IPAM
Terms
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- Chiefly Hx from the Past Tells Your Family's Social Review
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Chief Complaint
History of Present Illness (locates)
Past Medical Hx
Family Hx
Social Hx
ROS - PMH
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AHISTORY
Allergies
Hospitalizations
Immunizations/Illnesses
Surgeries
Trauma
Oral Medications
Reproductive Hx
Youth diseases - Social Hx
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FLAMES
Family and Food
Lifestyle
Abuse of substances and body
Marital/significant relationships
Employment
Support Systems - ROS
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General Endo-Head Loves Brass, Crass And Gas to Pass Near the Mass
General
Endocrine
HEENT
Lung
Breast
Cardio
Abdomen
GU
Psyche
Neuro
Muscoloskeleton - GENERAL
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13
General: Weight change, fever/chills, night sweats, Skin rash, itching, mole change, skin cancer, abnormal bleeding or bruising, anemia, pica, HIV risk factors, lymphadenopathy - Endocrine
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4
Hot/cold intolerance, thyroid problems, radiation exposure, Hx DM - HEENT
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2-3-1-2-2
Head - pain, trauma
Ear - tinnitus, loss, vertigo
Eyes - vision change
Nose - sinusitis, epistaxis
Throat - pharyngitis, hoarseness - Lung
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11
dyspnea, cough, sputum, hemoptysis, wheezing, TB, PPD, CXR, Pneumonia, smoking, environmental inhalation - Breast
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3
nodule, discharge, chest wall or breast pain - tenderness - Cardio
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13
Exercise level, orthopnea, PND, chest pain, palpitations, syncope, pedal edema, claudication, CV drugs, SAH, past heart Dz. Rheumatic fever, Family Hx - Abdominal
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20
(Vommitting 3)
nausea, vomiting, hematemesis,
(Food 4)
dysphagia, indigestion, heartburn, abdominal pain,
(liver 2)
swelling, jaundice,
(poo 6)
hematochezia, melena, diarrhea, constipation, hernia, hemorrhoids
(disease 5)
peptic ulcer disease, surgery, gallbladder disease, pancreatitis, alcohol intake - GU
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(Urinary 9)
urinary frequency, urgency, dysuria, nocturia, hematuria, flow, hesitancy, kidney dz, incontinence
(Male g 4)
urethral discharge, testicular mass or pain, flank pain, hemospermia,
(Females 5) pelvic pain, vaginal discharge, abnormal bleeding, pelvic mass, pregnancies.
(Both 7)
birth control method, sexual history, genital lesions, Syphillis, gonnorhea, chlamydia, UTI's - Psyche
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11
previous psych problems or hospitalizations, interpersonal relationships, anxiety, depression, loss of control, vegetative dysfunction, sleep, eating, pleasure activities, substance abuse, suicidal - Neuro
- Headaches, seizures, episodic neurologic symptoms, paresthesias, weakness, head trauma, stroke
- Musculoskeletal
- joint pain stiffness, swelling, family history