General History

Question 1

Before anything

Answer 1

Wash hands, introduce
Age
Gender

Question 2

HPC

Answer 2

If PAIN - SOCRATES

OTHER THAN PAIN...
ASK:
1 - DURATION
2 - ONSET S/G?
2 - PROGRESSION 
3 - TIMING  I/C IF Intermittent (What brings it on? food, time, exercise etc.

Question 3

SOCRATES

Answer 3

S - SITE 
O - ONSET (SUDDEN OR GRADUAL)
C - CHARACTER 
R - RADIATION 
A - ASSOCIATED SYMPTOMS 
T - TIMING - INTERMITTENT OR CONTINUOUS
E - Exacerbating factors
S - Severity /10

Question 4

PMH

Answer 4

Past medical
Past surgical
Anything relevant to early differentials.
If any disease ask when diagnosed and is it being managed.

Question 5

DH

Answer 5

Medications

Allergies

Question 6

FH

Answer 6

Anything relevant to differentials

Question 7

SH

Answer 7

Living situation - who lives with you
Occupation
smoking and alcohol
Hobbies/pets/travel and sex Hx if relevent.