Presentation is loading. Please wait.

Presentation is loading. Please wait.

Writing an HPI. Mr. Smith is a 48 year old man who presents with chest pain. The pain began 3 weeks ago and has been slowly getting worse. It lasts for.

Published by Modified over 9 years ago

Similar presentations

Presentation on theme: "Writing an HPI. Mr. Smith is a 48 year old man who presents with chest pain. The pain began 3 weeks ago and has been slowly getting worse. It lasts for."— Presentation transcript:

1 Writing an HPI

2 Mr. Smith is a 48 year old man who presents with chest pain. The pain began 3 weeks ago and has been slowly getting worse. It lasts for 5-10 minutes at a time and comes on several times throughout each day. It is located in the middle of his chest and does not radiate. At its worst it is a 5/10 in severity. Resting seems to make the pain get better. He can not describe the quality further; he says “it just hurts”.

3 Mr. Smith is a 48 year old man who presents with chest pain. The pain began 3 weeks ago and has been slowly getting worse. It lasts for 5-10 minutes at a time and comes on several times throughout each day. It is located in the middle of his chest and does not radiate. At its worst it is a 5/10 in severity. Resting seems to make the pain get better. He can not describe the quality further; he says “it just hurts”. 3. Characterization

4 Mr. Smith is a 48 year old man who presents with chest pain. The pain began 3 weeks ago and has been slowly getting worse. It lasts for 5-10 minutes at a time and comes on several times throughout each day. It is located in the middle of his chest and does not radiate. At its worst it is a 5/10 in severity. Resting seems to make the pain get better. He can not describe the quality further; he says “it just hurts”. 3. Characterization OPPQRST Pertinent positives

5 Mr. Smith is a 48 year old man who presents with chest pain. The pain began 3 weeks ago and has been slowly getting worse. It lasts for 5-10 minutes at a time and comes on several times throughout each day. It is located in the middle of his chest and does not radiate. At its worst it is a 5/10 in severity. Resting seems to make the pain get better. He can not describe the quality further; he says “it just hurts”. 4. Pertinent negatives

6 Mr. Smith is a 48 year old man who presents with chest pain. The pain began 3 weeks ago and has been slowly getting worse. It lasts for 5-10 minutes at a time and comes on several times throughout each day. It is located in the middle of his chest and does not radiate. At its worst it is a 5/10 in severity. Resting seems to make the pain get better. He can not describe the quality further; he says “it just hurts”. 4. Pertinent negatives 3. Characterization OPPQRST Pertinent positives

7 Mr. Smith is a 48 year old man who presents with chest pain. The pain began 3 weeks ago… 3. Characterization He denies any… 4. Pertinent negs

8 Mr. Smith is a 48 year old man with DM, HTN and tobacco abuse who presents with chest pain. The pain began 3 weeks ago… 3. Characterization He denies any… 4. Pertinent negs

9 Mr. Smith is a 48 year old man with DM, HTN and tobacco abuse who presents with chest pain. The pain began 3 weeks ago… 3. Characterization He denies any… 4. Pertinent negs 1. Opening sentence

10 Mr. Smith is a 48 year old man with DM, HTN and tobacco abuse who presents with chest pain. The pain began 3 weeks ago… He denies any…

11 Mr. Smith is a 48 year old man s/p appendectomy who presents with chest pain. The pain began 3 weeks ago… He denies any…

12 Mr. Smith is a 48 year old man with DM, HTN and tobacco abuse who presents with chest pain. The pain began 3 weeks ago… He denies any…

13 Mr. Smith is a 48 year old man with HIV who presents with chest pain. The pain began 3 weeks ago… He denies any…

14 Mr. Smith is a 48 year old man with HIV with recent CD4 count of 22 who presents with chest pain. The pain began 3 weeks ago… He denies any…

15 Mr. Smith is a 48 year old man with DM, HTN and tobacco abuse who presents with chest pain. The pain began 3 weeks ago… He denies any…

16 Mr. Smith is a 48 year old man with known CAD who presents with chest pain. The pain began 3 weeks ago… He denies any…

17 Mr. Smith is a 48 year old man with known CAD who presents with chest pain. The pain began 3 weeks ago… He denies any… 2. Context

18 Mr. Smith is a 48 year old man with known CAD who presents with chest pain. He first presented with chest pain 4 years ago. Cath demonstrated 90% LAD lesion and he received a bare metal stent. He has been asymptomatic since then. 3 weeks ago… 2. Context

19 Mr. Smith is a 48 year old man with known CAD who presents with chest pain. He first presented with chest pain 4 years ago. Cath demonstrated 90% LAD lesion and he received a bare metal stent. He has been asymptomatic since then. Baseline 3 weeks ago… 2. Context

20 Mr. Smith is a 48 year old man with known CAD who presents with chest pain. He first presented with chest pain 4 years ago. Cath demonstrated 90% LAD lesion and he received a bare metal stent. He has been asymptomatic since then. Baseline 3 weeks ago… Is pain the same as before? 2. Context

21 Mr. Smith is a 48 year old man who presents with chest pain. The pain began 3 weeks ago and has been slowly getting worse. It lasts for 5-10 minutes at a time and comes on several times throughout each day. It is located in the middle of his chest and does not radiate. At its worst it is a 5/10 in severity. Resting seems to make the pain get better. He can not describe the quality further; he says “it just hurts”.

22 Mr. Smith is a 48 year old man with known CAD who presents with chest pain. He first presented with chest pain 3 years ago. Cath demonstrated 90% LAD lesion and he received a bare metal stent. He has been asymptomatic since then. 3 weeks ago… He denied any… 2. Context / baseline 3. Characterization 4. Pertinent negatives 1. Opening

23 Mr. Smith is a 48 year old man with known CAD who presents with chest pain. He first presented with chest pain 3 years ago. Cath demonstrated 90% LAD lesion and he received a bare metal stent. He has been asymptomatic since then. 3 weeks ago… He denied any… In the ED… 5. Other tests (not diagnoses) if will change management 2. Context / baseline 3. Characterization 4. Pertinent negatives 1. Opening

24

25 Mr. Smith is a 48 year old man with known CAD who presents with chest pain. He first presented with chest pain 3 years ago. Cath demonstrated 90% LAD lesion and he received a bare metal stent. He has been asymptomatic since then. 3 weeks ago… He denied any… In the ED… 5. Other tests (not diagnoses) if will change management 2. Context / baseline 3. Characterization 4. Pertinent negatives 1. Opening

26

Download ppt "Writing an HPI. Mr. Smith is a 48 year old man who presents with chest pain. The pain began 3 weeks ago and has been slowly getting worse. It lasts for."

Similar presentations

DAN PREECE RI Case Report. Cc: painful red hot foot HPI: 53 yo diabetic male who presents to the ED with red, painful swollen right foot. Denies trauma,

DAN PREECE RI Case Report. Cc: painful red hot foot HPI: 53 yo diabetic male who presents to the ED with red, painful swollen right foot. Denies trauma,
Coronary Heart Disease Case scenarios. Mr Smith 55yr old Lorry Driver 3-4 weeks history of chest pains, unrelated to exertion except when lifting heavy.

Coronary Heart Disease Case scenarios. Mr Smith 55yr old Lorry Driver 3-4 weeks history of chest pains, unrelated to exertion except when lifting heavy.
VCT vs HD CCTA Exam 92% Dose Reduction James P Earls MD Fairfax Radiological Consultants, Fairfax VA Inova Fairfax Hospital, Falls Church VA.

VCT vs HD CCTA Exam 92% Dose Reduction James P Earls MD Fairfax Radiological Consultants, Fairfax VA Inova Fairfax Hospital, Falls Church VA.
Unit 6 Diagnosis & Follow-up of HIV Infection

Unit 6 Diagnosis & Follow-up of HIV Infection
ICE Survive Phase 2 Integrated Clinical Examination UNSW 2009 Assoc Prof Tony O’Sullivan St. George Clinical School.

ICE Survive Phase 2 Integrated Clinical Examination UNSW 2009 Assoc Prof Tony O’Sullivan St. George Clinical School.
When the past connects with the present!

When the past connects with the present!
P ULMONARY THROMBOEMBOLISM SPECIFIC SITUATIONS Dr.E.Shabani.

P ULMONARY THROMBOEMBOLISM SPECIFIC SITUATIONS Dr.E.Shabani.
Eastern Religions: Buddhism UNIT 7, LESSON 6. DO NOW On your Guided Notes, USE COMPLETE SENTENCES to define the Hindu idea of KARMA. Give a personal example.

Eastern Religions: Buddhism UNIT 7, LESSON 6. DO NOW On your Guided Notes, USE COMPLETE SENTENCES to define the Hindu idea of KARMA. Give a personal example.
Atypical Presentation of MI Johnna Walker PA-S. The case… 59 year old woman presents with chief complaint of persistent cough and chest congestion for.

Atypical Presentation of MI Johnna Walker PA-S. The case… 59 year old woman presents with chief complaint of persistent cough and chest congestion for.
GUM SLIDE SHOW. 72 year old has not had sex since her husband died 15 years ago. Presents with offensive, bloody discharge.

GUM SLIDE SHOW. 72 year old has not had sex since her husband died 15 years ago. Presents with offensive, bloody discharge.
“LYMPHOMAS IN PERIPHERAL NERVE” by Alfredo Quinones, B.S. Joseph Middraji, M.D. Tracy Batchelor, M.D. E. Antonio Chiocca, M.D., Ph.D.

“LYMPHOMAS IN PERIPHERAL NERVE” by Alfredo Quinones, B.S. Joseph Middraji, M.D. Tracy Batchelor, M.D. E. Antonio Chiocca, M.D., Ph.D.
Example Conference EBM format

Example Conference EBM format
1 of 14 Integrated Curriculum Evaluation Exercise Approach to Written Note Skills Anita C. Mercado, MD ICEE Director.

1 of 14 Integrated Curriculum Evaluation Exercise Approach to Written Note Skills Anita C. Mercado, MD ICEE Director.
A 52-year old man with recently diagnosed HIV infection with irregular shaking of his hand Teaching NeuroImages Neurology Resident and Fellow Section ©

A 52-year old man with recently diagnosed HIV infection with irregular shaking of his hand Teaching NeuroImages Neurology Resident and Fellow Section ©
2 New HIV diagnoses and number of persons accessing HIV care in the United Kingdom: 2014.

2 New HIV diagnoses and number of persons accessing HIV care in the United Kingdom: 2014.
Acute Chest Pain “Can I go back to sleep?” Dr. Hussam Al-Faleh Residents Course.

Acute Chest Pain “Can I go back to sleep?” Dr. Hussam Al-Faleh Residents Course.
CASE 2 49 yo man HIV positive 16 yrs. ago CD4 15 on diagnosis Disseminated cutaneous Kaposi’s Sarcoma.

CASE 2 49 yo man HIV positive 16 yrs. ago CD4 15 on diagnosis Disseminated cutaneous Kaposi’s Sarcoma.
72 yr old female admitted to facility late Friday afternoon from acute hospital after fall at home. In hospital she had Rt. hip surgery 2 days ago. Other.

72 yr old female admitted to facility late Friday afternoon from acute hospital after fall at home. In hospital she had Rt. hip surgery 2 days ago. Other.
Emergency Medicine SURVIVAL GUIDE For Medical Students By Nick Bell, EM Clerkship Coordinator.

Emergency Medicine SURVIVAL GUIDE For Medical Students By Nick Bell, EM Clerkship Coordinator.
Case Based Decision Making: A Critical Review of Interventions Eckhard Alt, M.D. Robert Smith, M.D. Cardiac Catheterization Conference March 30, 2004.

Case Based Decision Making: A Critical Review of Interventions Eckhard Alt, M.D. Robert Smith, M.D. Cardiac Catheterization Conference March 30, 2004.

Similar presentations

Ads by Google