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Pyrexia of Unknown Origin: history taking
SIT ON FRAD:
Sexual history
Immunisation status
Travel history
Occupational history
Nutrition (consumption of dairy products, etc.)
Family history
Recreational habits
Animal contacts (including ticks and other vectors)
Drug history
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---Dr. Sonali Vadi
 
Abdominal swelling causes
5 F's:
Fat
Feces
Fluid
Flatus
Fetus
Full-sized tumors
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---Richard Thompson Queens University, Belfast, NI
 
Patient examination organization
SOAP:
Subjective: what the patient says.
Objective: what the examiner observes.
Assessment: what the examiner thinks is going on.
Plan: what they intend to do about it.
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---Richard Rathe, MD University of Florida
 
Health related behavior (HRB) topics: history taking
"Healthy SEEDS":
Substances (alcohol, tobacco, IV drugs?)
Environment (hazards at home or work? feel safe?)
Exercise (what do you do? how often do you do it?)
Diet (any special diet?)
Sex (active with m/f/both? >1 partner? safe sex? STD history? difficulty with arousal or orgasm? history of abuse?)
· I find this order works well: patients most expect to be asked about alcohol and they least want to talk about their STD history, but taking a solid HRB history first reassures them that it's all part of good medical care.
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---Patrick Lee UCSF Medical School
 
History: quick EMS medical history checklist
SAMPLE:
Signs/ Symptoms
Allergies
Medications
Pertinent history
Last oral intake
Events preceding this incident
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---Midnight Medic Paramedic in Texas
 
Differential diagnosis checklist
"A VITAMIN C"
A and C stand for Acquired and Congenital
· VITAMIN stands for:
Vascular
Inflammatory (Infectious and non-Infectious)
Trauma/ Toxins
Autoimmune
Metabolic
Idiopathic
Neoplastic
· Example usage: List causes of decreased vision: Central retinal artery occlusion, Retinitis pigmentosa, Perforation to gobe, Chronic Gentamycin use, Ruematoid arthritis, Diabetes, Idiopathic, Any eye tumor, Myopia.
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---Nizaar Lilla University Of Cape Town Medical School
 
Sign vs. symptom
sIgn: something I can detect even if patient is unconscious.
sYMptom is something only hYM knows about.
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---Anonymous Contributor
 
Medical history: disease checklist
MJ THREADS:
Myocardial infarction
Jaundice
Tuberculosis
Hypertension
Rheumatic fever/ Rheumatoid arthritis
Epilepsy
Asthma
Diabetes
Strokes
· Aside: "History" album was by Michael Jackson (MJ).
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---Soumendra Datta University College London Medical School
 
Symptom attributes
"FAST LQQ'S":
Factors that make it better/worse
Associated manifestations
Setting
Timing
Location
Quality
Quantity
Severity
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---Ron Norman AECC
 
Four point physical assessment of a disease
"I'm A People Person":
Inspection
Auscultation
Percussion
Palpation
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---Anonymous Contributor
 
 
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