Heart auscultation - ANSWER Start the base of the heart (aortic area;
2nd intercostal space right of the sternum)
Listen for S1 and S2
chief complaint - ANSWER Brief statement/the main reason for the
patient's visit
history of present illness - ANSWER OLDCARTS
Onset
Location
Duration
Character (quantity, quality)
Associated manifestations (does it radiate anywhere else)
Relieving/aggravating Factors
Treatment
Severity
past history - ANSWER information that includes any childhood or adult
diseases, surgical procedures, accidents, pregnancies, deliveries, and
allergies, ongoing, resolved
Family History - ANSWER Thorough family history of any significant
illnesses that run in the patient's family, genetically transmitted
inspection - ANSWER general observation of the patient as a whole,
progressing to specific body areas
percussion - ANSWER a diagnostic procedure designed to determine
the density of a body part by the sound produced by tapping the surface
with the fingers
Palpation - ANSWER an examination technique in which the
examiner's hands are used to feel the texture, size, consistency, temp,
tenderness and location of certain body parts
2nd intercostal space right of the sternum)
Listen for S1 and S2
chief complaint - ANSWER Brief statement/the main reason for the
patient's visit
history of present illness - ANSWER OLDCARTS
Onset
Location
Duration
Character (quantity, quality)
Associated manifestations (does it radiate anywhere else)
Relieving/aggravating Factors
Treatment
Severity
past history - ANSWER information that includes any childhood or adult
diseases, surgical procedures, accidents, pregnancies, deliveries, and
allergies, ongoing, resolved
Family History - ANSWER Thorough family history of any significant
illnesses that run in the patient's family, genetically transmitted
inspection - ANSWER general observation of the patient as a whole,
progressing to specific body areas
percussion - ANSWER a diagnostic procedure designed to determine
the density of a body part by the sound produced by tapping the surface
with the fingers
Palpation - ANSWER an examination technique in which the
examiner's hands are used to feel the texture, size, consistency, temp,
tenderness and location of certain body parts
