History Elements

Question 1

Introduction

Answer 1

5- intro self, clarify role, ask how to address, ask chief concern, negotiate agenda

Question 2

HPI

Answer 2

7- onset, provocation/palliation, quality, region, severity, temporal, assoc symptoms

Question 3

PMH

Answer 3

12- general state of health, illness, injuries, hospitalizations, surgeries, allergies (med/environment/food), GYN, exposures, current meds, non-med therapies, preventative med, other providers seen

Question 4

family hx

Answer 4

6- GP, P, sib, children = living or dead, age, conditions; familial diseases: DM, HTN, CAD, obesity, mental illness, alcoholism, allergies; family dysfunction: abuse, rec drug use

Question 5

social hx

Answer 5

13- demographics, occupation, functional status, nutrition, relationships, support, cultural, tobacco, alcohol/CAGE, recreational drugs, sexual, physical violence, infectious/toxic exposures

Question 6

FIFE

Answer 6

4- feelings, ideas, functioning, expectations

Question 7

to remember PMH

Answer 7

emphasis ion

Question 8

to remember social hx

Answer 8

infarcts drops