History Taking Flashcards
What is the 1st section of taking a history?
Presenting complaint.
What is the 2nd section of taking a history?
History of presenting complaint.
What is the 3rd section of taking a history?
Past medical history.
What is the 4th section of taking a history?
Drug history
What is the 5th section of taking a history?
Family history.
What is the 6th section of taking a history?
Social history.
What is the 7th section of taking a history?
Systems enquiry.
What does ICE stand for?
Ideas, concerns and expectations.
What is the mnemonic for pain in HPC?
SOCRATES.
What does SOCRATES stand for?
Site
Onset
Character
Radiation
Associated symptoms
Timing
Exacerbators/ relievers
Severity
What is the helpful mnemonic for PMH?
JAM THREADS.
What does the JAM stand for in JAM THREADS?
Jaundice, Anaemia and myocardial infarction.
What does the THR stand for in JAM THREADS?
Tuberculosis, hypertension and heart disease and rheumatic fever.
What does the EA stand for in JAM THREADS?
Epilepsy and asthma/COPD.
What does the DS stand for in JAM THREADS?
Diabetes and stroke.
What does HPC stand for?
History of presenting complaint.
What does PMH stand for?
Past medical history.
What do you need to document in drug history taking?
Name of drug, dose, route and frequency (duration).
What are the different types of medication someone could be taking?
Prescribed, over the counter and herbal. Consider illicit drug use.
What questions arise from their current medications?
Why are they taking it? Concordance?
What is important when thinking about prescribing a drug?
Are you allergic of anything you know of? What happens when you take it?
What does family history sign post?
Gives clues to possible genetic predisposition to illness.
What are the different routes for drug administration?
Oral, intramuscular, subcutaneous, topical, intravenous, per rectum and intra-nasal.
Who would you ask about when taking a family history?
Parents, siblings and children.
What would you ask about when taking a social history?
Employment, occupational exposure, smoking, alcohol and home circumstances.
What are examples of occupational exposure?
Asbestos, excessive noise leading to deafness and coal mining etc.
How do you calculate pack per years of cigarettes?
(Number of packs smoked per day)x(number of smoking years).
What is the limit of units per week of alcohol?
14 units
What does CVS stand for?
Cardiovascular disorders.
What are symptoms of CVS?
Palpitations and syncope.
What is syncope?
A temporary loss of consciousness usually related to insufficient blood flow to the brain.
What does RS stand for?
Respiratory syncytial virus.
What are symptoms of RS?
Cough and mucus.
What are symptoms of GI disease?
Change in bowels and abdominal pain.
What does GU stand for?
Genitourinary.
What are the symptoms of GU disease?
Urinary symptoms and LMP.
What does LMP stand for?
Last menstrual period.
What are symptoms of endocrine disease?
Lumps in neck and temperature intolerance.
What are symptoms of MS?
Aches and stiffness in joints, muscles and back.
What are symptoms of CNS disease?
Headaches and fits.
What does SBAR stand for?
Situation, background, assessment and recommendation.
