PRF report format Flashcards
List abbreviation for
PC HPC S/E CVS RS GIT GUS CNS LOC
PMH MEDs ALL FH SH
O/E CVS RS GIT GUS CNS LOC
IMP
DD
PLAN
What does S/E stand for
Systemic Enquiry question to ask patient before examination
What does S/E CVS stand for and what things to ask
systemic enquiry cardiovascular system
ask patient what usual before examination
? SOB, Palpitation, Oedema
What does S/E RS stand for
and what things to ask
S/E systemic enquiry
RS Respiratory system
ask patient what usual before examination
asthma TB COAD COPD Smoker
What does S/E GIT stand for and what things to ask
S/E systemic enquiry
GIT Gastrointestinal Tract
ask patient what usual before examination
? weight loss gain B/O reg
What does S/E GUS stand for and what things to ask
S/E systemic enquiry
GUS Genitourinary system
ask patient what usual before examination
? urine problems catheter prostatism dysuria
What does S/E CNS stand for and what things to ask
S/E systemic enquiry
CNS central nervous system
ask patient what usual before examination
? headaches dizziness visual distrub
What does S/E LOC stand for and what things to ask
S/E systemic enquiry
LOC locomotion
ask patient what usual before examination
? joint pain FROM
what does PMH
past medical history
what does ALL
Allergies
what does FH
family history
what does SH
Social history
jobs ? exercise
what does O/E stand for
and what things to document
On Examination
Eg obese 48yom cold sweaty A-pyrexia
J.A.C.Ci.Oe.L
what does O/E CVS stand for
and what things to document
O/E on examination
CVS cardiovascular system
hr,bp jvp H/s
pps palpable
what does O/E RS stand for
and what things to document
O/E on examination
RS respiratory system
B/S bilat basal creps bronch breathing
