HPI (history of present illness) LIQOR AAA

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) 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 CLITORIS:

C haracter O nset
L ocation R adiating
I ntensity I rritating and relieving factors
T iming S ymptoms associated

Differential diagnosis checklist DIRECTION:

Drugs
Infection
Rheumatologic
Endocrine
Cardiovascular
Trauma
Inflammatory
Other
Neoplasm
For Social History TIA SHOE:

T obacco H ouse life

I llicit drigs O ccupation
A lcohol E ating (diet)
S exual

premenopausal symptoms HAVOC

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

Depression. SIGEMCAPS

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

Fatigue… IMP ADH

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

Insomnia counseling =ABCDEFGHJKLMN

A void H abits for sleep.

B edtime J etlag
C oncerns (worries) K eep
D rugs (nicotine/caffeine/Alcohol) L ist (Diary)
E xcercise/Excitement (TV Shows) M onitor
F ollow N aps (day time)
G ood
Enuresis Counselling = 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= MEDOWS

Medications (regularity)
Excercise ( for obese/sedentary life styles)
Diet Modification( Salt/Fatty foods)
Opthalmoscopic exams (annual routine)
Weight Management (/control)
Sugar Check ups

Smoking Cessation counseling = 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 )
Counselors ( 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 Counseling 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------- (b)FINISHED PUBS(/b)
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 b4 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 ---- OBESITY-DISC

Osteoarthritis
Breathing problems
Excess Cholestrol
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 ----- CAMPUS

CAD
Arrythmias/ Aortic Stenosis
Migraine/ Meds
Psychiatric /Personality disorder( hyperventilation)
Unexplained Syncope
Seizures/Strokes

D/D Confusion ------ 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 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 = A MOPING

Anorexia
Metabolic( DKA)/Meds
Obstruction (pyloric /Intestinal)
Pregnancy
Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID)
Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess
Gastroenteritis

Dizziness is 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

Pneumonic for orderly HOPI questions= 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