History Templates
What do you mean by constipation? Duration of symptoms:__ What about your symptoms worries you the most? Goal: What do you hope to gain or achieve? Bristol stool chart, type:_____ Rome III Criteria Is the symptom onset ≥ 6 months?__ In the last 3 months, have you had...
History Templates
History: -Hematochezia due to mucosal sloughing (right colon supplied by SMA) -““Intestinal angina”: postprandial abd pain, early satiety, & decreased wt from gastric vascular “steal”; may occur wks to mos before the onset of acute pain in pts w/ chronic...
History Templates
Age: Hx of redness(erythema) over the centrofacial features?: Hx of flushing?: Is the flushing accompanied by a sensation of warmth?: Hx of telangiectasia on her chin, nose?: Hx of papulopustular lesions on the central face region?: Treatment options tried: To be...
History Templates
OPQRST-A Chest pain type (Typical, Atypical, Nonspecific): Cardiac Risk Factor Evaluation Cardiac risk factors. BMI: PE risk factor eval: Patient denies immobility, long plan/car rides, malignancy, or history of clotting d/o. Patient denies cocaine use or other...
History Templates
Mnemonic CHER MISS FAMILY -Cc: -HPI: -Eating (last meal) -ROS: -Med-Surg history: -Interventions and Procedures: None -Social history: Denies smoking, alcohol use, and illicit drug use. Denies domestic violence. -Sexual history: Sexual orientation = ; Number of...
History Templates
Systemic symptoms: Patient denies fever/chills, night sweats, fatigue/weakness, anorexia, weight loss. Pulmonary symptoms: Patient denies cough> 3 weeks, hemoptysis, pleuritic chest pain. Extrapulmonary symptoms: No back pain, abdominal pain, or altered mental...
