Medical History Taking (Quiz 1) Flashcards

1
Q

Patient Identification

A

New patient vs established

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2
Q

Chief concern/chief complaint

A

reason the person is seeking care
may be referred to as problem or diagnoses

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3
Q

History of Present Illness

A

detailed account elicited from the patient regarding the CC

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4
Q

Past Medical and surgical history

A

general health
chronic and episodic illness
operations and injuries
previous hospitalizations
past P&O management

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5
Q

Patient-Centered Model

A

participatory
patient autonomy
individual needs and preferences the focus
improved patient adherence

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6
Q

7 cardinal features of symptoms

A
  • location and radiation
  • quality
  • quantification
  • chronology
  • setting
    -modifying factors
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7
Q

OPQRST

A

Onset
Position
Quality & Quantification
Related Symptoms
Setting
Transforming factors

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8
Q

OLDCARTS

A

Onset
Location
Duration
Character
Alleviating/Aggravating
Radiation
Timing
Severity

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9
Q

Patient-Centered Interview Framework

A

1) Set the stage
2) obtain the chief complaint/concern and set the agenda
3) open the history of present illness
4) continue the patient-centered history of present illness
5) transition to clinician-centered process

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