PDCI 3 History Flashcards
(7 cards)
0
Q
What you should do when you first walk into room
A
Handshake Introduce (use first and last name) Define role 50% people want to be addressed by their first name Ask to do H&P
1
Q
Order of history
A
ID CC HPI PMH FH SH ROS
2
Q
Info that goes in ID
A
Age Gender Occupation Marital status Source of info (usually patient) Source of referral Reliability (if relevant)
3
Q
Info that goes in CC
A
What symptoms cause patient to come to doctor
Usually direct quote from patient
4
Q
What goes in HPI?
A
Location Quality Severity or quantity Timing: onset, duration, frequency Setting Aggravating/alleviating factors Associated manifestations
Or can use OLD CARTS Onset Location Duration Character Aggravating factors Relieving factors Timing Severity
5
Q
What is echoing?
A
Repeating the patient’s words
6
Q
What goes in PMH?
A
Present conditions as past illnesses Hospitalizations / surgeries / OBGYN Psychiatric conditions Previous medical exams (screenings) Medications Allergies/sensitivities Immunizations Skin tests (PPD) Transfusions (with date!)
