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) past medical history:Search for: PAM HUGS FOSSP 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…..) Differential diagnosis checklist:RememberIRECTIONDrugs Infection Rheumatologic Endocrine Cardiovascular Trauma Inflammatory Other Neoplasm Social History:mnemonic:TIA SHOE T obacco I llicit drigs A lcohol S exual H ouse life O ccupation E ating (diet) premenopausal symptoms: mnemonic:HAVOCH- hotflahes A-atropy of vagina V-vaginal dryness O- osteoporosis C- coronary artery diseases Depression:mnemonic:SIGEMCAPSS-sleep I-interest G-guilt,gun E-energy M-mood C-concentration A-appetite P-psycomotor S-suicide Insomnia causes:mnemonic=ABCDEFGHJKLMNAvoid Bedtime Concerns (worries) Drugs (nicotine/caffeine/Alcohol) Excercise/Excitement (TV Shows) Follow Good Habits for sleep. Jetlag Keep List (Diary) Monitor Naps (day time) Nasuea & Vomiting Causes:mnemonic= A MOPINGAnorexia Metabolic( DKA)/Meds Obstruction (pyloric /Intestinal) Pregnancy Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID) Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess OBESITY Risks:mnemonic:OBESITY-DISCOsteoarthritis Breathing problems Excess Cholestrol Sleep Apnea Increased Incidence Ca’s (Endomet/Breast/Colon) Type 2 DM hYpertension Depression Incontinence Stress Cholelithiasis/Cycle disturbances/Cardiac HOPI For A CC OF URINARY COMPLAINT:mnemonic:FINISHED PUBSFrequency ( 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 b4 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) Source
