Past Medical History (PMH) Flashcards Preview

UHCNO Patient Eval > Past Medical History (PMH) > Flashcards

Flashcards in Past Medical History (PMH) Deck (23):
1

What does a patients past medical history (PMH) often provide?

Insight to current medical illness
I.e., head trauma causing "fainting"/seizures

2

What are the categories of past medical history?

Childhood history (immunizations)
Adult history
Surgical history
Medications
Allergies

3

What are the subcategories of adult history?

Illness, trauma, or previous hospitalizations
Menstrual/obstetrical history

4

What type of things should you look out for when taking a past childhood history?

Chronic health problems, i.e., asthma, seizures, recurrent infections
Hospitalizations
Vaccination history
Trauma

5

What type of things should you look out for when taking a past adult history?

History of illness or ongoing medical problems
Previous hospitalizations
Trauma/injuries, i.e., MVAs, fractures, concussions

6

What is ORIF?

Open reduction and internal fixation

7

Which types of things should you look out for when taking menstrual history?

Age of menarche
Age of menopause
Cycle frequency and duration
Flow

8

What is "gravida?"

The number of times a patient has been pregnant, regardless of outcome

9

What is "para?"

The number of times a patient has delivered, which can be further subdivided into:
F - fullterm (37 or more)
P - preterm (less than 37)
A - abortions/miscarriages (before 20)
L - living children

10

What does G2P1001 symbolize?

Female has been pregnant twice
Full-term once
No preterm
No abortion
1 living child
Currently pregnant

11

What does G1P0303 symbolize?

Female has been pregnant once
Hasn't gone full-term
3 pre-term
No abortions
3 living children

12

What is nulligravida?

Never been pregnant

13

What is primigravida?

First pregnancy

14

What is multigravida?

Second pregnancy or more

15

What is nulliparous?

Never carried pregnancy past 20 weeks

16

What is primiparous?

Given birth once

17

What is multparous?

Given birth two or more times

18

What type of things should you look out for when taking a surgical history?

Previous surgeries (in chronological order)
Type of surgery (if possible)
Date of surgery (if possible)
Hospital or outpatient location (if possible)
Surgeon (if possible)

19

What type of things should you look out for when taking a medication history?

Scripts
Vitamins
Supplements
OTC meds
Dose
Route
Frequency

20

What type of things should you look out for when taking a allergy history?

Drugs, Food, and environment
Also include non-allergic adverse reactions

21

Should a potential allergy be noted in a chart if not 100% confirmed?

Yes, but suggest allergy testing to confirm

22

What does the term NKDA stand for?

No known drug allergies

23

One patient complains that she has two allergies. One to aspirin and one to bananas. She gets a stomach ache from aspirin and anaphylaxis from bananas. Which one is a true allergy?

Bananas