History Taking Flashcards
What is the 1st section of taking a history?
Presenting complaint.
What is the 2nd section of taking a history?
History of presenting complaint.
What is the 3rd section of taking a history?
Past medical history.
What is the 4th section of taking a history?
Drug history
What is the 5th section of taking a history?
Family history.
What is the 6th section of taking a history?
Social history.
What is the 7th section of taking a history?
Systems enquiry.
What does ICE stand for?
Ideas, concerns and expectations.
What is the mnemonic for pain in HPC?
SOCRATES.
What does SOCRATES stand for?
Site
Onset
Character
Radiation
Associated symptoms
Timing
Exacerbators/ relievers
Severity
What is the helpful mnemonic for PMH?
JAM THREADS.
What does the JAM stand for in JAM THREADS?
Jaundice, Anaemia and myocardial infarction.
What does the THR stand for in JAM THREADS?
Tuberculosis, hypertension and heart disease and rheumatic fever.
What does the EA stand for in JAM THREADS?
Epilepsy and asthma/COPD.
What does the DS stand for in JAM THREADS?
Diabetes and stroke.
What does HPC stand for?
History of presenting complaint.
What does PMH stand for?
Past medical history.
What do you need to document in drug history taking?
Name of drug, dose, route and frequency (duration).
What are the different types of medication someone could be taking?
Prescribed, over the counter and herbal. Consider illicit drug use.
What questions arise from their current medications?
Why are they taking it? Concordance?
What is important when thinking about prescribing a drug?
Are you allergic of anything you know of? What happens when you take it?
What does family history sign post?
Gives clues to possible genetic predisposition to illness.
What are the different routes for drug administration?
Oral, intramuscular, subcutaneous, topical, intravenous, per rectum and intra-nasal.
Who would you ask about when taking a family history?
Parents, siblings and children.