History of present illness

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History of Present Illness (HPI)

History of Present Illness (HPI) is a detailed narrative that healthcare providers use to document a patient's current complaints and symptoms. The HPI is typically a chronological description of the development of the patient's present illness from the first sign or symptom to the present.

Pronunciation

History of Present Illness: /ˈhɪstəri ɒv ˈprɛzənt ˈɪlnɪs/

Etymology

The term "History of Present Illness" is derived from the medical practice of taking a patient's history to understand their current health condition. The term is widely used in medical documentation and clinical practice.

Related Terms

  • Chief Complaint (CC): The primary symptom that a patient states as the reason for seeking medical care.
  • Review of Systems (ROS): An inventory of body systems obtained through a series of questions seeking to identify signs and/or symptoms the patient may be experiencing or has experienced.
  • Past Medical History (PMH): Information obtained from the patient that includes any medical conditions, surgeries, or illnesses the patient has had in the past.
  • Physical Examination (PE): The process of evaluating the body and its functions using inspection, palpation, percussion, and auscultation.

Usage

The HPI is a crucial part of the medical history taken by healthcare providers to understand the context of a patient's current health problems. It includes the onset of the illness, the location of any pain or discomfort, the duration of the symptoms, the character of the symptoms, any aggravating or relieving factors, and the severity of the symptoms.

The HPI is typically documented in a narrative format and includes the patient's own words to describe their symptoms. It is used to guide the differential diagnosis and management plan.

External links

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