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Patient interview flashcards

Study the cards, then practice on the patient.

Twenty flashcards on taking a history: structure, mnemonics and red flag questions.

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20 cards
OLDCARTS stands for?
Onset, Location, Duration, Character, Aggravating/alleviating, Radiation, Timing, Severity.
OPQRST stands for?
Onset, Provocation, Quality, Region/radiation, Severity, Time.
SAMPLE stands for?
Signs/symptoms, Allergies, Medications, Past history, Last intake, Events.
Best first question?
An open one: "What brings you in today?"
Two patient identifiers?
For example full name and date of birth.
Allergy history must include?
The drug and what reaction happened.
Thunderclap headache suggests?
Bleeding in the brain (subarachnoid hemorrhage).
Back pain red flag for cauda equina?
Saddle numbness or new bladder or bowel problems.
First question in pelvic pain if pregnancy possible?
Last period and pregnancy test.
Pack-years formula?
Packs per day times years smoked.
AUDIT-C screens for?
Risky alcohol use.
Ask about suicide how?
Directly: "Are you having thoughts of killing yourself?"
Cough lasting more than 8 weeks is?
Chronic cough.
ACE inhibitor side effect to ask about?
Dry cough.
Syncope red flag?
Fainting during exercise.
Why ask a witness after a seizure?
The patient often remembers little.
End every history by asking?
"Is there anything else?" and their concerns.
Ideas, concerns, expectations is for?
Understanding the patient's view.
Teach-back checks?
That your explanation was understood.
Sexual history uses the?
5 Ps: partners, practices, protection, past infections, pregnancy.