HISTORY TAKING MNEMONICS » CLINICAL SKILLS

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Alcohol Abuse Screening Questions : "CAGE"

1. ever felt it necessary to Cut down on drinking?

2. has anyone ever said they felt Annoyed by your drinking?

3. ever felt Guilty about drinking?

4. ever felt a need to have a morning drink as an Eye opener?

Asthma History: "WIND"
W - Wheeze
I - Interferes with schooling, exercise, sleep and work
N - Nocturnal cough, or early morning cough
D - Dyspnoea

Breast History Checklist : "LMNOP"
L - Lump
M - Mammary changes
N - Nipple changes
O - Other symptoms
P - Patient risk factors

Family history (FHx) : "BALD CHASM"
B - Blood pressure (high)
A - Arthritis
L - Lung disease
D - Diabetes
C - Cancer
H - Heart disease
A - Alcoholism
S - Stroke
M - Mental health disorders (depression, etc.)

Medical history checklist : "SAMPLE"
S - Signs/ Symptoms
A - Allergies
M - Medications
P - Pertinent history
L - Last oral intake
E - Events preceding this incident

Paediatric History Taking :

Begin with standard things: patient name, presenting complaint, history of presenting complaint and past medical history.

^{Then ask} BIFIDA
B - Birth details and problems
I - Immunisations
F - Feeding
I - Infection, exposure to
D - Development, normality
A - Allergies

End by customary review of the rest of the standard things: medications, family history and social history.

Pain History Checklist : "CLITORIS"
C : Character
L : Location
I : Intensity
T : Timing
O : Onset
R : Radiating
I : Irritating and relieving factors
Symptoms associated
Alternatively
"SOCRATES"
S - Site
O - Onset
C - Character
R - Radiation
A - Alleviating factors/ Associated symptoms
T - Timing (duration, frequency)
E - Exacerbating factors
S - Severity

Past Medical History: "A HISTORY"
A - Allergies
H - Hospitalizations
I – Illnesses /major - Immunizations
S - Surgeries
T- Trauma
O - Oral medications
R - Reproductive history
contraception Y - Youth illnesses

Past Medical History Checklist : "ABCDEFGHI"
A : Asthma
B : Blood pressure (say: "blood pressure problems")
C : CVA (say: "stroke")
D : Diabetes mellitus (say: "diabetes")
E : Epilepsy
F : Fever, rheumatic
G : Gastrointestinal (jaundice)
H : Heart attack
I : Infection (TB)

Past Medical History Essential Conditions: "HAM SPED"
In taking a past medical history, specifically ask about

H : Hypertension
A : Angina
M : Myocardial infraction

S : Stroke
P : PE/DVT
E : Epilepsy
D : Diabetes mellitus

Pyrexia of Unknown Origin History Taking : "SIT ON FRAD"
S : Sexual history
I : Immunizations status
T : Travel history
O : Occupational history
N : Nutrition (consumption of dairy products, etc.)
F : Family history
R : Recreational habits
A : Animal contacts (including ticks and other vectors)
D : Drug history

Respiratory History: "CAPTION"
C - Cough +/- sputum, purulent, blood
A - Atopy or allergy
P - Pain –site and if pleuritic
T - Timing of breathlessness e.g. nocturnal / acute
I - Infective prodrome or not including gastrointestinal symptoms
Other similar episodes
Normal state and treatment –usual morbidity / co-morbidity
Contributing factors to disease
"STOP"
S : Social –smoking, drugs, alcohol
T : Travel
O : Occupation
P : Pets

Sexual History Essential Elements: "5 Ps"
Partners – overall and recently
Practices e.g. vaginal, anal, oral sex
Protection e.g. condoms
Pregnancy - desire to become pregnant or prevention (e.g. combined oral contraceptive)
Past history of sexually transmitted infections

Systemic Review Checklist : "I PUNCH EAR"
Integumental
Pulmonary
Urogenital
Nervous
Cardiovascular
Hematolymphoid
Endocrine
Alimentary
Reproductive

Systemic Review Checklist Mnemonic , Sexual History Essential Elements Mnemonic , Respiratory History Mnemonic , Pyrexia of Unknown Origin History Taking Mnemonic , Past Medical History Essential Conditions Mnemonic , Past Medical History Checklist Mnemonic , Past Medical History Mnemonic , Pain History Checklist Mnemonic , Paediatric History Taking Mnemonic , Medical history checklist Mnemonic , Family history Mnemonic , Breast History Checklist Mnemonic , Asthma History Mnemonic , Alcohol Abuse Screening Questions Mnemonic .

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