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Flashcards in H and P Deck (13)
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1

What is the order of abbreviated Psych H and P presentation?

• CC
• HPI
• Psych ROS
• Psych Hx
• Substance Use Hx
• Current Rx
• MSE
• Labs
• Assessment

2

What is the order of full psych HPI?

• CC
• HPI
• Psych ROS
• Psych Hx
• Substance Use Hx
• Fam Psych Hx
• Current Rx
• PMHx
• SurgHx
• Allergies
• SocHx
• MSE
• Medical ROS
• Labs
• Assessment
•• Psych Dx
•• Medical Dx
•• Stressors
••• BioPsychoSocialCulturalLifestyle

3

What Qs to ask for psych HPI?

• Sx, duration, recurrences (reactive, episodic, chronic)
• Sx effects on home life, social relationships, and work
• Stressors
• Self-Tx and professional Tx attemps
• SI/HI (danger to self, others, or grave disability

4

What are Qs for Psych Hx?

• First Sx, Dx
• Hospitalizations
• Rx trials
• Psychotherapy trials
• Self harm, SI and attempts, HI and attempts
• Confirm if lethal Rx
• Firearms

5

What are Qs for Fam Psych Hx?

• Dx
• Rx successes and Tx
• Suicide attempts and completion

6

What are Qs for PMHx?

• Thyroid
• Asthma
• Head trauma
• Seizures
• Stroke
• CV events
• DM, metabolic syndrome

7

What are categorical Qs for substance use Hx?

• Onset, quantity, frequency
• Drug of Choice
• Legal difficulties
• Medical, social, educational, occupational difficulties
• Prior treatment
• Longest sobriety outside of Tx center

8

What substances do we ask about?

• Caffeine
• Tobacco
• EtOH
• Cannabis
• Cocaine, speeds
• Opioids, heroin, pain Rx
• Benzos, Xanax, Valium, sleep
• Hallucinogens

9

What are abbreviated Qs for SocHx?

• Occupation
•• Physical abuse
•• Emotional abuse
•• Sexual abuse
• Current relationships:
• Children:
• Parents, siblings
• Belief system
• Military service:

10

What are full Qs to ask during SocHx?

• Born/grew up
• Pregnancy, birth, milestones
• Family life
• Abuse
•• Physical abuse
•• Emotional abuse
•• Sexual abuse
• Siblings
• Past relationships:
• Current relationships:
• Children:
• Friends
• Education
• Hobbies
• Spiritual and philosophical beliefs
• Occupation:
• Military service:

11

What is the order of brief MSE?

• Appearance
• Attitude/Behavior/Orientation
• Mood
• Affect
• Psychomotor
• Speech
• Thought process
• Thought content and sensorium
• MMSE
• Insight
• Judgment

12

What is order of brief MMSE?

Orientation: person, place, time
Attention and concentration: serial 7s, world backwards
Memory Very Short: recall three objects
Memory Short: 5 minutes
Memory Long: Personal, verifiable info
Fund of Knowledge: current events
Abstract thought: proverbs, analogies

13

What Labs are most important to psych?

• CMP
•• elytes, BUN/Cr, glucose, AST/ALT
• CBC
•• RBC, WBC
• Utox
• Serum EtOH