- DOC PA FA Hx of Non-Painful c/o
- Describe, Duration
- Onset
- Constant or Intermittent
- Precipitating, Progression, Previous episodes
- Alleviating or Exacerbating factors
- Frequency
- Associations
- LIQOPRAA Hx of Painful c/o
- Location
- Intensity
- Quality
- Onset
- Precipitating events, Progression, Previous episodes
- Radiation
- Associated symptoms
- Aggravating symptoms
- Alleviating symptoms
- SOCRATES Hx of Painful c/o
- Site
- Onset
- Character
- Radiation
- Association
- Time course
- Exacerbating or Relieving factors
- Severity
- ONERESPS for Cardiovascular and Respiratory History
- Onset
- Nature
- Exercise Tolerance
- Relieving factors
- Exacerbating factors
- Sleep
- Pillows
- Smoking
- PAM HUGS FO SAD SAD for Past History in Adults
- PMHx
- Allergies
- Medication
- Hospitalizations (HITS – Hospitalizations, Ill contacts, Trauma, Surgery)
- Urinary signs and symptoms
- GI symptoms
- Sleep
- Family Hx
- OBGYN **(**MVP LAP)
- Smoking
- Alcohol
- Drugs
- Sexual History
- Activity
- Diet
- PAM HITS FOSS for Past History in Adults
- Past Medical History
- Allergy
- Medication
- Hospitalization in the past
- Ill contacts
- Trauma
- Surgery
- Family Hx
- OB/GYN (LMP RTV CS PAP)
- Sexual Hx (With who? # of partners? Men or Women? Protection? # of partners since last year?)
- Social Hx
- LMP RTV CS PAP for OBGYN History
- LMP
- Menarche
- Period lasts?
- Regularly?
- Tampons? (# per day)
- Vaginal discharge, Itching, Dryness
- Cramps
- Spotting? (Intermenstrual/ Post-coital)
- Pregnancy (# of times? Complication)
- Abortion/Miscarriage
- Pap Smear (Last pap? Anormal>)
- MVP LAP for OBGYN History
- Menarche/ Menstrual Age
- Vaginal discharge (foul?, frothy?, white?, green? and amount)
- Parity Index (GPA)
- Last Normal Menstrual Period (LNMP) – with duration, number of pads or tampons
- Abnormal symptoms (Cramps, Spotting, Heavy flow, Clots, Itching, Dryness)
- Pap Smear (Last or abnormal results)
- WHARTED for Social Hx
- Work
- Home
- Alcohol (CAGE questionnaire)
- Recreational drugs (Name? Last time used, method of use>)
- Tobacco (#pack per day, Educate)
- Exercise
- Diet
- SAD SAD for Social Hx
- Smoking
- Alcohol
- Drugs
- Sexual History
- Activity
- Diet
- THEN FR CS PUB SAW ID for Review of System in adults
- Trauma or Travel
- Headache
- Edema
- Nausea or Vomiting (onset, color, frequency)
- Fever or Chills or Night sweats or Fatigue
- Rash or Racing heart
- Chest pain or Cough (Sputum, odor, color, blood)
- SOB
- Pain in joints
- Urinary problems
- Bowel problems (abdominal pain, diarrhoea, consrtipation)
- Sleep problems
- Appetite
- Weight loss or gain (Intentional?)
- Infection (recent)
- Dizziness (if yes, Vision too?)
- SAFEGARDS for Domestic Abuse
- Safety at home or of children
- Aware friends or family
- Fear of Spouse
- Emergency plan
- Guns or Weapons at home
- Alcohol or Drug abuse
- Relationship with spouse
- Depression (if yes then SIGEMCAPS)
- Suicidal Ideation
- SIG EM CAPS for Depression
- Sleep
- Interest
- Guilt or Guns
- Energy loss or fatigue
- Mood
- Concentration
- Appetite
- Psychomotor
- Suicide
- ABCDE for Pediatric Patients
- Allergies and Medications
- Birth History
- Complete immunization
- Day Care,
- Development and Growth,
- Dietary History
- Environment exposure
- PAM IF BIG DEALS for Pediatric patients
- Past Medical Hx
- Past Surgical Hx
- Previous hospitalization
- Prenatal Hx
- Allergies
- Medication
- Ill contacts
- Family Hx
- Birth Hx
- Immunization
- Growth and development
- Day care (Sick contacts?)
- Eating habits
- Appetite
- Last check up (was it normal?)
- Past Medical Hx
- SAD CUB FEVERS for Review of Systems in Pediatric Patients
- Sleep
- Activity (Awake, Playful, Eyeball test)
- Dehydration (Dry Mouth, Shrunken eyes, Fontanelles)
- Cold or Cry (Recent URTI, Cough, Chest pain, SOB, Difficulty swallowing)
- Urination (Frequency, Odor, Colour, Dysuria)
- Bowel Changes (Diarrhea, Constipation, Color, Blood, Mucus)
- Fever
- Ear Pulling
- Vomiting (Onset, Colour, Frequency)
- Ear or Eye discharge
- Rash or Rhinorrhoea
- Seizures
- SNOOP for potentially serious causes of headache
- Systemic symptoms (weight loss) or disease
- Neurologic symptoms(FNDs)
- Onset sudden
- Old age first occurrence
- Previous headaches were different (evolving presentation)
