Complete Interview Flashcards

1
Q

Order of Headings

A

CC, HPI, PMH, FH, SH, Gen ROS, Skin, HEENT, Neck, Chest/Breast, Respiratory, Cardiac, GI, GU, Gyno, Extremities, Neuro, Psych, Hemo, Endocrine: Thyroid, Pancreas, Adrenal, Gonadal

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2
Q

HPI

A

Onset, Location, Duration, Character, Associated Signs/sxs, Aggravating, Relieving, Tx Attempted, Setting

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3
Q

PMH

A

Allergies, Meds, Illnesses, Surgeries/Hospitalizations, Accidents/Injuries, Immunizations, Obstetric: Pregnancies, Live Birth, Abortions, Living Children

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4
Q

FH

A

Cancer, DM, HTN, Heart Disease in first degree relatives

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5
Q

SH

A

Smoke, Drink, Drugs, Hobbies, Occupation, Religion, Partner

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6
Q

General ROS

A

Fever/Chills, Fatigue, Sweats, Sleep Disturbance, Weight Loss

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7
Q

Skin

A

Rash, Itching, Texture/Color Changes

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8
Q

Head

A

Trauma, H/A, Dizziness, Syncope

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9
Q

Eyes

A

Decreased Acuity, Blur, Diplopia, Pain, Glaucoma, Trauma, Discharge, Scotoma, Photophobia, Eye Drops, Familial Disorder

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10
Q

Ears

A

Decreased Acuity, Discharge, Pain, Tinnitus, Vertigo

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11
Q

Nose

A

Freq. of Colds, Congestion, Discharge, Epistaxis, Postnasal Drip, Sinus Pain

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12
Q

Throat

A

Sore Throat, Hoarseness, Diff. Swallowing, Bleeding Gums, Abscess, Dental Problems

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13
Q

Breast/Chest

A

Pain/Tenderness, Discharge, Lumps, Mammograms, Self Exam

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14
Q

Respiratory

A

Cough (freq, type), Sputum, Hemoptysis, Dyspnea, Hx Infx, Wheezing, Pleuritic Pain, Hx Asthma, Last CXRay

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