Hpi Review

Front 1

In your own words, describe the significance of an HPI

Back 1

Hisory of present illness, subjective story by the pt of the symptoms and events that led the pt to the ED, summary

Front 2

How is the HPI different from the ROS?

Back 2

ROS- head to toe checklist of symptoms the pt does or does not have
HPI-info directly relative to the CC, summarizes story context and chronolgy that led to the ED

Front 3

Name 5 elements of the HPI

Back 3

onset, timing, location, quality, severity, modifying factors, associated Sx, context

Front 4

Name eight of the body systems included in the ROS

Back 4

constitutional, eyes, E/N/T, cardiovascular, respiratory, GI, GU, musculoskeletal, Skin, Neurological, Psychiatric, endocrine, lymph, immunological

Front 5

Can the symptoms listed in the ROS ever contradict the symptoms described in the HPI? Why or why not?

Back 5

no, whatever is said in the HPI should be displayed in the ROS

Front 6

What do you need to remember to document in the HPI and ROS for any patient that in unconscious or incapable of providing information?

Back 6

whoever is giving the information for the pt needs to be stated

Front 7

Identify the error in this sentence from an example HPI "Pt states the CP has been intermittent since Thursday"

Back 7

instead write, 3 days ago or however long it was instead of the day of week

Front 8

Why is it important to remember to document if the patient has had similar symptoms in the past?

Back 8

State what has been different or new with the symptoms, how long, if they sought professional treatment, result or diagnosis

Front 9

Name one detail that is important to document if the patient has been evaluated in the past for a similar complaint

Back 9

why they are back to the ED, what prompted to be evaluated- how long did the prior eval occur
who did they see? - what treatment did they receive/did it help? -what diagnosis

any related testing or studies related to th CC
(documenting this can save us time to not repeat)

Front 10

What should you focus on when writing an HPI:
A-capturing everything that is said by the patient
B-documenting the answers to every question asked by the doctor

Back 10

documenting the answers to every question asked by the doctor

Front 11

Which is the first item in the formula for writing an HPI?
a- pertinent negatives
b- timing, quality, and location
a- chief complaint and onset
b- associated symptoms

Back 11

1chief complaint and onset
2timing quality and location
3what makes it better/worse
4associated symptoms
5pertinent negatives
6overall context

Front 12

Often complex HPI's do not follow the HPI formula; how should you organize the events in a complex HPI?

Back 12

chronology (beginning to end)

Front 13

What does MOI stand for in a trauma HPI?

Back 13

mechanism of injury

Front 14

T or F: In the ROS, you should document "All other systems negative except as mark" for every patient

Back 14

True

Front 15

Based on your knowledge from Day 2 why should you always pay special attention to the complaints of CP and SOB?

Back 15

MI, PE, PTX

Front 16

Name 3 past surgical histories that indicate that the patient has a history of CAD

Back 16

CABG, angioplasty, Cardiac stents

Front 17

What is the difference between a cardiac stress test and a cardiac catheterization

Back 17

cardiac catheterization, does not happen in the ED

Front 18

What are the risk factors for an MI

Back 18

CAD, HTN, HLD, DM, Smoker, FHx of CAD, <55yo

Front 19

What are the risk factors for a PE

Back 19

known DVT, PMHx of DVT or PE, Fhx, recent surgery, cancer, A-Fib, immobility, pregnancy, BCP, smoking

Front 20

What are the risk factors for a CVA

Back 20

HTN, HLD, DM, hx TIA/CVA, smoking, Fhx CVA, AFib