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


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:


Character
Location
Intensity
Timing
Onset
Radiating
Irritating and relieving factors
Symptoms associated

Differential diagnosis checklist

mnemonic:

DIRECTION:


Drugs
Infection
Rheumatologic
Endocrine
Cardiovascular
Trauma
Inflammatory
Other
Neoplasm

For 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:

HAVOC


H- hotflahes
A-atropy of vagina
V-vaginal dryness
O- osteoporosis
C- coronary artery diseases

Depression.

mnemonic:

SIGEMCAPS


S-sleep
I-interest
G-guilt,gun
E-energy
M-mood
C-concentration
A-appetite
P-psycomotor
S-suicide

Fatigue…

mnemonic:

IMP ADH


I-infectin
M -malignancy
P-ptsd
A-abuse
D-depression
H-hypothyroidism

Insomnia counselling

mnemonic=

ABCDEFGHJKLMN


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


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


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


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 !


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


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


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