Chief Complaint
This acronym helps clinicians remember the 8 attributes of a symptom, starting with Site and ending with Severity.
You must ask about these "non-prescription" items, which include Ibuprofen or Paracetamol bought at a grocery store.
Over-the-Counter (OTC) medications
This mathematical value is calculated by multiplying the number of cigarette packs smoked per day by the number of years smoked.
Pack years
To ensure a complete PMH, a clinician must ask not just about illnesses, but about these "past events" that may have required anesthesia.
Previous Surgical Procedures
Ask the patient if his or her parents are still alive?
Are your parents still alive?
Are your parents healthy?
How is your mom, how is your dad?
This part of the history involves asking the patient exactly when the pain or symptom first began.
Onset
When a patient mentions a drug allergy, the clinician(ie you ) must always ask this follow-up question.
What was the Nature of the Reaction? (e.g., rash vs. anaphylaxis)
If a patient states that they drink occasionally, what should be your follow up question?
When you do drink ,how much and what do you drink?
Metabolic diseases to ask if the patient has
Hypertension
Diabetes
High cholesterol
Ask the question based on this answer ....
My father has COPD and my mom has asthma
Are there any chronis diseases in your family ?
Do you have any Associated Symptoms?
This refers to whether a patient is actually taking their medication as prescribed by their doctor.
Medication Adherence (or Compliance), regular intake of the meds
A patient with a hectic and very busy work schedule comes in with a headache , what could be the cause?
What follow up question could you ask ?
Work stress, pressure
Is your job stressful, do you enjoy your work , do you think that could be contributing to your condition?
Chronic organ based diseases 3 or more
COPD
HEART FAILURE
KIDNEY FAILURE
Cirrhosis
Asthma
IBS
CANCER
How would you simplify autoimmune diseases to a patient with examples?
When your immune system attacks itself such as SLE, rheumatoid arthritis.
This is the specific term for factors that make the patient's condition feel better or worse.
What Exacerbates it and what Relieves it?
If a patient regularly takes medications ,its important to find out the .......... and .......... of the drug
Name and Dosage
A patient comes in feeling sad ,lonley and depressed. Which lifestyle question can we ask ?
Do you live alone?
Do you have anyone to support you?
What question do we ask a female patient who has children?
Did you have a natural vaginal birth or a cesarian section
Ask the question ,for this answer....
I have been divorced 4 times.
Are you married ?
The patient complains of chest pain that spreads to the left arm. This is a red flag for...?
Myocardial infarction
Patients often forget to mention these "natural" pills, which can have dangerous interactions with blood thinners.
Herbal supplements
In the "HEADSSS" assessment for adolescents, the first "S" stands for ........
Suicidality (or Self-harm)?
How would you ask a patient if the have hyperthyroidism , in simple terms?
Have you noticed a big lump on your neck?
Heat intolerance, sweating
Fatigue
Tremors
A clinician asks about "Age and Cause of Death" for deceased relatives primarily to identify these types of patterns.
Hereditary and familial connections
Gentics