HPI (history of present illness)

Discussion in 'USMLE STEP 2 CS' started by brocas, Aug 8, 2005.

  1. brocas

    brocas Guest

    HPI (history of present illness)
    Ask for: LIQOR AAA

    L Location of the symptom (forehead, wrist...)
    I Intensity of the symptom (scale 1-10, 6/10)
    Q Quality of the symptom (burning, pulsating pain...)
    O Onset of the symptom + precipitating factors
    R Radiation of the symptom ( to left shoulder and arm)
    A Associated symptoms ( palpitations, shortness of breath)
    A Alleviating factors (sitting with my chest on my knees)
    A Aggravating factors (effort, smoking, large meals)

    PMH (past medical history)
    Search for: PAM HUGS FOSS

    P Previous presence of the symptom (same chief complaint)
    A Allergies (drugs, foods, chemicals, dust ...)
    M Medicines (any drugs the patient used)

    H Hospitalization for any illness in the past
    U Urinary changes ( esp if diabetic, elderly...)
    G Gastrointestinal complains (diet changes, bowel movements...)
    S Sleep pattern (waking up/going to sleep...)

    F Family history (simmilar chief complaints/serious illness)
    O OB/GYN history (LMP, abortions, para...)
    S Sexual habits (active/preferences/STD...)
    S Social life (job/house/smoking/alcohol.....)

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