Medical History Flashcards
WHat’s the structure of taking a medical history?
Presenting complaint
History of presenting complaint
Past medical history
Drug history
Family history
Social history
Systems enquiry
What’s important in taking a history of presenting complain?
Establish a time-line of events
Obtain chronological account
Mnemonic for pain:
SOCRATES
What does SOCRATES mean?
Site
Onset
Character
Radiation
Associated symptoms
Timing
Exacerbators/relievers
Severity
Mnemonic for past medical history:
JAM THREADS
What does JAM THREADS mean?
Jaundice
Anaemia
Myocardial infarction
Tuberculosis
Hypertension and heart disease
Rheumatic fever
Apilepsy
Asthma and COPD
Diabetes
Stroke
WHat info is needed for taking a drug history?
Name of drug
Dose
Route
Frequency
What does SBAR mean?
Situation
Background
Assessment
Recommendation