History Taking Flashcards

1
Q

What is the 1st section of taking a history?

A

Presenting complaint.

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2
Q

What is the 2nd section of taking a history?

A

History of presenting complaint.

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3
Q

What is the 3rd section of taking a history?

A

Past medical history.

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4
Q

What is the 4th section of taking a history?

A

Drug history.

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5
Q

What is the 5th section of taking a history?

A

Family history.

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6
Q

What is the 7th section of taking a history?

A

Systems enquiry.

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7
Q

What does ICE stand for?

A

Ideas, concerns and expectations

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8
Q

What is the mnemonic for pain in HPC?

A

SOCRATES.

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9
Q

What does each letter stand for in the mnemonic “SOCRATES”?

A
Site
Onset
Character
Radiation
Associated symptoms
Timing
Exacerbators/relievers
Severity
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10
Q

What is the helpful mnemonic for PMH?

A

JAM THREADS.

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11
Q

What does the JAM stand for in JAM THREADS?

A

Jaundice, Anaemia and myocardial infarction.

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12
Q

What does the THR stand for in JAM THREADS?

A

Tuberculosis, hypertension and heart disease and rheumatic fever.

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13
Q

What does the EA stand for in JAM THREADS?

A

Epilepsy and asthma/COPD.

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14
Q

What does HPC stand for?

A

History of presenting complaint.

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15
Q

What does PMH stand for?

A

Past medical history.

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16
Q

What do you need to document in drug history taking?

A

Name of drug, dose, route and frequency (duration).

17
Q

What are the different types of medication someone could be taking?

A

Prescribed, over the counter and herbal. Consider illicit drug use.

18
Q

What questions arise from their current medications?

A

Why are they taking it? Concordance?

19
Q

What is important when thinking about prescribing a drug?

A

Are you allergic of anything you know of? What happens when you take it?

20
Q

What does family history sign post?

A

Gives clues to possible genetic predisposition to illness.

21
Q

What are the different routes for drug administration?

A

Oral, intramuscular, subcutaneous, topical, intravenous, per rectum and intra-nasal.

22
Q

Who would you ask about when taking a family history?

A

Parents, siblings and children.

23
Q

What would you ask about when taking a social history?

A

Employment, occupational exposure, smoking, alcohol and home circumstances.

24
Q

What are examples of occupational exposure?

A

Asbestos, excessive noise leading to deafness and coal mining etc.

25
Q

How do you calculate pack per years of cigarettes?

A

(Number of packs smoked per day)x(number of smoking years).

26
Q

What is the limit of units per week of alcohol?

A

14 units.

27
Q

What does CVS stand for?

A

Cardiovascular disorders.

28
Q

What are symptoms of CVS?

A

Palpitations and syncope.

29
Q

What is syncope?

A

A temporary loss of consciousness usually related to insufficient blood flow to the brain.

30
Q

What does RS stand for?

A

Respiratory syncytial virus.

31
Q

What are symptoms of RS?

A

Cough and mucus.

32
Q

What are symptoms of GI disease?

A

Change in bowels and abdominal pain.

33
Q

What does GU stand for?

A

Genitourinary.

34
Q

What are the symptoms of GU disease?

A

Urinary symptoms and LMP.

35
Q

What does LMP stand for?

A

Last menstrual period.

36
Q

What are symptoms of endocrine disease?

A

Lumps in neck and temperature intolerance.

37
Q

What are symptoms of MS?

A

Aches and stiffness in joints, muscles and back.

38
Q

What are symptoms of CNS disease?

A

Headaches and fits.

39
Q

What does SBAR stand for?

A

Situation, background, assessment and recommendation.