history of present illness

WordNet

1. temporal sense; intermediate between past and future; now existing or happening or in consideration; "the present leader"; "articles for present use"; "the present topic"; "the present system"; "present observations"
2. the period of time that is happening now; any continuous stretch of time including the moment of speech; "that is enough for the present"; "he lives in the present with no thought of tomorrow" (同)nowadays
3. something presented as a gift; "his tie was a present from his wife"
4. a verb tense that expresses actions or states at the time of speaking (同)present_tense
5. introduce; "This poses an interesting question" (同)pose
6. bring forward and present to the mind; "We presented the arguments to him"; "We cannot represent this knowledge to our formal reason" (同)represent, lay_out
7. hand over formally (同)submit
8. being or existing in a specified place; "the murderer is present in this room"; "present at the wedding"; "present at the creation"
9. formally present a debutante, a representative of a country, etc.
10. the aggregate of past events; "a critical time in the schools history"
11. the continuum of events occurring in succession leading from the past to the present and even into the future; "all of human history"
12. a record or narrative description of past events; "a history of France"; "he gave an inaccurate account of the plot to kill the president"; "the story of exposure to lead" (同)account, chronicle, story
13. all that is remembered of the past as preserved in writing; a body of knowledge; "the dawn of recorded history"; "from the beginning of history"
14. the discipline that records and interprets past events involving human beings; "he teaches Medieval history"; "history takes the long view"
15. impairment of normal physiological function affecting part or all of an organism (同)unwellness, malady, sickness

PrepTutorEJDIC

1. 《通例補語として,また名詞の後に用いて》(…に)『出席している,居合わせている』《+『at(in)』+『名』》 / 《補語にのみ用いて》)ある場所や物の中などに)『ある』,含まれている《+『in』+『名』》 / 《補語にのみ用いて》(心・記憶に)ある,浮かんでいる《+『in』+『名』》 / 《名詞の前にのみ用いて》現在の,今の;当面の差し当たっての / 《the~》『現在』,今 / 〈U〉〈C〉(文法で)現在時制;現在形
2. 〈C〉『贈り物』,『プレゼント』(gift) / 〈U〉《the+》ささげ銃(つつ)の姿勢 / 〈贈り物・賞など〉‘を'『象る』,柄呈する;〈人〉‘に'贈る / (…に)〈勘定書・小切手・書類など〉‘を'『提出する』,渡す《+『名』+『to』+『名』》 / (…に)…‘を'出して見せる,示す《+『名』+『to』+『名』》 / (…に)〈人〉‘を'『紹介する』,引き合わせる(introduce)《+『名』+『to』+『名』》 / 〈作品〉‘を'公開する;〈劇・映画など〉‘を'上演(映)する;〈人〉‘を'出演させる / 〈事が〉(…に)…‘を'示す,…‘を'原因となる《+『名』+『to』+『名』》 / 〈銃〉‘を'ささげ銃(つつ)にする
3. 〈U〉『歴史』;歴史学 / 〈C〉『歴史書』 / 〈C〉(人の)『経歴』,来歴;(物事の)過去,由来 / 〈C〉史劇
4. 《所有・所属》…『の』,…のものである,…に属する・《材料・要素》…『でできた』,から成る・《部分》…『の』[『中の』] ・《数量・単位・種類を表す名詞に付いて》…の・《原因・動機》…『で』,のために(because of) ・《主格関係》…『の』,による,によって・《目的格関係》…『を』,の・《同格関係》…『という』・《関係・関連》…『についての』[『の』],の点で・《抽象名詞などと共に》…の[性質をもつ] ・《『It is』+『形』+『of』+『名』+『to』 doの形で,ofの後の名詞を意味上の主語として》・《分離》…『から』・《起原・出所》…『から』[『の』](out of) ・《『名』+『of』+『a』(『an』)+『名』の形で》…のような・《『名』+『of』+『mine』(『yours, his』など独立所有格)の形で》…の…・《時》(1)《副詞句を作って》…に《形容詞句を作って》…の・《時刻》《米》…前(to,《米》before)
5. (心身の)『病気』,不健康

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/03/10 15:28:22」(JST)

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Not to be confused with Past medical history.

Following the chief complaint in medical history taking, a history of the present illness (abbreviated HPI) (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

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.

CMS	"OPQRST" or "PQRST"	"CLEARAST"	"LIQOR AAA"	"SCHOLAR" ("S" = Symptoms)	"COLDER AS"
location	"R": Region and Radiation	"L": Location	"L": Location	"L:" Location	"L:" Location
quality	"Q": Quality of the pain	"C": Character	"Q": Quality	"C:" Characteristics	"C": Character
		"R": Radiation	"R": Radiation	see above	"R": Radiation
severity	"S": Severity	"S": Severity	"I": Intensity	see above	"S": Severity
duration	"O": Onset	"T": Time frame	"O": Onset	"O:" Onset "H:" History	"D:" Duration
timing	"T": Time	see above	see above	see above	"O": Onset
context
modifying factors	"P": Provocation or Palliation	"E": Exacerbation	"A": Aggravating factors	"A:" Aggravating factors	"E:" Exacerbation
		"A": Alleviation	"A": Alleviating factors	"R:" Remitting factors	"R:" Remitting factors
associated signs & 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.

Medicare definitions

CMS required history elements

Type of history	CC	HPI	ROS	Past, family, and/or social
Problem focused	Required	Brief	N/A	N/A
Expanded problem focused	Required	Brief	Problem pertinent	N/A
Detailed	Required	Extended	Extended	Pertinent
Comprehensive	Required	Extended	Complete	Complete

See also

• Medical record
• Medical history
• Pain scale

References

External links

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

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Japanese Journal

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• 人体科学 21(1), 27-36, 2012-06-15
• … Objective: To examine clinical effectiveness of treatment methods for post-stroke dysesthesia. … Case: A 77-year-old man with a main complaint of dysesthesia at the left lower limb. … History of present illness: X-10 years previously, he suddenly became conscious of a sense of detachment. …
• NAID 110009480402

• 肺炎, 膿胸を合併し呼吸不全となった肺動静脈瘻に対し, 肺部分切除を行った遺伝性出血性末梢血管拡張症の1例

• 福永 亮朗,北田 正博,小澤 恵介,佐藤 一博
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• 症例は40歳男性．呼吸困難を主訴に前医を受診した．呼吸不全，右膿胸，両側肺動静脈瘻，肝膿瘍の診断で胸腔ドレナージ，人工呼吸管理を行ったが軽快しないため当院に紹介搬送された．既往歴，家族歴，現症から遺伝性出血性末梢血管拡張症に起因する肺動静脈瘻により呼吸不全となっていると診断し，肺部分切除による右下葉の肺動静脈瘻切除を行った．術後も人工呼吸管理を続けたところ次第に症状は軽快し，療養のため転院となった …
• NAID 10030435581

Related Links

• History of the present illness - Wikipedia, the free encyclopedia

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

• History of present illness - Medical Dictionary - The Free Dictionary

an account obtained during the interview with the patient of the onset, duration, and character of the present illness, as well as of any acts or factors that aggravate or ameliorate the symptoms. The patient is asked what he or she considers to ...

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★リンクテーブル★

リンク元	「現病歴」
関連記事	「present」「history」「illness」「histo」

「現病歴」

　　[★]

英

history of present illness HPI, present illness

関

既往歴

注意

• 患者の症状の程度、疾患の程度を客観的に表現する指標も記載すると良い。少なくとも3点で。(ex. Hugh-Jonesの分類、NYHA心機能分類)

「present」

　　[★]

• vt.
• vi.

• 聖職禄者推薦をする
• 武器を向ける
• (医)(胎児の一部が)子宮口に現れる、先進する。(症状が)現れる。(患者が)(病気で)診察を受けに来る(with)

SLE may present with predominantly neurological or psychiatric features.

• (良い・悪いなどの)印象を与える、～のように見える、～な感じがする

• n.

• ささげること、向けること。狙ったときの銃の位置

関

announce, announcement, as of, at present, certain, current, currently, demonstrate, depict, display, exhibit, exist, give, indicate, indicative, now, point out, pose, presentation, presently, publish, reflect, representation, representational, show, signify, some, submission, submit, suggest

　 　 　 　 　 　 　 　 　 　 　

「history」

　　[★]

• n.

• 歴史。過去、史実
• (制度・学問などの(変遷、発達史。(事物の)沿革、由来
• (個人の)履歴、(変化に富んだ)経歴、病歴
• 物語、伝記
• (自然界の)系統だった記述

　 　 　 　 　 　

「illness」

　　[★]

• n.

• 疾患：本来の生理機能が働きになり、従って生存に不利な状態 (PSY. 9)
• the state of being physically or mentally ill

• 注意

disease <> illness <> disorder

　 　

「histo」

　　[★]

• comb form.

• 組織

関

histologic、histological、organisation、organization、tissue