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15 Cards in this Set
- Front
- Back
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Chiefly Hx from the Past Tells Your Family's Social Review
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Chief Complaint
History of Present Illness (locates) Past Medical Hx Family Hx Social Hx ROS |
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PMH
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AHISTORY
Allergies Hospitalizations Immunizations/Illnesses Surgeries Trauma Oral Medications Reproductive Hx Youth diseases |
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Social Hx
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FLAMES
Family and Food Lifestyle Abuse of substances and body Marital/significant relationships Employment Support Systems |
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ROS
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General Endo-Head Loves Brass, Crass And Gas to Pass Near the Mass
General Endocrine HEENT Lung Breast Cardio Abdomen GU Psyche Neuro Muscoloskeleton |
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GENERAL
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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 |
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Endocrine
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4
Hot/cold intolerance, thyroid problems, radiation exposure, Hx DM |
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HEENT
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2-3-1-2-2
Head - pain, trauma Ear - tinnitus, loss, vertigo Eyes - vision change Nose - sinusitis, epistaxis Throat - pharyngitis, hoarseness |
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Lung
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11
dyspnea, cough, sputum, hemoptysis, wheezing, TB, PPD, CXR, Pneumonia, smoking, environmental inhalation |
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Breast
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3
nodule, discharge, chest wall or breast pain - tenderness |
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Cardio
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13
Exercise level, orthopnea, PND, chest pain, palpitations, syncope, pedal edema, claudication, CV drugs, SAH, past heart Dz. Rheumatic fever, Family Hx |
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Abdominal
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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 |
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GU
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(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 |
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Psyche
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11
previous psych problems or hospitalizations, interpersonal relationships, anxiety, depression, loss of control, vegetative dysfunction, sleep, eating, pleasure activities, substance abuse, suicidal |
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Neuro
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Headaches, seizures, episodic neurologic symptoms, paresthesias, weakness, head trauma, stroke
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Musculoskeletal
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joint pain stiffness, swelling, family history
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