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1 MINUTE PMH/PSH QUESTIONS & ANSWERS ACORED A+
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1 MINUTE PMH/PSH QUESTIONS & ANSWERS ACORED A+
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1 MINUTE PMH/PSH QUESTIONS &ANSWERS ACORED A+
Subjective compose of: Answer - Identifying data
CC
HPI (PQRST)
PMH/PSH -the 9 questions (1 min Quick & dirty PMH) (tertiary history)
Review of appropriate system (ROS) (secondary history)
Objective compose of: Answer - Physical assessment of appropriate systems:
1) General appearance
2) Always do Heart & Lungs
3) HEENT (if do PAME), ASA
4) Assess other appropriate system based on CC
1) what are the 9 components of 1 minute "quick & dirty" PMH/PSH? Answer -
1) Allergies & recreations to drugs (what happened? )
2) Current Medications (including OTC, herbal, homeopathies)
3) PMH/Psychiatric Illnessess (DM, hypertension, ...)
4) PSH/Injury/Hospitalizations (appendectomy, MVA..)
5) Immunizations
6) Tobacco/Alcohol/Drug us
7) Reproductive Status for female (LMP, Last Pelvic Exam/Pap Smear,
Pregnancies/Births/Contraception)
8) Marital/Family Status
, 9) Occupation/Exposures
OPQRST Answer - For every patient complain
Remember! O-onset
What were you doing when the pain started? Were gradual or sudden onset?
chest pain pt: mowing lawn
Anaphylaxis pt: stung by bee
Diabetic pt: working in hot day without food
P: Provoke & Palliative Answer - Ask!
Is there anything make it better? Anything make it worse
Chest pain: better with rest/ worst with activity
SOB: better when sitting up/ worst when lying flat
Q: Quality/Quantity Answer - Ask! Would you please describe your symptom?
What does it feel like or sound like?
(e.g. chest pain: crushing, heavy, pressure, elephant)
How often are you experiencing it?
To what degree does this problem affect your ability to perform your usual
daily activities?
R: Region/Radiation/Related Symptoms Answer - Ask! Can you point to where
the problem is?
Does it stay in one place? or Does it spread anywhere else?
(e.g. chest pain: radiates to jaw, arm, back)
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