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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

RRadiation 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

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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)

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-

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

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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

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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 Cas (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

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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

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Diabetic comp ( Orthostatic )

Ear problems (Menieres/ 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