Historia clinica urgencias 2010

HISTORIA CLINICA EN URGENCIAS Juan Manuel García Torrecillas Médico de Familia, SCCU

Concepto ,[object Object],[object Object]

Objetivos ,[object Object],[object Object],[object Object],[object Object],[object Object]

Importancia de la HCU ,[object Object],[object Object],[object Object],[object Object],[object Object]

Proceso de Diagnóstico Clínico

[object Object],[object Object],[object Object],[object Object],[object Object]

La Historia… en 2 pasos ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Siempre debe contener … ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Motivo de Consulta ,[object Object],[object Object],[object Object],[object Object]

Antecedentes Personales ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Enfermedad Actual (I) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Enf Actual(II) ,[object Object],[object Object],[object Object],[object Object]

Enf Actual (III): Anamnesis por Aparatos ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exploración Física ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

Exploración Neurológica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pruebas complementarias ,[object Object],[object Object],[object Object],[object Object]

Impresión Diagnóstica ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamiento e indicaciones ,[object Object],[object Object],[object Object]

Destino ,[object Object],[object Object],[object Object],[object Object],[object Object]

Recomendaciones ante pacientes difíciles (I) ,[object Object],[object Object],[object Object]

Recomendaciones ante pacientes difíciles (II) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Algunas consideraciones sobre la HC ,[object Object],[object Object],[object Object]

El peligro de las “macros” Sólo unos ejemplos…

Sin edemas, sin signos de TVP ni isquemia en MMII…

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Historia clinica urgencias 2010

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