HPI (history of present illness)

Ask for: LIQOR AAA

L Location of the symptom (forehead, wrist…)

I Intensity of the symptom (scale 1-10, 6/10)
Q Quality of the symptom (burning, pulsating pain…)
O Onset of the symptom + precipitating factors
R Radiation of the symptom ( to left shoulder and arm)
A Associated symptoms ( palpitations, shortness of breath)
A Alleviating factors (sitting with my chest on my knees)
A Aggravating factors (effort, smoking, large meals)

PMH (past medical history)

Search for: PAM HUGS FOSS

P Previous presence of the symptom (same chief complaint)

A Allergies (drugs, foods, chemicals, dust …)
M Medicines (any drugs the patient used)

H Hospitalization for any illness in the past

U Urinary changes ( esp if diabetic, elderly…)
G Gastrointestinal complains (diet changes, bowel movements…)
S Sleep pattern (waking up/going to sleep…)

F Family history (simmilar chief complaints/serious illness)

O OB/GYN history (LMP, abortions, para…)
S Sexual habits (active/preferences/STD…)
S Social life (job/house/smoking/alcohol…..)

Pain history checklist

CLITORIS:

Character

Location

Intensity

Timing
Onset

Radiating

Irritating and relieving factors

Symptoms associated

Differential diagnosis checklist

DIRECTION:

Drugs

Infection

Rheumatologic

Endocrine

Cardiovascular

Trauma

Inflammatory

Other

Neoplasm

For Social History TIA SHOE:

T obacco

I llicit drigs

A lcohol

S exual

H ouse life

O ccupation

E ating (diet)
————-

premenopausal symptoms

HAVOC

H- hotflahes

A-atropy of vagina

V-vaginal dryness

O- osteoporosis

C- coronary artery diseases

————

Depression.SIGEMCAPS

S-sleep

I-interest

G-guilt,gun

E-energy

M-mood

C-concentration

A-appetite

P-psycomotor

S-suicide

————

fatigue…IMP ADH

I-infectin

M -malignancy

P-ptsd

A-abuse

D-depression

H-hypothyroidism

————
Insomnia counselling =ABCDEFGHJKLMN

Avoid

Bedtime

Concerns (worries)

Drugs (nicotine/caffeine/Alcohol)

Excercise/Excitement (TV Shows)

Follow

Good

Habits for sleep.

Jetlag

Keep

List (Diary)

Monitor

Naps (day time)

—————-

Enuresis Counselling = SMILE SAM

Supportive (of the child)

Monitor Intake (@ Day)

Limit (@ Night)

Encourage Washroom( @ bedtime)

Sheets ( Rubber flannel sheets)

Alarms ( >5yrs )

Motivate (thru Rewards)

Conselling DM & HTN= MEDOWS

Medications (regularity)

Excercise ( for obese/sedentary life styles)

Diet Modification( Salt/Fatty foods)

Opthalmoscopic exams (annual routine)

Weight Management (/control)

Suger Check ups

————————
Smoking Cessation counselling = SPANCSTER

Stressor ( any stress in life/tension etc )

Problems ( Heart /Lung/ CA)

Advantages ( Improved breathing & Increased energy)

Nicotine Patch ( I can offer you reading materials )

Counsellors ( I can refer u/ give # )

Support systems ( I can refer u /give #)

Taper down ( if u cant do cold turkey den just taper down a bit)

Excercise Programs ( eg Swimming )

Rewards ( reward urself, treat urself with a dinner 4m money saved off of quitting)

——————-

STD / HIV Counselling

STRIP BIMBO !

SAFE SEXUAL PRACTICES

TRANSMISSION ( to partners )

RISKS ( acquiring more STD’s)

IMMUNIZATIONS ( for Influenza/ Pneumococcal )

PREVENTION COUNSELLING ( REFER TO SW /CAN GIVE #)

BEHAVIOUR COUNSELLING (REFER / CAN GIVE #)

INTERVENTIONAL COUNSELLING ( REFER /CAN GIVE #)

MEDICATIONS

BARRIER METHODS (CONDOMS

OPPURTUNISTIC INFECTIONS/OBSERVATION (FOR LABS)

——————–

HOPI For A CC OF URINARY COMPLAINT

(b)FINISHED PUBS(/b)

Frequency ( How frequent do u Ux)

Incontinence( Do u hav trouble holding Ux)

Nocturia ( do u hav 2 wak up @ Night)

Incomplete emptying ( do u feel fullnes after Ux)

Stream (How is ur stream?)

Hematuria ( did u notic any blood)

Hesitancy (do u hav 2 wait b4 starting Ux)

Dysuria (Did u hav diff Ux)

Pyuria ( did u pus in Ux)

Urgency (do u hav 2 rush)

Burning (dysuria) (does it burn)

Strain (Do u hav to strain during Ux)

———————-

OBESITY

OBESITY-DISC

Osteoarthritis

Breathing problems

Excess Cholestrol

Sleep Apnea

Increased Incidence Ca’s (Endomet/Breast/Colon)

Type 2 DM

hYpertension

Depression

Incontinence

Stress

Cholelithiasis/Cycle disturbances/Cardiac

——————

Syncope/ Loss of Consciousness/Spells

CAMPUS

 CAD

 Arrythmias/ Aortic Stenosis

 Migraine/ Meds

 Psychiatric /Personality disorder( hyperventilation)

 Unexplained Syncope

 Seizures/Strokes

—————–
D/D Confusion

Pneumonic = DEMENTIA

 Diabetes /Dementia/ Drugs

 Epilepsy

 Migraine/Mult Infarct Dementia

 Ethanol (withdrawl / Toxicity)

 Neurological Deficit diseases= BETA (Bleeds,Encephalitis,Tumors,Abscess,Meningitis)

 TIA/ Trauma

 Insulin/ Infections

 Alzheimers/Abscess

D/D = BACK PAIN

Pneumonic = LIMCOTS

 Lumbar Spinal stenosis

 Intervertebral disc herniation

 Multiple Myeloma/ Mets (Prostate, Breast ,Lung)

 Cauda equina synd/ Cancer

 Osteoporosis/Osteoarthritis

 Trauma/ TB

 Strain (muscle)

———————

Nasuea & Vomiting = A MOPING

 Anorexia

 Metabolic( DKA)/Meds

 Obstruction (pyloric /Intestinal)

 Pregnancy

 Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID)

 Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess

 Gastroenteritis

Dizziness is DENTAL CAMPUS

  Diabetic comp ( Orthostatic )

 Ear problems (Meniere’s/ BPV)

 Neural tumors/Neuropathy

 Thyroid

 Anemia

 L leave me

 CAMPUS is same as is for SPELLS/LOC/SYNCOPE

Pneumonic for orderly HOPI questions= ABCDF- SIQOR AA ROS

 Appear/Begin=Duration

 Context= Precipitation (wht were u doin b4, during ?Anythin different?)

 Development = Progression (sudden / progressive, Any changes overtime)

 Frequency= persistent/intermittent ( how often/how long)

 Site

 Intensity= 0-10/10

 Quality = character

 Other sympt = ROS

 Radiation= move

 Aggravation

 Alleviation

 ROS