History Taking Flashcards by Azariah Jackson

Q

What is the first thing to do when approaching the patient room?

A

Knock three times then enter

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Q

First thing to do in the patient room

A

Sanitize Hands

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Q

How you introduce yourself to the patient?

A

Use the last name and title

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Q

What is the first things to say to the patient before starting?

A

Gain consent and establish confidentiality.

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Q

What is the path of history taking?

A

I Can Help All My Patients Find Some Relief

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Q

I Can Help All My Patients Find Some Relief

What does I stand for?

A

ID

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Q

I Can Help All My Patients Find Some Relief

What is Can?

A

CC; Chief Complaint

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Q

I Can Help All My Patients Find Some Relief

What is Help?

A

HPI (SOCRATES)

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Q

I Can Help All My Patients Find Some Relief

What is All?

A

Allergies

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Q

I Can Help All My Patients Find Some Relief

What is My?

A

Medication

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Q

I Can Help All My Patients Find Some Relief

What is Patients?

A

Past Medical History

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Q

I Can Help All My Patients Find Some Relief

What is Find?

A

Family History

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Q

I Can Help All My Patients Find Some Relief

What is Some?

A

Social History

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Q

I Can Help All My Patients Find Some Relief

What is Relief?

A

Review of Systems

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Q

What is the path to take in HPI?

A

SOCRATES (S=site, O=onset, C=characteristics, R=radiation, A=associated signs/symptoms, T=timing, E=Exacerbating/relieving factors, S=severity)

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Q

SOCRATES

What is the S?

A

Site

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Q

SOCRATES

What is the O?

Study These Flashcards

A

Onset

Q

SOCRATES

What is the C?

Study These Flashcards

A

Characteristics

Q

SOCRATES

What is the R?

Study These Flashcards

A

Radiation

Q

SOCRATES

What is the A?

Study These Flashcards

A

Associated signs/symptoms

Q

SOCRATES

What is the T?

Study These Flashcards

A

Timing

Q

SOCRATES

What is the E?

Study These Flashcards

A

Exacerbating/Alleviating Factors

Q

SOCRATES

What is the last S?

Study These Flashcards

A

Severity

Q

What mnemonic can be used for past history?

Study These Flashcards

A

VAMP THIS

V-vitamins/vices, A-allergies, M-medications, P-preexisting medical conditions, T-trauma, H-hospitalizations, I-immunizations, S-surgeries

What is the V in VAMP THIS?

V-vitamins

What is the A in VAMP THIS?

A-allergies; be sure to ask what happens when having an allergic reaction

What is the M in VAMP THIS?

M-medications

What is the P in VAMP THIS?

P-preexisting medical conditions

What is the T in VAMP THIS?

T-trauma

What is the H in VAMP THIS?

H-hospitalization

What is the I in VAMP THIS?

I-immunization

What is the S in VAMP THIS?

S-surgeries; if yes, any complications in hospital?

What mnemonic can be used for Social History?

FED-TACOS F-food/diet, E-exercise, D-drugs, T-tobacco, A-alcohol, C-caffeine, O-occupation, S-sexual history

What is the F in FED-TACOS?

F-food/diet

What is the E in FED-TACOS?

E-exercise

What is the D in FED-TACOS?

D-drugs

What is the T in FED-TACOS?

T-tobacco; to calculate pk/yr: (20/20) / # of years

What is the A in FED-TACOS?

A-alcohol

What is the C in FED-TACOS?

C-caffeine

What is the O in FED-TACOS?

O-occupation; stressful? support system? stress relief?

What is the S in FED-TACOS?

S-sexual history