PRIMARY CARE PSYCHIATRY MCCARRON
XIONG ESSENTIAL STUDY QUESTIONS AND
ANSWERS
◉ Past Medical Hx.
Answer: Information will help with Ddx
- Loss of consciousness, head aches or visual changes
- Endocrine issues: menstrual irregularity, ejaculatory difficulty,
changes in hair, skin or weight
- Head injuries at any time in life.
- seizure disorders or convulsions or "loss of time"
-Pregnancies, full term or early termination.
- Sexual activity and practice: current and past.
- All surgeries or prolonged illnesses that effected lifestyle,
especially with childhood onset.
◉ Medication hx.
Answer: - list all meds, the dosage, time of day taken, and when med
was started.
- verify how and why the med was prescribed.
,- include OTCs, vitamins and sups (DDI's)
◉ Family Hx.
Answer: Maternal and paternal history
Psychiatric history and treatment
Substance abuse history
Any history of suicides
Any history of abuse
◉ Social Hx.
Answer: Childhood history
Education history
Developmental delays or issues appropriate to the subject of the
assessment
Occupational or work history
Relationship history including domestic abuse
Religious or spiritual beliefs and values
Family structure, proximity and perceived support
Legal issues
◉ collection of symptoms.
, Answer: - Symptoms are the subjective experience of a person. How
they are experiencing the illness state. It begins in the chief
complaint.
-The data collected can be as great or limited as the patient feels
comfortable sharing, or the clinicians questioning.
- Symptoms include both physical and emotional phenomena.
- Symptoms of emotion are often signs of medical illness and
medical symptoms can be signs of emotional illness.
◉ ROS.
Answer: - Head - quality and quantity of headaches
dizziness needs to be clarified as to type
- Ears,nose and throat- visual changes: onset, type, physical
discomfort, smells - sz
- Respiratory- assoc with anxiety. must rule out physical origin first:
COPD, carcinoma, CHF, vascular insufficiency
- GI : symptoms can be functional, carcinoma, self induced,
iatrogenic, allergic or malabsorp
- GU: functional, infectious (UTI = confusion in elderly), iatrogenic,
carcinoma, psychogenic
- Libido, function, satisfaction and discomfort.
- Menstrual: endocrine, metabolic, physiologic abnormalities,
carcinoma.
> Amenorrhea =red flag for anorexia.
XIONG ESSENTIAL STUDY QUESTIONS AND
ANSWERS
◉ Past Medical Hx.
Answer: Information will help with Ddx
- Loss of consciousness, head aches or visual changes
- Endocrine issues: menstrual irregularity, ejaculatory difficulty,
changes in hair, skin or weight
- Head injuries at any time in life.
- seizure disorders or convulsions or "loss of time"
-Pregnancies, full term or early termination.
- Sexual activity and practice: current and past.
- All surgeries or prolonged illnesses that effected lifestyle,
especially with childhood onset.
◉ Medication hx.
Answer: - list all meds, the dosage, time of day taken, and when med
was started.
- verify how and why the med was prescribed.
,- include OTCs, vitamins and sups (DDI's)
◉ Family Hx.
Answer: Maternal and paternal history
Psychiatric history and treatment
Substance abuse history
Any history of suicides
Any history of abuse
◉ Social Hx.
Answer: Childhood history
Education history
Developmental delays or issues appropriate to the subject of the
assessment
Occupational or work history
Relationship history including domestic abuse
Religious or spiritual beliefs and values
Family structure, proximity and perceived support
Legal issues
◉ collection of symptoms.
, Answer: - Symptoms are the subjective experience of a person. How
they are experiencing the illness state. It begins in the chief
complaint.
-The data collected can be as great or limited as the patient feels
comfortable sharing, or the clinicians questioning.
- Symptoms include both physical and emotional phenomena.
- Symptoms of emotion are often signs of medical illness and
medical symptoms can be signs of emotional illness.
◉ ROS.
Answer: - Head - quality and quantity of headaches
dizziness needs to be clarified as to type
- Ears,nose and throat- visual changes: onset, type, physical
discomfort, smells - sz
- Respiratory- assoc with anxiety. must rule out physical origin first:
COPD, carcinoma, CHF, vascular insufficiency
- GI : symptoms can be functional, carcinoma, self induced,
iatrogenic, allergic or malabsorp
- GU: functional, infectious (UTI = confusion in elderly), iatrogenic,
carcinoma, psychogenic
- Libido, function, satisfaction and discomfort.
- Menstrual: endocrine, metabolic, physiologic abnormalities,
carcinoma.
> Amenorrhea =red flag for anorexia.
