HPI/ROS, Red Flags/DDx Flashcards by Mason Crow

Q

Elements of HPI

A

Onset
Timing
Location
Quality
Severity
Modifying factors
Associated Sx
Context

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Q

A complete ROS requires…

A

10 elements OR 2 elements if “all other systems negative except as marked” is included

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Q

What to document if HPI/ROS is unobtainable

A

“A complete HPI/ROS is unobtainable due to the patient’s condition”

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Q

CP: worse w/ physical exertion

A

MI

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Q

CP: worse w/ deep breaths

A

PE

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Q

CP: radiation to the back

A

Aortic dissection

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Q

CP: recent trauma

A

PTX

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Q

CP: SOB

A

MI, PE, PTX

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Q

CP: diaphoresis, nausea, vomiting

A

MI

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Q

CP: calf pain

A

DVT causing PE

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Q

CP: pleuritic pain

A

PE, PTX

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Q

SOB w/o CP: productive cough

A

PNA

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Q

SOB w/o CP: orthopnea/DOE

A

CHF

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Q

SOB w/o CP: bilateral leg swelling

A

CHF

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Q

SOB w/o CP: hemoptysis

A

PE

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Q

SOB w/o CP: unilateral leg swelling

A

DVT causing a PE

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Q

SOB w/o CP: wheezing

A

Asthma

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Q

SOB w/o CP: Hx of tobacco abuse

A

COPD

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Q

MI risk factors

A

CAD
HTN
HLD
DM
Smoking
FHx CAD < 55 y/o
Recent cocaine use

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Q

PE risk factors

A

Hx DVT/PE
Known DVT
Recent surgery
Immobilization
A-Fib
CA
Pregnancy/birth control

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Q

ABD pain: RLQ pain

A

Appendicitis

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Q

ABD pain: RUQ pain

A

Cholecystitis

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Q

ABD pain: LLQ pain

A

Diverticulitis

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Q

ABD pain: LUQ pain

A

Pancreatitis

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Q

ABD pain: fever

A

Appendicitis, cholecystitis, diverticulitis

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Q

ABD pain: blood in vomit/stool

A

GI bleed

Q

ABD pain: melena

A

GI bleed

Q

ABD pain: dizziness

A

GI bleed, AAA

Q

Female lower abd pain: suprapubic pain

A

Ovarian torsion

Q

Female lower abd pain: pregnancy

A

Ectopic pregnancy

Q

Female lower abd pain: fever, RLQ pain

A

Appendicitis

Q

Low back pain: weakness/numbness in LE

A

Spinal cord injury

Q

Low back pain: numbness of the groin

A

Spinal cord injury or Cauda Equina

Q

Low back pain: loss of bowel/bladder control

A

Spinal cord injury or Cauda Equina

Q

Low back pain: Hx of IVDA

A

Spinal abscess

Q

Low back pain: fever

A

Spinal abscess

Q

Low back pain: abd pain

A

AAA

Q

Dizziness/HA: weakness/numbness/tingling

A

CVA, SAH

Q

Dizziness/HA: changes in speech/vision

A

CVA, SAH

Q

Dizziness/HA: difficulty with balance

A

CVA, SAH

Q

Dizziness/HA: fever

A

Meningitis

Q

Dizziness/HA: neck pain

A

Meningitis

Q

Dizziness/HA: AMS

A

Meningitis, CVA, SAH

Q

Dizziness/HA: worst HA of life/thunderclap onset

A

Hemorrhagic CVA, SAH

Q

Dizziness/HA: Syncope or seizure

A

CVA, SAH

Q

Syncope: tongue bite wound

A

Sz

Q

Syncope: numbness/weakness/tingling

A

CVA

Q

Syncope: changes in speech/vision

A

CVA

Q

Syncope: CP

A

MI

Q

Syncope: SOB

A

PE

Q

Syncope: palpitations

A

Arrhythmia

Q

AMS: fever

A

Sepsis

Q

AMS: numbness/weakness/tingling

A

CVA

Q

AMS: changes in speech/vision

A

CVA

Q

AMS: HA

A

Hemorrhagic CVA

Q

AMS: Hx of depression or drug abuse

A

Drug OD

Q

AMS: Hx of diabetes

A

Hypoglycemia

Q

Trauma: LOC

A

Hemorrhagic CVA, subdural hematoma

Q

Trauma: unilateral numbness/weakness/tingling

A

Hemorrhagic CVA, subdural hematoma

Q

Trauma: bilateral numbness/weakness/tingling

A

Spinal cord injury

Q

Trauma: neck/back pain

A

Spinal cord injury

Q

Trauma: SOB/CP

A

PTX, cardiac contusion

Q

Trauma: abd pain

A

Splenic/liver laceration