OSCE Flashcards
1
Q
Introduction
A
- Good morning, student doctor
- What brings you in?
- Few questions to help narrow what might be causing ___ and how best to treat you
- Take notes?
2
Q
Chief Complaint
A
Onset Location Duration Character Alleviate/Aggrivate/Assoc. Radiation Temporal Severity
3
Q
Past Medical History
A
- Childhood/Major Adult Illnesses
- Immunizations up to date
- Surgeries/Hospitalizations
- Meds (Rx/ OTC, dose, freq)
- Herbals/Vitamins/Supplements
- Allergies
- LMP/ Sexual Hx
- Screening Tests (pap, mam, prostate)
4
Q
Family History
A
- Both parents living?
- Familial diseases
- Health, age, cause of death
- Parents, sibs, kids, grandparents, spouse
5
Q
Social History
A
- Living situation, kids?
- Marital Status
- Occupation/ Hobbies
- Support system
- Stress
- Nutrition and Diet
- Sleep
- Caffeine/Tobacco/ETOH/Drugs
- Recent Travel
- Spiritual/ Cultural beliefs
- Sexual hx ( 5 Ps)
6
Q
Closing
A
- Summarize
- Anything we’re missing or need to change?
- That’s all
- At this time, I’d like to step out, place some orders, and see what we can do to get you feeling better.
- Do you have any questions for me?
- It was nice meeting you
7
Q
5 Ps of Sexual history
A
Partners Practices Prevention of Pregnancy Prevention of STD Past history of STD
