ROS PAM HUGS FOSS
ROS: Review of Systems
Past Medical History and similar episodes in the past
Allergies
Medicines
Hospitalization
Urinary changes
Gastrointestinal complains
Sleep pattern
Family history
OB/GYN history
Sexual habits
Social life
LIQOR AAA
L Location of the symptom (forehead, wrist...)
I Intensity of the symptom (scale 1-10, 6/10)
Q Quality of the symptom (burning, pulsating pain...)
O Onset of the symptom + precipitating factors
R Radiation of the symptom ( to left shoulder and arm)
A Associated symptoms ( palpitations, shortness of breath)
A Alleviating factors (sitting with my chest on my knees)
A Aggravating factors (effort, smoking, large meals)
Differential diagnosis checklist
DIRECTION:
Drugs
Infection
Rheumatologic
Endocrine
Cardiovascular
Trauma
Inflammatory
Other
Neoplasm
PQRST for Chief Complaint:
P revious
P rogression
P alliative
P rovocative
Q uality
R egion
S everity
S ymptoms
T iming
Is more applicable to pain, but can be used as a guide in general, skipping the ones that are not appropiate (eg. R in hematemesis or amenorrhea).
For Social History use TIA SHOE:
T obacco
I llicit drigs
A lcohol
S exual
H ouse life
O ccupation
E ating (diet)
A good mnemonic for the Pediatric history:
Use BINDER - birth history, immunization history, nutrition, development, Eating, Rash... also it's good to ask where the child is during the day like day care, school, grandmother's house, etc...
