History Flashcards
What questions should you be asking when evaluating the chief complaint?
OLD CAAARTS
When did the pain start?
How long does the pain last when it flares up?
Where does it hurt?
Is it a sharp pain or a dull pain?
What alleviates the pain?
What aggravates it?
Are you noticing any associated symptoms with this pain?
Does the pain radiate anywhere?
Does the pain flare up at particular times of the day?
On a scale of 0-10, how would you rate the severity of your pain?
What questions should you ask for ROS?
Have you noticed any fever?
Have you noticed any muscle weakness?
Have you noticed any skin rashes?
What questions should you ask for PMH?
Have had any hospitalizations before?
Have you had any ER visits recently?
Have you been treated for an illness by a doctor?
What questions should you ask for PSH?
Have you had any surgeries in the past?
What questions should you ask for Medications?
Are you taking any prescription medications?
- How much?
- How often?
Are you taking any over the counter medications?
- How much?
- How often?
Are you taking any supplements?
- How much?
- How often?
What questions should you ask for Allergies?
Do you have any allergies to medications?
- How do you react?
Do you have any allergies to foods?
- How do you react?
Do you have any allergies to the environment?
- How do you react?
What questions should you ask for SH?
Have you EVER used tobacco products?
- How much?
- How often?
Have you EVER consumed alcohol?
- How much?
- How often?
Have you EVER used recreational drugs?
- How much?
- How often?
IF YOU HAVE TIME:
- What is your occupation?
- What is your diet like?
What questions do you ask for FH?
Does your mother have any illnesses?
Does your father have any illnesses?
Do you have any siblings?
Does your Brother have any illnesses?
Does your Sister have any illnesses?
Do you have any children?
Does your son have any illnesses?
Does your daughter have any illnesses?
