acronym for what should be in subjective - CORRECT ANSWER✅✅✅OLDCCAARTSAP
OLDCCAARTSAP meaning - CORRECT ANSWER✅✅✅onset
location
duration
characteristic
circumstances
attributions
aggravating
relieving
timing
severity
associated
progression
what should PMH include if positive - CORRECT ANSWER✅✅✅previous diagnosis, timing of
diagnosis, and current state of control
what should PSH include if positive - CORRECT ANSWER✅✅✅previous surgeries, when they were
performed, and complications if any
what should be included in meds section - CORRECT ANSWER✅✅✅med name, dosage, frequency,
route of administration
what should be included for immunizations section - CORRECT ANSWER✅✅✅name of vaccine and
timing
what should be included for allergies if positive - CORRECT ANSWER✅✅✅type of reaction and name
of allergen
, what should be in FH - CORRECT ANSWER✅✅✅whether relatives are alive or dead and their medical
problems
what should be in SH (social history) - CORRECT ANSWER✅✅✅social shit
- if you get vague response, probe deeper
full review of systems vs focused review - CORRECT ANSWER✅✅✅- full = investigate every body
system and intersystem
- focused = concentrate on symptoms involved in chief complaint
how should HPI (history of present illness) be recorded - CORRECT ANSWER✅✅✅head to toe
fashion, regardless of the order in which the info was obtained
acroynym for what goes under plan - CORRECT ANSWER✅✅✅MOTHRR
MOTHRR means what - CORRECT ANSWER✅✅✅medications
omm
tests
humanistic
referral
return
average oral temperature - CORRECT ANSWER✅✅✅37 degrees C (98.6 degrees F)
average temp in early morning hours - CORRECT ANSWER✅✅✅35.8 degrees (96.4 F)
average temp in late afternoon/evening - CORRECT ANSWER✅✅✅37.3 C (99.1 F)