China
Africa
Explore chapters and articles related to this topic
Prenatal Care
Published in Vincenzo Berghella, Obstetric Evidence Based Guidelines, 2022
Gabriele Saccone, Kerri Sendek
A comprehensive history should be performed, preferably using standardized record forms (e.g., www.acog.org). Risk assessment should be performed with detailed review of systems. Patients who may benefit from additional care or referral should be identified. Early ultrasonography should be used to determine the estimated day of delivery (EDD) if there is any uncertainty regarding last menstrual period (LMP) [13]. Accuracy of EDD is critical for timing of screening tests and appropriate interventions, managing complications, and consideration of delivery timing. It also provides early identification and chorionicity of multiple pregnancies (see “Ultrasonography” later and Chap. 4). Topics such as lifestyle, nutrition, supplements, drugs, environment, vaccinations, prenatal education, and others should be discussed (see “Content of Prenatal Care”). Prenatal diagnosis and screening for aneuploidy (Chap. 5) and genetic screening (Chap. 6) should be reviewed.
The Emperor Wears No Clothes
Published in Thomas W. Young, The Sherlock Effect, 2018
The doctor initially interviews us in detail. She asks us what our main problem is (the chief complaint), and we describe what our symptoms have been over time (patient history). She asks us about medical problems we have had in the past and about previous surgeries (past medical history). We tell the doctor what other problems we might have with other parts of our body (review of systems), and we talk about other aspects of our life (family history, social history, occupational history).
The Infertility Workup
Published in Steven R. Bayer, Michael M. Alper, Alan S. Penzias, The Boston IVF Handbook of Infertility, 2017
The initial consultation between the physician and the patient is the crucial first step in understanding the needs of the individual seeking your advice and care. An extensive history and physical examination for both the patient and her partner are necessary. A detailed history and focused review of systems should take between 30–80 minutes with an average of 60 minutes. Findings suggestive of an endocrine disorder should be sought. Screening for thyroid disease, hyperprolactinemia, galactorrhea, and hirsutism should be scrutinized and addressed in all patients. During the initial consultation, the clinician should attempt to define if the patient suffers from pelvic pain, dysmenorrhea, dyspareunia, or vaginismus since they all may have an impact on the likelihood of conception. It is for this reason that even women who desire to achieve pregnancy using donor sperm deserve a detailed evaluation before treatment.
Demographic and clinical characteristics of free-text writers in chronic pain patient intake questionnaires
Published in Canadian Journal of Pain, 2022
Rachel Roy, Jordana L. Sommer, Ryan Amadeo, Kristin Reynolds, Kayla Kilborn, Brigitte Sabourin, Renée El-Gabalawy
Patients with chronic pain on the Health Sciences Center Pain Management Center’s waiting list were mailed a 20-page PIQ by administrative staff. The patients were required to complete and return these questionnaires prior to receiving an initial appointment at the clinic. The questionnaire included multiple categories: patient demographic data, pain history, treatment history, review of systems, family history, occupational history, social history, pain and sleep, appetite, and finances. In addition, several previously validated and reliable scales were included: the Pain Catastrophizing Scale (PCS),33 Patient Health Questionnaire–9 (PHQ-9), and Brief Pain Inventory–Pain Interference Scale.34 For the purpose of this study, we looked only at select variables to understand patient characteristics in relation to free-text. These variables fell into four main categories: sociodemographics, pain characteristics, health care utilization, and mental health characteristics.
The Use of Telehealth to Provide Continuity of Cancer Care during the COVID-19 Pandemic: Advantages, Disparities, and Implications to Promote Health Equity
Published in Hospital Topics, 2022
Victoria K. Marshall, Melody N. Chavez, Tina M. Mason, Dinorah Martinez Tyson
Although, telehealth was not always possible for patients in active treatment because of the need for testing and active treatment delivery such as chemotherapy infusions, every attempt was made to use telehealth in some form by providers and sometimes requested specifically by patients to reduce the length of in-person oncology visits. For example, some providers used telehealth to screen patients, complete a review of systems evaluation, and update medication lists to limit exposure when the patient did have to visit the clinic in person. An advanced practice registered nurse described, “[Telehealth] has been used more heavily with our medical oncology and radiation oncology colleagues. Our infusion nurses have used it to screen, to do a review of systems, and update meds before the patient comes in so there’s less contact before they get treatment. We do a lot of discussing options and making decisions and often bring patients back into clinic to have that discussion in person. We’ve done a lot of that via video and telephone [since COVID-19].” [Participant 5]
Kwashiorkor on the south shore
Published in Journal of Community Hospital Internal Medicine Perspectives, 2021
Samuel T. Arcieri, Szeya Cheung, Alexander Belkin, Ajish Pillai, Ravi Gupta
A 38-year-old Caucasian male with a history of schizophrenia and noncompliance with medications presented to the emergency department with abdominal swelling and altered mental status. Per the patient’s mother, he self-diagnosed himself with a gluten allergy and had been avoiding foods with gluten, sugar, and salt for the past three months. For the past 5 years, he followed an exclusively plant-based diet. Following a recent loss of a family member, the patient became reclusive; he rarely left his room and had limited oral intake with small amounts of raw vegetables every two to three days for several weeks. It was unclear when the abdominal swelling had started, nor the duration of his confusion, as the patient would cover himself with his sheets and stay in bed a majority of the time. The patient resided in New York his entire life with no travel outside of the USA; he had no known hepatic or gastrointestinal (GI) disorders. His mother denied any use of alcohol or recreational drugs by the patient. The patient’s medication list was limited to risperidone 1 mg every twelve hours. Review of systems could not be obtained given the patient’s mental status.