Flashcards in Past Medical History (PMH) Deck (23):
What does a patients past medical history (PMH) often provide?
Insight to current medical illness
I.e., head trauma causing "fainting"/seizures
What are the categories of past medical history?
Childhood history (immunizations)
What are the subcategories of adult history?
Illness, trauma, or previous hospitalizations
What type of things should you look out for when taking a past childhood history?
Chronic health problems, i.e., asthma, seizures, recurrent infections
What type of things should you look out for when taking a past adult history?
History of illness or ongoing medical problems
Trauma/injuries, i.e., MVAs, fractures, concussions
What is ORIF?
Open reduction and internal fixation
Which types of things should you look out for when taking menstrual history?
Age of menarche
Age of menopause
Cycle frequency and duration
What is "gravida?"
The number of times a patient has been pregnant, regardless of outcome
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
What does G2P1001 symbolize?
Female has been pregnant twice
1 living child
What does G1P0303 symbolize?
Female has been pregnant once
Hasn't gone full-term
3 living children
What is nulligravida?
Never been pregnant
What is primigravida?
What is multigravida?
Second pregnancy or more
What is nulliparous?
Never carried pregnancy past 20 weeks
What is primiparous?
Given birth once
What is multparous?
Given birth two or more times
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)
What type of things should you look out for when taking a medication history?
What type of things should you look out for when taking a allergy history?
Drugs, Food, and environment
Also include non-allergic adverse reactions
Should a potential allergy be noted in a chart if not 100% confirmed?
Yes, but suggest allergy testing to confirm
What does the term NKDA stand for?
No known drug allergies