HPI (history of present illness)
Ask for: LIQOR AAA
Code:
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
Code:
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…..)
Pain history checklist
mnemonic:
CLITORIS:
Code:
Character Location Intensity Timing Onset Radiating Irritating and relieving factors Symptoms associated
Differential diagnosis checklist
mnemonic:
DIRECTION:
Code:
Drugs Infection Rheumatologic Endocrine Cardiovascular Trauma Inflammatory Other Neoplasm
For Social History
mnemonic:
TIA SHOE
Code:
T obacco I llicit drigs A lcohol S exual H ouse life O ccupation E ating (diet)
premenopausal symptoms
mnemonic:
HAVOC
Code:
H- hotflahes A-atropy of vagina V-vaginal dryness O- osteoporosis C- coronary artery diseases
Depression.
mnemonic:
SIGEMCAPS
Code:
S-sleep I-interest G-guilt,gun E-energy M-mood C-concentration A-appetite P-psycomotor S-suicide
Fatigue…
mnemonic:
IMP ADH
Code:
I-infectin M -malignancy P-ptsd A-abuse D-depression H-hypothyroidism
Insomnia counselling
mnemonic=
ABCDEFGHJKLMN
Code:
Avoid Bedtime Concerns (worries) Drugs (nicotine/caffeine/Alcohol) Excercise/Excitement (TV Shows) Follow Good Habits for sleep. Jetlag Keep List (Diary) Monitor Naps (day time)
Enuresis Counselling
mnemonic=
SMILE SAM
Code:
Supportive (of the child) Monitor Intake (@ Day) Limit (@ Night) Encourage Washroom( @ bedtime) Sheets ( Rubber flannel sheets) Alarms ( >5yrs ) Motivate (thru Rewards)
Conselling DM & HTN
mnemonic=
MEDOWS
Code:
Medications (regularity) Excercise ( for obese/sedentary life styles) Diet Modification( Salt/Fatty foods) Opthalmoscopic exams (annual routine) Weight Management (/control) Suger Check ups
Smoking Cessation counselling
mnemonic=
SPANCSTER
Code:
Stressor ( any stress in life/tension etc ) Problems ( Heart /Lung/ CA) Advantages ( Improved breathing & Increased energy) Nicotine Patch ( I can offer you reading materials ) Counsellors ( I can refer u/ give # ) Support systems ( I can refer u /give #) Taper down ( if u cant do cold turkey den just taper down a bit) Exercise Programs ( eg Swimming ) Rewards ( reward urself, treat urself with a dinner 4m money saved off of quitting)
STD / HIV Counselling
mnemonic:
STRIP BIMBO !
Code:
SAFE SEXUAL PRACTICES TRANSMISSION ( to partners ) RISKS ( acquiring more STD’s) IMMUNIZATIONS ( for Influenza/ Pneumococcal ) PREVENTION COUNSELLING ( REFER TO SW /CAN GIVE #) BEHAVIOUR COUNSELLING (REFER / CAN GIVE #) INTERVENTIONAL COUNSELLING ( REFER /CAN GIVE #) MEDICATIONS BARRIER METHODS (CONDOMS OPPURTUNISTIC INFECTIONS/OBSERVATION (FOR LABS)
HOPI For A CC OF URINARY COMPLAINT
mnemonic:
FINISHED PUBS
Code:
Frequency ( How frequent do u Ux) Incontinence( Do u hav trouble holding Ux) Nocturia ( do u hav 2 wak up @ Night) Incomplete emptying ( do u feel fullnes after Ux) Stream (How is ur stream?) Hematuria ( did u notic any blood) Hesitancy (do u hav 2 wait before starting Ux) Dysuria (Did u hav diff Ux) Pyuria ( did u pus in Ux) Urgency (do u hav 2 rush) Burning (dysuria) (does it burn) Strain (Do u hav to strain during Ux)
OBESITY
mnemonic:
OBESITY-DISC
Code:
Osteoarthritis Breathing problems Excess Cholesterol Sleep Apnea Increased Incidence Ca’s (Endomet/Breast/Colon) Type 2 DM hYpertension Depression Incontinence Stress Cholelithiasis/Cycle disturbances/Cardiac
Syncope/ Loss of Consciousness/Spells
mnemonic:
CAMPUS
- CAD
- Arrythmias/ Aortic Stenosis
- Migraine/ Meds
- Psychiatric /Personality disorder( hyperventilation)
- Unexplained Syncope
- Seizures/Strokes
D/D Confusion
mnemonic =
DEMENTIA
- Diabetes /Dementia/ Drugs
- Epilepsy
- Migraine/Mult Infarct Dementia
- Ethanol (withdrawl / Toxicity)
- Neurological Deficit diseases= BETA (Bleeds,Encephalitis,Tumors,Abscess,Meningitis)
- TIA/ Trauma
- Insulin/ Infections
- Alzheimers/Abscess
D/D = BACK PAIN
mnemonic =
LIMCOTS
- Lumbar Spinal stenosis
- Intervertebral disc herniation
- Multiple Myeloma/ Mets (Prostate, Breast ,Lung)
- Cauda equina synd/ Cancer
- Osteoporosis/Osteoarthritis
- Trauma/ TB
- Strain (muscle)
Nasuea & Vomiting
mnemonic=
A MOPING
- Anorexia
- Metabolic( DKA)/Meds
- Obstruction (pyloric /Intestinal)
- Pregnancy
- Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID)
- Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess
- Gastroenteritis
Dizziness
mnemonic:
DENTAL CAMPUS
- Diabetic comp ( Orthostatic )
- Ear problems (Meniere’s/ BPV)
- Neural tumors/Neuropathy
- Thyroid
- Anemia
- L leave me
- CAMPUS is same as is for SPELLS/LOC/SYNCOPE
Mnemonic for orderly HOPI questions
mnemonic=
ABCDF- SIQOR AA ROS
- Appear/Begin=Duration
- Context= Precipitation (wht were u doin b4, during ?Anythin different?)
- Development = Progression (sudden / progressive, Any changes overtime)
- Frequency= persistent/intermittent ( how often/how long)
- Site
- Intensity= 0-10/10
- Quality = character
- Other sympt = ROS
- Radiation= move
- Aggravation
- Alleviation
- ROS
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