History questions based on chief complaints Flashcards
1
Q
Any discharge
A
ABCDO amount blood present color, consistency, content duration odor
2
Q
Abuse - IPV
A
SAFEGARDS
Safety inquiry - feel safe at home?
Afraid of partner?
Friends and family aware? Fractures?
Emergency plan? Ever tried to leave? Why not?
Guns - any weapons at home?
Alcohol abuse/drug abuse - partner?
Relationship with partner - how is it? feel threatened when he is around?
Depression - lost weight/appetite/sad?
Suicidal ideation - ever wanted to end it all?
3
Q
Memory Loss
A
ADLs - DEATH (things you need to do before work) Dressing Eating Ambulation Toiletry - B/B function Housing
Instrumental ADLs - SHAFT (do by college) Shopping Housekeeping Accounting Food - cook Transportation -drive
4
Q
Pre-menopausal symptoms
A
HAVOC Hot flashes Atrophy vagina Vaginal dryness Osteoporosis CAD
5
Q
Erectile Dysfunction
A
LIMP PENIS Libido Injury Medications PMH: DM, HTN, stroke, heart issues Prostate exam in past? Erection at all? Nocturnal erection/Morning erection Incontinence Stress/depression
6
Q
Chest pain
A
Angina:
substernal
worse with exercise
relieved with rest
CHEST P - associated symptoms Cough Hemoptysis, heartburn Emesis with diarrhea, edema SOB, sweating, syncope Temperature, tender upon palpation, trauma, tender legs (DVT → PE) Palpitations
