HPI - Day 3 Training Questions with Correct Answers
HPI Correct Answer-History of present illness: story of symptoms and
events that led to pt's ED visit
Only subjective information
HPI is summarization of the reason for the visit
HPI should only include information directly related to the CHIEF
Complaint CC and important context
Document who the 'historian' is for the HPI
"HPI is unobtainable due to the patient's non-verbal status"
Elements of the HPI Correct Answer-onset
timing
location
quality
severity
modifying factors
associated sx
context
,*a complete HPI requires 4 elements
Formula for writing an HPI Correct Answer-1. begin with age/sex of pt
2. state the complaint and onset
3. describe the quality, location, timing
4. has anything improved or worsened?
5. list associated sx
6. list pertinent negatives
7. describe any other important context specific to that pt
HPI do's and don'ts Correct Answer-Monday-->specific date
Sx got better-->Sx improved
Don't use pt claims
describe specific Sx
do not include PMHx, PSHx, or SHx that is not relevant to the CC
ALWAYS write the answer to the doctor's specific questions
, HPI drives the rest of the visit: rest of ED depends on answers to
questions in HPI
every subjective complaint is ALWAYS followed up with an objective
evaluation
*Chronology is very important: most important part for complex patients
Similar symptoms previously Correct Answer-document anything new
or different about Sx
how long Sx occurred
if they sought professional treatment at that time
and results or diagnosis from previous evaluations
*if a patient has experienced similar symptoms in the past, it is likely
that their current symptoms are related. Less likely that their current
symptoms are life threatening, if their survived previous symptoms
previous evaluation Correct Answer-what sx promoted the prior
evaluation
how long ago did the evaluation occur
who did they see
what testament did they receive-did it help
what diagnosis was given
HPI Correct Answer-History of present illness: story of symptoms and
events that led to pt's ED visit
Only subjective information
HPI is summarization of the reason for the visit
HPI should only include information directly related to the CHIEF
Complaint CC and important context
Document who the 'historian' is for the HPI
"HPI is unobtainable due to the patient's non-verbal status"
Elements of the HPI Correct Answer-onset
timing
location
quality
severity
modifying factors
associated sx
context
,*a complete HPI requires 4 elements
Formula for writing an HPI Correct Answer-1. begin with age/sex of pt
2. state the complaint and onset
3. describe the quality, location, timing
4. has anything improved or worsened?
5. list associated sx
6. list pertinent negatives
7. describe any other important context specific to that pt
HPI do's and don'ts Correct Answer-Monday-->specific date
Sx got better-->Sx improved
Don't use pt claims
describe specific Sx
do not include PMHx, PSHx, or SHx that is not relevant to the CC
ALWAYS write the answer to the doctor's specific questions
, HPI drives the rest of the visit: rest of ED depends on answers to
questions in HPI
every subjective complaint is ALWAYS followed up with an objective
evaluation
*Chronology is very important: most important part for complex patients
Similar symptoms previously Correct Answer-document anything new
or different about Sx
how long Sx occurred
if they sought professional treatment at that time
and results or diagnosis from previous evaluations
*if a patient has experienced similar symptoms in the past, it is likely
that their current symptoms are related. Less likely that their current
symptoms are life threatening, if their survived previous symptoms
previous evaluation Correct Answer-what sx promoted the prior
evaluation
how long ago did the evaluation occur
who did they see
what testament did they receive-did it help
what diagnosis was given
