HPI
Social History
Past Medical History
Family History
Review of Systems
100

About 6 months ago

What is the onset?

100

Went here this summer, for a week

What is Maine?

100

Motor accident 10 years ago caused this

What is a right leg fracture?

100

5 years older with heart issues and HTN

Who is my brother?

100

The only positive in the Respiratory ROS

What is Shortness of Breath?

200

Generalized, affects your whole body

What is the location of my fatigue? 

200

Had a remote history of this in 20s

What is chlamydia? 

200

Diagnosed with this 5 years ago

What is High Blood Pressure?

200

2 with adult-onset diabetes

Who are my aunts?

200

Gained this many pounds over the past year

What is 25 pounds? 

300

These are the 4 associated factors

Increased hunger and craving sweets, increased thirst, and increased urination, including waking at night to go

300

1 glass of wine or beer with dinner this many times a week

What is 2-3?

300

Had these two childhood illnesses

What are measles and chickenpox?
300

Died at 76

Who is my maternal grandfather?

300

Getting up to urinate this many times nightly

What is 2-3 times?

400

"Pretty bad or I wouldn't be here"

What is severity?

400

Started vaping Juul (nicotine) 6 months ago this many times day

What is 2 times?

400

The high blood pressure is treated

What is hydrochlorothiazide?
400

Died of prostate cancer

Who is my Paternal Grandfather?

400

This has been worsening over the past six months and comes once every 4 or 5 days

What is constipation?

500

Going more than 4 hours without eating causes this

What is fatigue, jitteriness, irritability?

500

Diet consists of

What is fast food, junk food, cakes, donuts, pasta, and bread?

500

This immunization was in Oct 2025

What is the flu shot?

500

Diagnosed with type 2 diabetes at 55

Who is my father?

500

This happens in the mornings and improves over breakfast

What are headaches?

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