SP Encounters Flashcards
1
Q
OLDCAARTS
A
HPI: Onset Location Duration Character Associated factors Aggravating factors Relieving factors Temporal factors Severity
2
Q
MMAISHIFT
A
Family history: Medical illnesses Medications (rx, otc, supplements) Allergies (+ RXN!!!) Immunizations Surgeries Hospitalizations Injuries Family hx Travel hx
3
Q
HORSSES
A
Social history: Habits (tobacco, alcohol, exercise, sleep, diet) Occupation Relationships Safety Sexuality Environment (heat, water, exposures) Spirituality
4
Q
Opening questions/statements
A
What brings you in today?
I’m sorry to hear that, can you tell me more about that?
Before we dive into “insert cc” is there anything else you’d like to cover today?
