1. Clinical Problem solving and fluid movement

Patient Script

Chief Complaint (CC)
Temporal Pattern
Epidemiology
Clinical Presentation
History (Hx); Medical History (MHx); Social History (SHx)

Clinical process

Patient scripts are compared with illness scripts to create a differential diagnosis (DDx); Tiered best guess of the possible diseases

Pathogenesis

Mechanisms/steps that go patient sick

Differential Diagnosis

DDx and is the best guesses

Treatment shorthand

Tx

Prescriptions shorthand

Rx

Lesion

Any area injured, not necessarily a cut

Illness Script

Common epidemiology, onset, presentation of a given disease/illness

Why do people get sick?

• Social and economic factors

• Health Behaviors

• Clinical Care

• Physical Environment

• Genes and biology

Extracellular Fluid (ECF)

• Plasma

• Interstital Fluid (ISF)

• Transcellular

Composition of fluids in body

ICF (67%)
ECF (33%): Mostly ISF, then plasma, little transcellular

Oncotic pressure

Pulling pressure caused by plasma proteins, salts, and sugars

Hydrostatic Pressure

Pushing pressure due to heart