Patient History (done) Flashcards
what Biographical details should be asked?
Age. name
Gp
how they would like to be called
History of presenting complaint?
Onset Location Duration Characterisitcs/ symptoms Aggraving factors Releiving factors Timing Serverity
What is the ample acynom ?
Allergies Medication Past medical histroy last ate Events/environments
What does the acronym OLD CARTS
On set Location Duration Characteristics/ associated symptoms Aggrieving factors Relieving factors Timing Severity
What to ask with ‘onset’
When did it start
How long have you had it for
What to ask with ‘location’
Where is the pain
Point to the pain
Is their a location you feel generally unwell
What to ask with ‘duration’
How long have they had it for
What to ask with ‘characteristics’
What does it feel like
What type of pain is it
Is it their all the time
What to ask with ‘associated symptoms’
Is their anything else
What to ask with ‘aggravating factors’
Does anything make it worse
What to ask with ‘relieving factors’
Does anything make it feel better
What to ask with ‘timing’
What where you doing when it started
How did it start
What to ask with ‘severity’
Pain score
Have you ever had anything like this before
Is it the worse you have ever had it
What to ask in the past medical history
Drug history, medications ( how long have they been taking these for ) Allergies Family history Social history (smoking, alcohol) ADL (activities daily living)
