Close Out Questions

Question 1

Part 1: Intro

Answer 1

Knock door,
Wash hands,
Introduce yourself,
Ask how patient is doing

Question 2

Part 2: Attributes

Answer 2

Filling in with attributes of symptom:
Location
Quality
Severity
Modifying factors
Associated symptoms
Onset/Timing
History
Meaning to patient

Question 3

After the attributes, ask about

Answer 3

• Past medical and surgical history (HOW LONG)
• Social History + Sexual History
• Family History
• Medications and allergies (CHECK HOW TAKING)

Question 4

General ROS questions

Answer 4

-Weight changes?
-Fevers/chills?
-Sleep problems?
-Fatigue
-Night sweats
-Headaches
Wei Fe in SF. Night Head.

Question 5

Social History Questions

Answer 5

How frequently consume: Alcohol / Tobacco / Caffeine
Rec Drugs

Diet / Exercise

Employment
Living Situation
Martial status / Children
Sexual history

Question 6

ROS body systems 1/2

Answer 6

Skin: Any changes in your skin?
HEENT/Neck: Any changes in vision? Any stiffness in neck?
Respiratory: Any shortness of breath?
Cardiovascular: Any changes in HR, Beat, or chest pain?

Question 7

ROS body systems 2/2

Answer 7

GI: any changes in bowel movements?
Peripheral Vascular: Any swelling of ankles? or changes in tempature?
Urinary: Any difficulty Urinating?
Musculoskeletal: Any joint or muscle pain?
Psychiatric: Any mood changes or anxiety?
Neurologic: Any numbness or weakness?

Question 8

vitals and BP

Answer 8

-Pulse, RR, BP, Pulse Ox, Temperature.

Question 9

sexual history questions

Answer 9

• Have you had any sexual relations in the past 6 months?
• How many partners did you have?
• Was it with men or women?
• Did you you use protection or contraception?