas

What is clinical reasoning?

• involves choice making processes associated with clinical practise, and a clinicians ability to make these based off their own knowledge & in the face of uncertainty

Dual Process Theory

• either FAST INTUITIVE or SLOWER ANALYTICAL

Cognitive Bias

• systematic patterns of deviation from norm or rationality in judgment that affect decision making

Clinical Reasoning Framework 1

• assess

• confirm

• treat

• evaluate