Chapter 3: Sections of the Health History Flashcards
What is at the first section of Health History of the patient?
Chief Complaint (CC).
What is Chief Complaint (CC)?
The reason for the visit in patient’s own words.
What is at the second section of Health History of the patient?
History of Present Illness (HPI).
What is History of Present Illness (HPI)?
Expanded information about the chief complaint.
What is at the third section of Health History of the patient?
Past Medical History (PMH).
What is Past Medical History?
Past patient’s major illnesses, hospitalizations, surgeries, medications and allergies.
What is at the fourth section of Health History of the patient?
Family History (FH)?
What is Family History (Fm)?
Information concerning diseases in the family that might affect the patient’s health, documents the ages and current health status of parents or siblings and note if the patient is adopted.
What is at the fifth section of Health History of the patient?
Social History (SH).
What is Social History (SH)?
Age appropriate details about the patient’s lifestyles, travel, hobbies, marital status, occupation, education, use of alcohol, caffeine, tobacco, illegal drugs, sexual practices, living environment, diet and exercise.
What is at the sixth section of Health History of the patient?
Review of Systems (ROS).
What is Review of Systems (ROS)?
General questions about each organ system with follow-up questions for positive responses.
What would be the Review of Systems (ROS) for with a minor chief complaint?
A review of the one system related to the current condition.
