03 History Taking Skill Flashcards
What does OPQRST stand for in the context of patient history?
O= Onset, P= Provocation, Q= Quality, R= Radiation, S= Severity, T= Time
OPQRST is a mnemonic used to gather information about the patient’s symptoms.
What does the acronym SAMPLE represent in patient history?
S= Signs and symptoms, A= Allergies, M= Medications, P= Past Pertinent Medical History, L= Last oral intake, E= Events leading to the injury or illness
SAMPLE is a framework used to collect crucial patient information.
What are the components of a patient’s history?
History of present illness, Past medical history, Medications, Allergies, and Events leading to the injury
These components help in forming a complete view of the patient’s health status.
What is the purpose of investigating the chief complaint?
To understand the primary reason for the patient’s visit and gather relevant history
This helps in diagnosing and treating the patient effectively.
What should be documented as part of statistical demographic data?
Age, Sex, Race
Accurate demographic data is essential for understanding the patient’s background.
What age-related variations should be considered in patient history?
Pediatric symptoms, duration of fever, activity level, oral intake, urine output, vomiting, diarrhea, sensory changes in the elderly
Different age groups may present symptoms differently.
What is the significance of the reliability of data in patient history?
To assess the trustworthiness of the information provided by the patient or other sources
Reliable data is crucial for accurate diagnosis and treatment.
What does MOI stand for in the context of patient history?
Mechanism of Injury
Understanding the MOI helps in assessing the nature of the injury.
Fill in the blank: The acronym _______ is used to aid in establishing the chronology of signs and symptoms.
OPQRST
True or False: The last oral intake refers only to food.
False
Last oral intake includes food, fluids, and other substances.
