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CODIERS SMASH FM

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1. A Allergies 9. M Medications

Food, Environmental, Drug - What happened? Name


2. C Chronology Dose
Frequency
Time frame showing the sequence of events. 10. O Onset

Have you ever had this BEFORE? With a positive: Occurence


When was that?
When was the first time you had it? When did the current symptoms start?
How often does it occur? 11. R Remitting factors
How long does it last?
Did you seek intervention? What makes it better?
Was there a prior diagnosis?
What was the prior treatment? 12. S Symptoms associated
What was the prior outcome?
Concurrent findings.
How has it CHANGED?
What was the order of symptoms? For a cold, question about presence of fever, chills, runny
nose, sinus pressure, headache, nasal congestion, sore
3. D Description throat, cough, etc.

Describe it. Location. Radiation 13. S Social History


FED TACOS
Can you describe it to me? Food (diet)
What does it FEEL like? Exercise
Where is it located? Drugs
Does it go anywhere? Tobacco
Alcohol
4. E Exacerbating factors Caffeine
Occupation
What makes it worse? Sexual History
5. F Family History 14. S Surgical History

Mother, father, siblings, family tendencies. What?


6. H Hospitalization When?

What?
Where?
When?
7. I Intensity

Scale. How bad is it?

On a scale from 1 to 10, how bad is the pain?


How has the symptom affected your activities of daily
living? What cant you do anymore?
8. M Medical History

Prior Medical conditions


Immunizations
Health Maintenance

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