History of Presenting Complaint
Just want to remind my self what are things needed in history of presenting complaint:
1. Details of each symptom - SR COPD SARA
2. Risk factor for related disease (breast cancer, cvs)
3. Question about related systems
4. Question about probable complication
5. Question to differentiate differential diagnosis
6. Background history of related dzs
Social History
1. Smoking (pack years - 1 pack years mean smoked 20 cig/day for 1 year)
2. Alcohol (change into unit/week)
3. Housing (storey, stairs, bathroom)
4. Social support (living with, helping neighbours, home helpers, community nurse)
5. Mobility (using stick, wheelchair)
6. Self catering (dressing, bathing, shaving)
7. House job (cleaning, cooking)
I am currently doing my attachment in St James's Hospital, Dublin. Few people there were suprised that Galway asked its students to do attachment when there is only 3 months left before final exam. It is true!! Imagine myself coming back to Galway in March, and only have 1 month to adapt with the way of consultant overthere... hmmm. However, Galway still is producing high quality medical graduates among medical school in ireland (Dr Maeve Murphy, trinity MedEL lecturer, 7 January 2005- when i think about it again, she probably saying that just as a sign of good gesture).
1. Details of each symptom - SR COPD SARA
2. Risk factor for related disease (breast cancer, cvs)
3. Question about related systems
4. Question about probable complication
5. Question to differentiate differential diagnosis
6. Background history of related dzs
Social History
1. Smoking (pack years - 1 pack years mean smoked 20 cig/day for 1 year)
2. Alcohol (change into unit/week)
3. Housing (storey, stairs, bathroom)
4. Social support (living with, helping neighbours, home helpers, community nurse)
5. Mobility (using stick, wheelchair)
6. Self catering (dressing, bathing, shaving)
7. House job (cleaning, cooking)
I am currently doing my attachment in St James's Hospital, Dublin. Few people there were suprised that Galway asked its students to do attachment when there is only 3 months left before final exam. It is true!! Imagine myself coming back to Galway in March, and only have 1 month to adapt with the way of consultant overthere... hmmm. However, Galway still is producing high quality medical graduates among medical school in ireland (Dr Maeve Murphy, trinity MedEL lecturer, 7 January 2005- when i think about it again, she probably saying that just as a sign of good gesture).
3 Comments:
At May 21, 2016 at 9:59 AM , Anonymous said...
What does SRCOPDSARA stand for?
At May 21, 2016 at 1:30 PM , arrpeace said...
Site
Radiation
Character
Onset
Periodicity
Duration
Severity
Aggregating factor
Relieving factor
Associated symptoms
It was a eleborated mnemonic of SOCRATES. Either way, it was just an attempt not to miss important factors, but should not replace clinical judgment.
At May 21, 2016 at 1:30 PM , arrpeace said...
Site
Radiation
Character
Onset
Periodicity
Duration
Severity
Aggregating factor
Relieving factor
Associated symptoms
It was a eleborated mnemonic of SOCRATES. Either way, it was just an attempt not to miss important factors, but should not replace clinical judgment.
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