History Flashcards
1
Q
Presenting complaint?
A
Cause for presentation/most important symptom
Duration of symptom
“what’s brought you in?”
2
Q
History of presenting complaint?
A
Site Onset Character Radiation Associated symptoms Timing (duration/course/pattern) Exacerbating/relieving factors Severity
Functional consequences
3
Q
Previous medical history?
A
Notable illness/surgery/GP managed long term conditions
Notable adverse events/problems during management of illness (e.g. problems with anaesthesia)
JAMTHREADS
4
Q
Drugs and allergies?
A
Name, dose, frequency, route of administration, indications Prescription medication Over the counter Herbal medicines Recreational drugs
Allergies, effect, other sensitivities
5
Q
Family History?
A
First degree relatives
- Age, current health, cause of death, age at death
- details of notable illness
Extended family if strong FH
6
Q
Social History?
A
Social circumstances Household members Work circumstances Smoking - duration and amount Alcohol - amount and type Substance abuse Exercise Diet Hobbies Pets Overseas travel
