Flashcards in Intro to PMH, SX, MEDS, Deck (14):
History of Present Illness can be summarized using what mnemoic?
What should the HPI start with?
patient age, sex, and gender
When should past medical history be discussed?
after CC, HPI, and pertinent +/-
What is included in PMH?
past medical history, past surgery, medications, allergies, social and family history
What should be included in past medical history?
medical illness/disease- who has been treating that illness
pertinent childhood illness
Notes on past surgical history
list chronologically, list surgeon, dates, hospital, complications, did they have a blood transfusion, outpatient or inpatient
PSX: Patient had an open appendectomy at Erlanger hospital in 2004 by Dr. Smith; no complications; 1 day stay; he had a laparascopic cholecystectomy at Emory University in Atlanta in 2001 by Dr. Jones; no complications; outpatient surgery.
Notes on obgyn history
menstrual onset (menarche), menstrual frequency, describe the bleeding during menstrual cycle (how long does it last?), contraceptives (“Are you planning on trying to have a baby in the next year”), age at menopause
obstretics- any pregnancies, were they full term (37-42 weeks), any abortions, any living children
Best way to ask physicatric questions
Have you ever had any mental health issues that have required treatment? If so, what kind of treatment, how long, diagnosis (would go in medical history)- also get name of consouler
Notes on medication recording
need name of drug, dose, route of administration of drug, frequency of use (per day, per week?), and for what- **IN THAT ORDER***
i.e. Synthroid 125mcg oral once daily for hypothyroidism
put medications in a simple, numbered list**
don't forget about OTC and herbs (these can interact with drugs)
Notes on Drug Allergies
What is the drug name?
What happens when you take it?
How severe is the reaction?
Any food or environmental allergies?
Mneomic for illness/infection
SICK HEALTH SCAMS
Onset of first period is called what?
Mneomonic for pregnancy history
TPAL (full semester, premature, abortions, living children)