History Taking Flashcards

1
Q

What does S mean in SAMPLED

A

Signs and Symptoms

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2
Q

How to ask for Signs and Symptoms

A

“What’s going on today?”

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3
Q

What is the acronym for the general history taking?

A

SAMPLED

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4
Q

What is the A in SAMPLED

A

Allergies

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5
Q

How to ask about allergies?

A

“Are you allergic to anything?” If so, “what is your reaction?”

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6
Q

What is the M in SAMPLED

A

Medications

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7
Q

How to ask about Medications

A

“Are you on any medications?”

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8
Q

What is the P in SAMPLED

A

Past Medical History

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9
Q

How to ask about Past Medical History?

A

“Has this happened before” or “Do you suffer from any other medical conditions?”

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10
Q

What is the L in SAMPLED

A

Lists of Lasts

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11
Q

What to ask for Lists of Lasts?

A

Meal, GP, Bowel Movements, Menses…whatever is relevant to the situation

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12
Q

What is the E in SAMPLED

A

Events Leading Up

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13
Q

How to ask about Events Leading Up?

A

“What were you doing when it started?” “How long ago did it start?”

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14
Q

What is the D in SAMPLED

A

Advanced Health Directive

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15
Q

When to ask re Advanced Directive?

A

If it is relevant to the situation

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16
Q

What is the pain acronym?

A

OPQRST

17
Q

What is the O in OPQRST?

A

Onset

18
Q

What is the P in OPQRST?

A

Provocation

19
Q

What is the Q in OPQRST

A

Quality

20
Q

What is the R in OPQRST?

A

Radiation

21
Q

What is the S in OPQRST?

A

Severity

22
Q

What is the T in OPQRST?

A

Timing

23
Q

How to ask for Onset?

A

“What were you doing when the pain began?”

24
Q

How to ask for Provocation?

A

“What makes it better or worse?”

25
Q

How to ask for Quality?

A

“How would you describe the pain?”

26
Q

How to ask for Radiation?

A

“Does the pain radiate anywhere or does it stay in one place?”

27
Q

How to ask for Severity?

A

“If you could rate the pain out of 10, 0 being no pain and 10 being the worst pain, what would it be?” “Has it always been this number or has it been getting better or worse over time?”

28
Q

How to ask for Timing?

A

“How long ago did the pain start?” “How long ago was the last episode?” “How long does it usually last?”

29
Q

What does SAMPLED mean?

A

Signs and Symptoms, Allergies, Medications, Past Medical History, Lists of Lasts, Events Leading Up, Directive

30
Q

What does OPQRST mean?

A

Onset, Provocation, Quality, Radiation, Severity, Timing