History Of The Present Illness - Wikipedia

Jump to content

Contents

move to sidebar hide

• (Top)
• 1 Questions to include
• 2 See also
• 3 References
• 4 External links

• Article
• Talk

English

• Read
• Edit
• View history

Tools Tools move to sidebar hide Actions

• Read
• Edit
• View history

General

• What links here
• Related changes
• Upload file
• Permanent link
• Page information
• Cite this page
• Get shortened URL
• Download QR code

Print/export

• Download as PDF
• Printable version

In other projects

• Wikidata item

Appearance move to sidebar hide From Wikipedia, the free encyclopedia Pertinent information surrounding a patient's history leading to a current illness Not to be confused with Past medical history.

Following the chief complaint in medical history taking, a history of the present illness (abbreviated HPI)[1] (termed history of presenting complaint (HPC) in the UK) refers to a detailed interview prompted by the chief complaint or presenting symptom (for example, pain).

Questions to include

[edit]

Different sources include different questions to be asked while conducting an HPI.

Several acronyms have been developed to categorize the appropriate questions to include.

The Centers for Medicare and Medicaid Services has published criteria for what constitutes a reimbursable HPI. A "brief HPI" constitutes one to three of these elements. An "extended HPI" includes four or more of these elements.[2][3]

CMS	"OLDCARTS"	"OPQRST"[4][5] or "PQRST"[6][7]	"LOCATES"	"CLEARAST"[8]	"LIQOR AAA"[9]	"SCHOLAR"[10]("S" = Symptoms)	"COLDER AS"
location	"L": Location	"R": Region and Radiation	"L" : Location	"L": Location	"L": Location	"L:" Location	"L:" Location
quality	"C": Character	"Q": Quality of the pain	"C": Character	"C": Character	"Q": Quality	"C:" Characteristics	"C": Character
"R": Radiation	"R": Radiation	see above	"R": Radiation
severity	"S": Severity-how disruptive	"S": Severity	"S": Severity	"S": Severity	"I": Intensity	see above	"S": Severity
duration	"O": Onset "D": Duration	"O": Onset	"T": Time	"T": Time frame	"O": Onset	"O:" Onset"H:" History	"D:" Duration
timing	"T:" Timing	"T": Time	see above	see above	see above	see above	"O": Onset
context	"E": Environment
modifying factors	"A": Aggravating factors "R": Relieving factors	"P": Provocation or Palliation	"A" Alleviating/Aggravating Factors	"E": Exacerbation	"A": Aggravating factors	"A:" Aggravating factors	"E:" Exacerbation
"A": Alleviation	"A": Alleviating factors	"R:" Remitting factors	"R:" Remitting factors
associated signs & symptoms	"O": Other symptoms	"A": associated symptoms	"A": Associated symptoms	see above	"A": Associated symptoms

Also usable is SOCRATES. For chronic pain, the Stanford Five may be assessed to understand the pain experience from the patient's primary belief system.

See also

[edit]

• Medical record
• Medical history
• Pain scale

References

[edit]

1. ^ Adler HM (1997). "The history of the present illness as treatment: who's listening, and why does it matter?". J Am Board Fam Pract. 10 (1): 28–35. PMID 9018660.
2. ^ Evaluation and Management Coding and Electronic Health Records
3. ^ "Compliance Training Manual". www.usc.edu. Archived from the original on 2001-05-03.
4. ^ "Medical Assessment". Archived from the original on 2007-02-25. Retrieved 2006-09-26.
5. ^ Learning To Perform a Medical Assessment – Part 1: Quick Medical Assessment
6. ^ "WEMSI – Assessment by PQRST". Archived from the original on 1998-12-06. Retrieved 2006-09-26.
7. ^ Department of Medicine Home Page
8. ^ Dartmouth Medicine Magazine :: Student Notebook
9. ^ "HPI (history of present illness)". Archived from the original on 2006-10-04. Retrieved 2006-09-26.
10. ^ Buring SM, Kirby J, Conrad WF (February 2007). "A structured approach for teaching students to counsel self-care patients". Am J Pharm Educ. 71 (1): 8. doi:10.5688/aj710108. PMC 1847542. PMID 17429508.

External links

[edit]

• Overview at medicine.ucsd.edu
• Overview at medinfo.ufl.edu

v t e Medical examination and history taking
Medical history	Chief complaint History of the present illness Systems review Nursing assessment Allergies Medications Past medical history Family history Social history Psychiatric history Progress notes Mnemonics SAMPLE OPQRST SOAP COASTMAP
Physical examination	General/IPPA Inspection Auscultation Palpation Percussion Vital signs Temperature Heart rate Blood pressure Respiratory rate HEENT Eye examination Ophthalmoscopy Swinging light test Hearing Weber Rinne Respiratory Respiratory sounds Cardiovascular Cardiac examination Peripheral vascular examination Heart sounds Other Abdominojugular test Ankle–brachial pressure index Abdominal Liver span Rectal examination Bowel sounds Musculoskeletal Knee examination Hip examination Shoulder examination Elbow examination GALS screen Neurological Mental status Mini–mental state examination Cranial nerve examination Upper limb neurological examination Neonatal Apgar score Ballard Maturational Assessment Gynecological Well-woman examination Pap test Breast examination Sports Athletic heart syndrome Sudden cardiac death RED-S
Assessment and plan	Medical diagnosis Differential diagnosis

Retrieved from "https://en.wikipedia.org/w/index.php?title=History_of_the_present_illness&oldid=1317985768" Category:

• Medical terminology

Hidden categories:

• Articles with short description
• Short description with empty Wikidata description

Search Search Toggle the table of contents History of the present illness 2 languages Add topic