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
