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15 Cards in this Set

  • Front
  • Back
Chiefly Hx from the Past Tells Your Family's Social Review
Chief Complaint
History of Present Illness (locates)
Past Medical Hx
Family Hx
Social Hx
ROS
PMH
AHISTORY
Allergies
Hospitalizations
Immunizations/Illnesses
Surgeries
Trauma
Oral Medications
Reproductive Hx
Youth diseases
Social Hx
FLAMES
Family and Food
Lifestyle
Abuse of substances and body
Marital/significant relationships
Employment
Support Systems
ROS
General Endo-Head Loves Brass, Crass And Gas to Pass Near the Mass
General
Endocrine
HEENT
Lung
Breast
Cardio
Abdomen
GU
Psyche
Neuro
Muscoloskeleton
GENERAL
13
General: Weight change, fever/chills, night sweats, Skin rash, itching, mole change, skin cancer, abnormal bleeding or bruising, anemia, pica, HIV risk factors, lymphadenopathy
Endocrine
4
Hot/cold intolerance, thyroid problems, radiation exposure, Hx DM
HEENT
2-3-1-2-2
Head - pain, trauma
Ear - tinnitus, loss, vertigo
Eyes - vision change
Nose - sinusitis, epistaxis
Throat - pharyngitis, hoarseness
Lung
11
dyspnea, cough, sputum, hemoptysis, wheezing, TB, PPD, CXR, Pneumonia, smoking, environmental inhalation
Breast
3
nodule, discharge, chest wall or breast pain - tenderness
Cardio
13
Exercise level, orthopnea, PND, chest pain, palpitations, syncope, pedal edema, claudication, CV drugs, SAH, past heart Dz. Rheumatic fever, Family Hx
Abdominal
20
(Vommitting 3)
nausea, vomiting, hematemesis,
(Food 4)
dysphagia, indigestion, heartburn, abdominal pain,
(liver 2)
swelling, jaundice,
(poo 6)
hematochezia, melena, diarrhea, constipation, hernia, hemorrhoids
(disease 5)
peptic ulcer disease, surgery, gallbladder disease, pancreatitis, alcohol intake
GU
(Urinary 9)
urinary frequency, urgency, dysuria, nocturia, hematuria, flow, hesitancy, kidney dz, incontinence
(Male g 4)
urethral discharge, testicular mass or pain, flank pain, hemospermia,

(Females 5) pelvic pain, vaginal discharge, abnormal bleeding, pelvic mass, pregnancies.
(Both 7)
birth control method, sexual history, genital lesions, Syphillis, gonnorhea, chlamydia, UTI's
Psyche
11
previous psych problems or hospitalizations, interpersonal relationships, anxiety, depression, loss of control, vegetative dysfunction, sleep, eating, pleasure activities, substance abuse, suicidal
Neuro
Headaches, seizures, episodic neurologic symptoms, paresthesias, weakness, head trauma, stroke
Musculoskeletal
joint pain stiffness, swelling, family history