Loyola University Medical Education Network Patient Centered Medicine 2
Focused History and Physical

October 30, 2012 - Lecture: 115 pm/LH190
                                  Michael Koller, MD

Goals:
  1. Introduction to Focused H&P.

  2. Illustrate a Focused H&P for a patient with low back pain.

Student Readings:

 

 


Assignments

REQUIRED ARTICLE - What Can the History and Physical Examination Tell Us About Low Back Pain?  pp. 760 - 765 JAMA, August 12, 1992-Vol 268. No.6, Copyright American Medical AssociationŠ1992.  All rights reserved. To read the article, click on this link

RECOMMENDED
1.  New England Journal of Medicine.  Feb 1, 2001 p 363-370.  Richard Deyo and James Weinstein. Access through Library website.

1. Thaler, Malcom S. The Only EKG Book You'll Ever Need. Review EKG readings from last week
5th Edition pp. 75-94, 117-123, 132-133, 281
6th Edition pp. 75-93, 117-123, 133-134, 293
7th Edition pp. 75-93, 117-123, 136-137, 299

2. EKGs - Interpret EKGs 10-12 and Surprise EKG 13
 

Session Objectives Teaching Methods
  1. Recognize differences between complete H&P and Focused H&P.
  2. List what should always be in a focused H&P
  3. Describe a classic focused H&P for the following causes of low back pain:
    1. Degenerative joint disease (osteoarthritis)
    2. Lumbar Disc Herniation
    3. Spinal Stenosis
    4. Compression Fracture
    5. Spinal Infection
    6. Cancer in the Spine
    7. Visceral disease
    8. Ankylosing Spondylitis/Sponylolisthesis
  4. Interpret rate, rhythm, axis, intervals,  hypertrophy on EKGs provided EKGs 10-13

 

 

  1. Lecture
  2. Interview and exam of 38 yr old with back pain (Drs. Koller and Shea)
  3. Co-facilitators demonstrate EKG interpretation
  4. Students attempt EKG interpretation
lmedleyl@lumc.edu
Last Updated: 10/29/12
Created: 2/17/05