Chapter 3: Sections of the Health History Flashcards

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1
Q

What is at the first section of Health History of the patient?

A

Chief Complaint (CC).

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2
Q

What is Chief Complaint (CC)?

A

The reason for the visit in patient’s own words.

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3
Q

What is at the second section of Health History of the patient?

A

History of Present Illness (HPI).

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4
Q

What is History of Present Illness (HPI)?

A

Expanded information about the chief complaint.

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5
Q

What is at the third section of Health History of the patient?

A

Past Medical History (PMH).

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6
Q

What is Past Medical History?

A

Past patient’s major illnesses, hospitalizations, surgeries, medications and allergies.

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7
Q

What is at the fourth section of Health History of the patient?

A

Family History (FH)?

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8
Q

What is Family History (Fm)?

A

Information concerning diseases in the family that might affect the patient’s health, documents the ages and current health status of parents or siblings and note if the patient is adopted.

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9
Q

What is at the fifth section of Health History of the patient?

A

Social History (SH).

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10
Q

What is Social History (SH)?

A

Age appropriate details about the patient’s lifestyles, travel, hobbies, marital status, occupation, education, use of alcohol, caffeine, tobacco, illegal drugs, sexual practices, living environment, diet and exercise.

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11
Q

What is at the sixth section of Health History of the patient?

A

Review of Systems (ROS).

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12
Q

What is Review of Systems (ROS)?

A

General questions about each organ system with follow-up questions for positive responses.

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13
Q

What would be the Review of Systems (ROS) for with a minor chief complaint?

A

A review of the one system related to the current condition.

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