OnExam
General HPI
The following lists help generally characterize a new presentation.
OPQRST
O
- Onset
P
- Provoking and palliating factors
Q
- Quality ("What does it feel like?")
R
- Radiating (noting location of origin)
S
- Severity (usually use a scale from 0-10)
T
- Timing (constant, intermittent, duration, time of day)
OLD CARTS
O
- Onset
L
- Location
D
- Duration
C
- Characteristics ("What does it feel like?")
A
- Aggravating or alleviating factors
R
- Radiating
T
- Timing
S
- Severity (scale from 0-10)
SOCRATES
S
- Site
O
- Onset
C
- Characteristics ("What does it feel like?")
R
- Radiating
A
- Alleviating
T
- Timing
E
- Exacerbating factors
S
- Severity (scale from 0-10)
References
Bickley L, Hoekelman R. Bates’ Guide to Physical Examination and History Taking. Philadephia, Pa: Lippincott; 2009.