2.22 Neuro Exam 2 Flashcards
1
Q
CC
A
chief complaint
2
Q
HPI
A
hx of present illness
3
Q
PMH
A
past medical hx
4
Q
PHI
A
pertinent health information
5
Q
HF
A
family hx
6
Q
SH
A
social hx
7
Q
OH
A
occupational hx
8
Q
ROS
A
review of systems
9
Q
LOC
A
level of consciousness
10
Q
AAO
A
alert and oriented
11
Q
MME
A
mini mental exam
12
Q
chief complaint: things to consider
A
- should have location/severity
- often gives you goals
- ask how it makes the patient feel
13
Q
hx of present illness: things to consider
A
- if the person can give a chronological hx (could be insidious)
- agg/ease factors
- labs, tests, radiographs, MRI, etc
- avoid leading and suggesting (let them use their own words)
14
Q
past medical hx: things to consider
A
- have to determine which diagnoses actually means something to you
- may have a laundry list, esp in acute care
- may have birth hx, childhood illnesses, gestation time, etc (peds)
15
Q
pertinent health information: things to consider
A
- allergies
- immunizations (peds)
- habits
- drugs
- multiple partners
- smoking/drinking
- meds
- screening tests (BP, cholesterol, etc)
- sleep patterns
- diet
