問診的實用口訣

[lisahsu24]

投稿人：Lisa Hsu

不論什麼case必問PAM HUGS FOSS

• Past medical history 必主動問三高
• Allergy
• Medication
• Hospitalization/Infection/Trauma/Surgery (HITS)
• Urinary symptoms (pain when urinate? Go to restroom more often?)
• GI symptoms (diarrhea? Constipation?)
• Sleep well at night?
• Family Hx
• OB/GYN
• Social Hx (tobacco product? Alcohol drinking? Illicit drugs use?)
• Sexual Hx (sexually active? How many partners? STD Hx?)

兒科case問這個可以包山包海！FEVER CUDS PAM HITS IF BIG DEALS

• Fever
• Ear-tugging
• Vomit
• Ear discharge
• Rash/runny nose
• Cough
• Urinary symptoms
• Diarrhea/ constipation
• Seizure
• Past medical history
• Allergy
• Medicaiton
• Hospitalization
• Infection
• Trauma
• Surgery
• Ill contact
• Family hx
• Birth Hx
• Immunization
• Growth & Development
• Daycare
• Eat (diet)
• Appetite
• Last health checkup
• Sleepy (Lethargy/active?)

任何discharge必問COAB

• Color
• Odor
• Amount
• Blood