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Flashcards in Introduction To Clinical History Taking Deck (3)
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1
Q

What are the seven components of a comprehensive adult health history

A
  1. Identifying data and source of the history
  2. Chief complaints
  3. Present illness
  4. Past medical history
  5. Family medical history
  6. Personal and social history
  7. Review of systems
2
Q

What are the 7 attributes of symptoms

A
S - site (location)
O - Onset 
C - Character (quality)
R - Radiation (location)
A - Associated symptoms 
T - Timing 
E - Exacerbating / remitting factors
S - Severity (quantity)
3
Q

What are soap notes

A

Subjective - symptoms
Objective - signs + special tests
Assessment - DDx + Dx
Plan - What you intend to do