| Question |
Answer |
| What are the 7 primary components of Past Medical History? |
Childhood illnesses, adult illnesses, psychiatric illnesses, hospitalizations, medications, allergies, and health maintenance |
| What are the 7 primary components of the HPI? |
Location, quality, quantity (severity), timing, setting, alleviating/aggravating factors, associated symptoms |
| What are the major childhood illnesses that should be inquired of in the PMH? |
Measles, mumps, rubella, scarlet fever, rheumatic fever, and polio |
| What are the major allergies which should be inquired about in the PMH? |
Food allergies, animals or insects, and latex |
| What 3 questions should be involved in the skin review of systems? |
Any rash, itching, or color changes |
| What 20 components should be evaluated in the review of systems? |
Skin, head, eyes, ears, nose, mouth, throat, neck, breast, respiratory, cardiac, gastrointestinal, urinary, reproductive, peripheral vascular, musculoskeletal, neurologic, hematologic, endocrine, and psychiatric |
| What should be inquired about during the eye portion of the ROS? |
Double or blurry vision, color changes |
| What should be inquired about during the breast portion of the ROS? |
Lumps, pain or discomfort, discharge, regularity of self examination |
| What should be inquired about during the genital review of systems (male)? |
Discharge, sores, testicular pain or masses, STD's and sexual preference (Note: pain on urination can be asked here but is commonly asked during urinary portion of ROS) |
| What should be inquired about during the genital review of systems (female)? |
Age at menarche, regularity/frequency/duration of periods, last menstrual period, age at menopause (if applies), menopausal symptoms, discharge, itching, sores, STD's and sexual preference, number of pregnancies, deliveries, abortions, and birth control. |
| What should be inquired about during the hematologic review of symptoms? |
Easy bruising or bleeding, past transfusions and any reactions to them |
| What should be inquired about during the endocrine ROS? |
heat or cold intolerance, excessive sweating, diabetes, excessive thirst or hunger |
| What should be inquired about during the psychiatric ROS? |
Nervousness, stress, depression, memory problems |
| What questions should be asked in succession to detect a drinking problem? |
Start with, "How much alcohol do you drink?", follow with "Have you ever had a drinking problem?" and "When was your last drink?"; if affirmative to first and within 24 hrs to second follow with CAGE (Cut Down, Annoyed by criticism, Guilt, Eye-opener) |
| What should be inquired about during the neurologic ROS? |
Weakness, paralysis, numbness or loss of sensation, tingling, tremors or other involuntary movements |
Ch.18 LTI-MA 509
