Unit 2 Medical Hx

Question 1

In the 2 min. Drill what goes in box 1

Answer 1

C/C, vitals SpO2, allergies, meds

Question 2

Box 2

Answer 2

OLDCAARTS P

Question 3

Box 3

Answer 3

Previous Med Hx (hospitalizations, surgeries, major adult/childhood injuries, injuries that led to disability)

Question 4

ROS: General

Answer 4

Pain, fever, chills, malaise, fatigue, night sweats, weight changes

Question 5

Skin

Answer 5

Rash, itching

Question 6

Lymph nodes

Answer 6

Swollen or tenderness

Question 7

lungs

Answer 7

Dyspnea, wheezing, cough, sputum

Question 8

Breasts

Answer 8

Pain, tenderness, discharge, lumps

Question 9

Heart

Answer 9

Chest pain, palpitations, hypertension, previous MI

Question 10

Peripheral vasculature

Answer 10

Claudification, bruise or bleed easy

Question 11

Hematologic

Answer 11

Anemia

Question 12

GI

Answer 12

Appetite, digestion, heartburn, nausea, vomiting, diarrhea, constipation, hematemesis, hemorrhoids,

Question 13

Endocrine

Answer 13

Swollen thyroid, diabetes, unexplained weight change

Question 14

GU

Answer 14

Flank pain, urinary urgency, dark discolored urine, hernias, polyuria, nocturia, hematuria

Question 15

MSK

Answer 15

Joint stiffness, pain, redness, swelling

Question 16

Psych

Answer 16

Depression, anxiety, agitation, tension, irritability, SI

Question 17

Neuro

Answer 17

Syncope, seizures, paralysis, tremors, loss of memory

Question 18

Male Genitalia

Answer 18

Penile discharge, testicular pain

Question 19

HEENT

Answer 19

Head - dizziness, headaches
Eyes - blurring, diplopia, photophobia, pain, change in vision
Ears - hearing loss, pain
Nose - epistaxis, sinus pain, post nasal drip
Throat - recent tooth extractions, sore throat frequency, disturbance of taste

Question 20

Order of ROS

Answer 20

General 7, Skin, HEENT, lymph, heart and lungs, breasts, peripheral vasculature, hematologic, GI/GU, endocrine, MSK, neuro, psych, male and female genitalia

Question 21

PMHx

Answer 21

General health and strength before injury
PHA, IMMZ, recent labs
Hospitalizations, surgeries, major childhood/adulthood illnesses, injuries that led to disability
Meds: prescription/ non-prescription (dosage, route, schedule, last dose)
Allergies: meds,food, environment; reaction; red tags

Question 22

SHx

Answer 22

Personal status- place of birth/raised, education, married, satisfied w life, stressors
Habits-diet,sleep,caffeine intake, tobacco, alcohol
Self care- exercise, alternative therapy, breast/teste exam
Sex- bc/protection, STDs, concerned with sexual performance/desire
Occupation- work conditions and hours, exposure to heat/cold/toxins, PPE

Travel Hx, Deployment, PDHA, PDHRA,
Religious preference