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47 Cards in this Set

  • Front
  • Back
8 pain questions
Where does it hurt? (Site)
When did it start? (Onset)
What is the pain like? Burning/Stabbing/Pressing... (Character)
Does the pain move or spread? (Radiation)
Does anything make it better? (Alleviating factors)
Does anything make it worse? (Exacerbating)
How long does the pain last, and how often does it happen? (Timing)
On a scale from 1 to 10, how bad is it? (Severity)
3 nausea questions
did you vomit?
if yes: what color was the vomit?
if yes: did you see any blood in the vomit?
15 cough questions
when did cough start?
does anything make it better?
anything make it worse?
do you smoke?
any occupational exposure to chemicals or sick people?
do you bring up any phlegm?
if yes: how much phlegm?
if yes: what color is the phlegm?
if yes: is there any blood in the phlegm?
have you been having runny nose?
have you been having heartburn?
any Hx of asthma or lung disease?
any Hx of allergy?
any Hx of heart disease?
any Hx of aspiration?
16 headache questions
ask 8 SOCRATES questions
is there any change in your vision before/during/after the headache?
is there any nausea associated with the headache?
is there any sensitivity to light or sound?
is there any numbness/weakness before/during/after the headache?
is there any fever?
is there any neck stiffness associated with the headache?
if u/l: any flushing, tearing or drooping of eyelid?
if u/l: any jaw pain when chewing?
11 fever questions
what was your temperature?
do you have chills?
night sweats?
neck stiffness?
runny nose?
cough?
diarrhea?
rash?
urinary problems?
any travel?
any unpasteurized cheese?
13 dyspnea questions
when did it start?
does anything make it better?
anything make it worse?
do you smoke?
have you been travelling or sitting a lot?
any chest pain?
any fever recently?
any cough?
how many steps can you climb before getting short of breath?
how far can you walk on level ground before getting short of breath?
do you ever wake up at night short of breath?
do you have to prop yourself up on pillows to sleep?
have you noticed any swelling at your ankles?
11 urinary questions
any change in your urinary habits?
any pain or burning during urination?
any change in the color of your urine?
any blood?
how often do you have to urinate?
do you wake up at night to urinate?
any difficulty urinating?
any feeling that you haven't completely emptied your bladder after urination?
any dribbling?
do you feel you have to urinate all the time?
once you feel you have to urinate, is there little time to make it to the bathroom?
12 bowel questions
any change in your bowel habits?
any diarrhea?
if yes: any recent travel?
any constipation?
if yes: how long?
what does the stool look like?
any blood or mucus?
any pain during bowel movements?
any feeling of incomplete evacuation?
any loss of bowel control?
any FHx of CRC?
if yes or over 50: have you had a colonoscopy?
11 weight questions
any change in weight?
how much weight gain/loss?
over how much time did the gain/loss take place?
any change in appetite?
was the gain/loss intentional?
any heat or cold intolerance?
any hair changes?
any skin changes?
any bowel habit changes?
any mood changes?
smoking (did you stop recently)?
for women: possibility of pregnancy?
9 sleep questions
any problems falling asleep?
do you take any pills to help you sleep?
any problems staying asleep?
how many hours do you sleep?
any problems waking up?
do you feel refreshed when you wake up?
do you feel sleepy during the day?
do you snore?
caffeinated beverages?
8 dizziness questions
tell me exactly what you mean by "dizzy"?
(did you feel the room spinning,
or did you feel lightheaded as if you were going to pass out?)
what causes the dizziness?
what relieves it?
how long did the feeling last?
did you lose consciousness?
any change in your hearing?
did you feel nauseated or vomit?
any illnesses or drugs taken recently?
11 arthralgia questions
alleviating factors? (better with use?)
any redness or swelling of the joint?
exacerbating factors? (worse in morning?)
(if specific to 1 joint) any other joints bothering you?
any fever or other illness recently?
any abdominal pain or bloody stool?
any rash with your joint pain?
any trauma to the joint?
any cardiac hx?
any outdoors activity?
associated with food or drink?
6 FHx questions
anyone in your family have anything similar?
parents alive?
if not: what did they die of?
if yes: are they healthy?
siblings alive?
if yes: are they healthy?
9 SHx questions
any Concerns generally, or about this problem?
Living situation
Impact on daily life (for any chronic problem)
Occupation
Tobacco
Alcohol
recreational Drugs
Exercise
daily Routine
8 alcohol questions
what do you drink?
how much of it do you drink per week?
have you ever had a drinking problem?
when was your last drink?
have you ever felt a need to cut down?
have you ever felt annoyed by criticism of your drinking?
have you ever felt guilty about drinking?
do you ever need a drink first thing in the morning?
5 recreational drugs questions
which recreational drugs do you use?
how often?
for drug X, do you ever inject it?
if yes: do you ever share needles?
if yes: have you ever been tested for hep or HIV?
8 sexual Hx questions
are you sexually active?
with men, women or both?
how many partners in the last year?
do you use condoms? always?
any other contraceptives?
have you ever had an STD?
any problems with sexual function?
have you ever been tested for HIV?
3 Ob-Gyn topics to cover
menstruation
misc gyn
ob
9 menstruation questions
when was your first period?
how often do you get your period?
how long does it last?
is it regular?
when was the first day of your last period?
has there been any change in your periods?
how many pads/tampons do you use per day?
any cramps?
any spotting between periods?
4 misc gyn questions
any pain during intercourse?
any vaginal discharge?
any problems controlling your bladder?
have you ever had a Pap smear?
3 Ob questions
ever been pregnant?
if yes: times pregnant, times live delivery?
if a miscarriage occured: in what trimester
8 peds perinatal questions
was pregnancy full term?
did you have checkups during pregnancy?
if yes: was US performed?
were there any complications during pregnancy/delivery or after delivery?
did you smoke or use any drugs during pregnancy?
vaginal delivery or C section?
did baby have any postpartum problems?
when was baby's first bowel movement?
9 peds developmental questions
when was first smile?
first sit up?
first crawl?
first speech?
first walk?
first dress itself?
first tie own shoes?
first sentence?
first put things in mouth?
6 peds feeding questions
did you breast feed?
when did baby start eating solids?
how is baby's appetite?
any allergies?
does formula have Fe?
giving pediatric vitamins?
5 peds routine care questions
are child's immunizations current?
when was last checkup?
does child have any serious illnesses?
he/she taking any meds?
he/she ever been hospitalized?
6 general psych questions
how long have you been feeling X?
how do you spend your day?
do you have hope for the future?
have you thought about hurting yourself or others?
do you have any beliefs others would find odd?
any depression or mental illness in your family?
9 depression questions
mood?
enjoy things?
sleep problems (too much or little)?
daytime fatigue?
difficulty concentrating or making decisions?
slow to perform tasks? jittery? (psychomotor retardation/agitation)
low appetite or weight loss?
feelings of worthlessness?
thoughts of death?
24 dementia questions
ADL questions
depression screening
over how long has congnitive decline happened?
any incontinence?
any head trauma?
any headache?
any falls?
any focal neuro sx: numbness/weakness/vision changes?
any cardiac hx: chest pain/SOB?
any vasculopathic RF?
any STDs?
any cold intolerance?
3 abuse questions
are you safe at home?
are you unsafe anywhere else?
can you tell me about the bruises on your X?
5 ADL questions
do you need help with:
Dressing?
Eating?
walking (Ambulation)?
going to the Toilet?
washing yourself (Hygiene)?
PMHx mnemonic
PAM HR FOSS
9 PMHx parts
any Previous episode of current problem
Allergies
current Medications
Hospitalizations, Illnesses, Trauma, Surg
ROS
Family Hx
Ob-Gyn
Sexual Hx
Social Hx
under allergies, ask about ___ (5)
Rx drugs
OTC drugs
food
plants
animals
under medication, ask about ___
Rx
OTC
under illnesses, ask about ___
HTN ("blood pressure")
DM ("blood sugar")
cholesterol
17 sore throat questions
SOCRATES
ear pain
runny nose
cough
swallowing pain
abdominal pain
fever
chills
night sweats
weight loss
12 LOC questions
what were you doing at the time?
what were you feeling at the time?
any sweating beforehand?
any palpitations beforehand?
any Hx of heart disease?
any difficulty breathing before hand?
any Hx of lung disease?
did people see you twitch?
did you bite your tongue?
did you lose bladder control?
any confusion afterwards?
any weakness afterwards?
12 dysphagia questions
is problem for solids only, or solids and liquids?
drooling?
skin changes (or Raynaud)?
heartburn?
fever?
chills?
night sweats?
weight loss?
changes in appetite?
bad breath?
regurgitation of undigested food?
feeling tired?
12 vasculopathic or obese questions
chest pain
functional 1
functional 2
orthopnea
PND
foot edema
focal neuro sx
sexual function
sleep/fatigue problems
claudication
urine changes
thirst changes
13 hematuria questions
amount
duration
clots?
renal colic?
dysuria?
vigorous exercise?
trauma?
dental bleeding problems?
new bruises?
fever?
chills
NS?
weight loss?
7 erectile dysfunction questions
duration
severity
any nocturnal erections?
stress?
depression?
trauma?
urinary sx?
13 amenorrhea questions
1' vs 2'
duration
pregnancy possible?
hot/cold
skin/hair
BM
mood
stress?
HA
breast discharge
appetite
weight loss
body image
12 vaginal bleeding questions
pregnancy possible?
bleeding at dentist?
new bruises?
hot/cold sensitivity
skin/hair changes
BM changes
mood changes
extra thirst?
urinary frequency
pap smear?
any vag trauma?
any abuse?
6 dyspareunia questions
lubrication adequate?
menstrual sx?
pain with defecation
any STD hx?
stress?
sexual abuse?
13 questions for enuresis
pain with urination
urinary frequency
snoring
gait (-> neurogenic bladder)
fainting (-> sz disorders)
diet (-> constipation)
hot/cold sensitivity
skin/hair changes
BM changes
mood
increased thirst
psych stress
family hx
21 jaundice questions
abdominal pain?
if yes: SOCRATES
BM changes?
urine changes?
nausea?
vomiting?
itching?
fever?
chills?
NS?
weight loss?
any transfusions?
if yes: when?
travel?
21 DM checkup questions
insulin regimen?
compliance with meds?
compliance with diet?
measure Glc regularly?
last HbA1c?
last eye checkup?
weight change?
skin problems?
vasculopath questions