Total History prior to ROS

Question 1

What is the CC?

Answer 1

chief complaint in the patient’s “own words” x duration

Question 2

HPI pneumonic

Answer 2

L-location (radiation)
O-other associated sxs (pertinent ROS)
C-character
A-alleciating/aggravating factors
T-timing, onset, duration, frequency
E-environment
R-recent medical visits/txs for this problem
S-severeity on a pain scale or level of diability

Question 3

PMH pneumonic

Answer 3

A-allergies
H-hospitalizations
I-Illnesses (chronic) and Immunization
S-surgeries
T-trauma/injury
O-oral medications/supplements
R-reproductive history/contraception
Y-youth/childhood illnesses

Question 4

Family History components

Answer 4

Genetic disposition and household contacts (toxins, infections)

Question 5

Social History pneumonic

Answer 5

F-family, food, fun
L-lifestyle (typical day/exercise)
A-abuse of substances
R-relationships
E-employment/education level
S-support systems
If needed: sexual, teen, or spiritual/cultural