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Notes

Onset Origin
  • When did symptom begin?
  • Was onset sudden or gradual?
  • Origin of symptom (e.g., injury, meal).
Provocation

Precipitation

Palliation

  • Activity at or before onset of symptom.
  • Factors that worsen symptom.
  • Factors that alleviate symptom.
Quality
  • Characteristics (dull, achy, sharp, etc.).
Radiation

Region

Related s/s

  • Does symptom travel to another part of body?
  • Have Pt point to source of symptom.
  • Document related symptoms (e.g., nausea, fever).
Severity
  • If pain, rate on a scale of 0-10.
  • Is symptom mild, moderate, or severe?
Timing
  • Ascertain duration of symptom.
  • Is symptom constant or intermittent?