History taking Flashcards

1
Q

What types of communication can be used when taking a patients history?

A

one way
two way
open questions
closed questions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What barriers to communication could you come across, how could these be overcome?

A

language barriers

level of understanding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is asked during the presenting complaint part of history taking?

A

Patients own words of what is wrong with them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is asked during the history of presenting complaint part of history taking?

A

SOCRATES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is asked during the previous medical and surgical history part of history taking?

A

Chronological order of any common medical conditions they might have or had, and any surgerys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is asked during the drug history part of history taking?

A

What drugs do they take? to make it easier Is there a prescription list? Do they take everything on the list and is it updated?

Any other OTC, or illicit drugs?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is asked during the family history part of history taking?

A

Any relatives die young, if so why?

Any medical history in CLOSE family members?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is asked during the social history part of history taking?

A

Smoke, alcohol use
Sedentary?
Stress levels?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the order of sections under history taking?

A
Presenting complaint
history of presenting complaint
drug history
family history
social history
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does SOCRATES stand for?

A
Site
Onset
Character
Radiation
Associations
Time 
Exacerbating and relieving factors
Severity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What questions could be asked for the first S of Socrates (Site)?

A

Where is the pain?

Where is the main site of pain?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What questions could be asked for the O of Socrates (Onset)?

A

When did the pain start, was it sudden or gradual?

Is it progressive, regressive, intermittent?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What questions could be asked for the C of Socrates (Character)?

A

How would you describe the pain?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What questions could be asked for the R of Socrates (radiation)?

A

Does the pain radiate anywhere else?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What questions could be asked for the A of Socrates (associations)?

A

Any other signs or symptoms associated with the pain?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What questions could be asked for the T of Socrates (Time)?

A

How long has the pain been present?

Does it follow any pattern?

17
Q

What questions could be asked for the E of Socrates (Exacerbating and relieving factors)?

A

does anything make the pain better or worse?

Does anything change the pain?

18
Q

What questions could be asked for the last S of Socrates (Severity)?

A

How bad is the pain from 0-10?