OP 1: Patient History (HPI)

Question 1

High Blood Pressure

Answer 1

Hypertension (HTN)

Question 2

High Cholesterol

Answer 2

Hyperlipidemia (HLD)

Question 3

Diabetes

Answer 3

Diabetes Mellitus (DM)

Question 4

“I only take pills for my diabetes”

Answer 4

Non-Insulin-Dependent Diabetes Mellitus (NIDDM)
- Type II

Question 5

“I take shots or insulin for my diabetes”

Answer 5

Insulin Dependent Diabetes Mellitus (IDDM)
- Type I or Type II

Question 6

Heart Disease

Answer 6

Coronary Artery Disease (CAD)

Question 7

Heart Attack

Answer 7

Myocardial Infarction (MI) and CAD

Question 8

Heart Failure

Answer 8

Congestive Heart Failure (CHF)

Question 9

Irregular Heartbeat

Answer 9

Arrhythmia

Question 10

Emphysema/Chronic Bronchitis

Answer 10

Chronic Obstructive Pulmonary Disease (COPD)

Question 11

Blood clot in lung

Answer 11

Pulmonary Embolism (PE)

Question 12

Pneumonia/lung infection

Answer 12

Pneumonia (PNA)

Question 13

Reflux

Answer 13

Gastroesophageal Reflux Disease (GERD)

Question 14

Ulcers

Answer 14

Gastric Ulcer or Peptic Ulcer Disease (PUD)

Question 15

Irritable Bowel

Answer 15

Irritable Bowel Syndrome (IBS)

Question 16

Bladder Infection

Answer 16

Urinary Tract Infection (UTI)

Question 17

Kidney Infection

Answer 17

Pyelonephritis

Question 18

“On dialysis”

Answer 18

Chronic Kidney Disease (CKD) on dialysis

Question 19

Enlarged prostate

Answer 19

Benign Prostatic Hyperplasia (BPH)

Question 20

Stroke

Answer 20

Cerebrovascular Accident (CVA)

Question 21

“Blood clot in brain”

Answer 21

Ischemic CVA

Question 22

“Brain bleed”

Answer 22

Hemorrhagic CVA

Question 23

“Mini Stroke”

Answer 23

Transient Ischemic Attack (TIA)

Question 24

“Blood clot in my leg”

Answer 24

Deep Vein Thrombosis (DVT)

Question 25

"Bulge in my aorta"

Answer 25

Aortic Aneurysm

Question 26

"Bad blood flow in my legs"

Answer 26

Peripheral Vascular Disease (PVD)

Question 27

Cancer

Answer 27

Cancer or Carcinoma (CA)

Question 28

"Cancer spread to my..."

Answer 28

"With metastasis to the..."

Question 29

Chemo

Answer 29

Chemotherapy

Question 30

"They cut it out..."

Answer 30

Status-post Surgical Resection

Question 31

Radiation

Answer 31

Radiation Therapy

Question 32

"It's gone."

Answer 32

In remission

Question 33

True Allergy

Answer 33

1. Rash 2. Itching 3. Swelling 4. Difficulty Breathing

Question 34

Tonsils removed

Answer 34

Tonsillectomy

Question 35

Adenoids removed

Answer 35

Adenoidectomy

Question 36

"Neck arteries were cleaned"

Answer 36

Carotid endarterectomy

Question 37

Leg Amputation

Answer 37

Above Knee Amputation (AKA) Below Knee Amputation (BKA)

Question 38

Joint Repair

Answer 38

Arthroplasty

Question 39

"Balloon in my heart"

Answer 39

Angioplasty

Question 40

"Stents in my heart"

Answer 40

Coronary Stents

Question 41

Heart bypass

Answer 41

Coronary Artery Bypass Graft (CABG)

Question 42

Breast removal

Answer 42

Mastectomy

Question 43

Part of my lung removed

Answer 43

Partial lobectomy

Question 44

Appendix removed

Answer 44

Appendectomy (RLQ)

Question 45

Gallbladder removed

Answer 45

Cholecystectomy (RUQ)

Question 46

Part of colon removed

Answer 46

Partial cholectomy (LUQ)

Question 47

Spleen removed

Answer 47

Splenectomy

Question 48

Kidney removed

Answer 48

Nephrectomy

Question 49

Uterus removed

Answer 49

Hysterectomy

Question 50

Ovar(y)/(ies) removed

Answer 50

Oophorectomy

Question 51

Family History FHx

Answer 51

Includes any medical condition present in the patient's blood relatives - Age of onset <55 -> higher genetic risk

Question 52

Social History (SHx)

Answer 52

- Alcohol Use - Tobacco Use/Vaping - Drug Use - Occupation - Living Circumstance