05-14-2011, 07:14 PM
At the door after you read the question, quickly write down, the patients name, five differential diagnosis and then liqoraat dpf pam hogs foss alot. Knock and go in. Practice the door skills in 45 seconds to 60 seconds before you go in. You will be better organized having this at your disposal.
When you get in, keep your statements short
Good day madam X, my name is xxx, i will be addressing your concerns today, tell me about the headache
For any symptom you have to go thru LIQORAATDPF (all symptoms do not apply to this mnemonic but practice to know what applies with as many symptoms as possible)
L-location or where incident occured
I-Intensity or how bad it is
Q-Quality or how she would describe the symptom
O-Onset or when it started
R-Radiation
A- Aggravating factors or what makes it worse
A-Alleviating facors or what makes it better
A- Associated symptoms
T- Trauma
D- Duration or how long symptom lasts
P-Progression of symptom since onset
F- Frequency or how often symptom occurs if it isnt constant
You shouldnt spend more than 3 minutes going thru liqoraatdpf
Then for the rest of the history you must go thru PAMHOGSFOSS
P- Past medical history of similar symptom
A- Allergy to any medication or substance
M- Medication currently on
H- Hospitalizations in the past
O- obstetric history OR LMP
G- Gynae history or issues with menstruation
S- Social history to include HEADS, Home, Education/grade, activity, drugs, sexual
F- Family history
O- Other systems or Review of systems
S- Suicide or depression screen
S- Sleep
Then you do your physical after washing your hands. Running a commentary helps you remember what has been done while you examine the patient
When you are done examining, go through ALOT
A-Assessment or most likely diagnosis
L- Likely differentials and Labs/work up
O- Other counseling e.g alcohol, sexual high risk behavior,
T- Tobacco counselling
Everyone that has used this has passed. If you have a problem with english, work on it. Also work on writing your patient note. I understand, it would have to be typed from now on or thereabout. Work on your typing too.
Good luck to all.
Get Your Intraining Pediatric Manual on amazon.
When you get in, keep your statements short
Good day madam X, my name is xxx, i will be addressing your concerns today, tell me about the headache
For any symptom you have to go thru LIQORAATDPF (all symptoms do not apply to this mnemonic but practice to know what applies with as many symptoms as possible)
L-location or where incident occured
I-Intensity or how bad it is
Q-Quality or how she would describe the symptom
O-Onset or when it started
R-Radiation
A- Aggravating factors or what makes it worse
A-Alleviating facors or what makes it better
A- Associated symptoms
T- Trauma
D- Duration or how long symptom lasts
P-Progression of symptom since onset
F- Frequency or how often symptom occurs if it isnt constant
You shouldnt spend more than 3 minutes going thru liqoraatdpf
Then for the rest of the history you must go thru PAMHOGSFOSS
P- Past medical history of similar symptom
A- Allergy to any medication or substance
M- Medication currently on
H- Hospitalizations in the past
O- obstetric history OR LMP
G- Gynae history or issues with menstruation
S- Social history to include HEADS, Home, Education/grade, activity, drugs, sexual
F- Family history
O- Other systems or Review of systems
S- Suicide or depression screen
S- Sleep
Then you do your physical after washing your hands. Running a commentary helps you remember what has been done while you examine the patient
When you are done examining, go through ALOT
A-Assessment or most likely diagnosis
L- Likely differentials and Labs/work up
O- Other counseling e.g alcohol, sexual high risk behavior,
T- Tobacco counselling
Everyone that has used this has passed. If you have a problem with english, work on it. Also work on writing your patient note. I understand, it would have to be typed from now on or thereabout. Work on your typing too.
Good luck to all.
Get Your Intraining Pediatric Manual on amazon.