07-07-2008, 10:10 AM
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
””””
fatigueIMP 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
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
””””
fatigueIMP 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
)