Hippocratix Format

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Consultation Structure Hx

1. Given Data:

2. History
a. PC – open questions

Direct questions….
b. HPC +Red flags/ safeguarding
c. cause
d. concerneing you? about what ?
e. impacting your life?
f. PMH
g. DHx+ OTC +allergies
h. FHx: cadio < 60, cancaer, Neuro / psych, ENT, DM, renal
i. Relevant SHx
i. Driving
ii. Work
iii. Family
iv. Smoking
v. Alcohol

5. Diagnosis and diffrential and how did you rule out: 1) 2)


6. Explain the problems - Do you know about this?
7. Address their concerns/Ideas
8. Management : you: lifestyle / diet/ excerscise
9. Managemnt WE: Examinaiton,
10. Investigation: Jellyscan, bloods
11. Missed investigation/ Management: Repeat test, medication modification/
yearly review: health/ eye/ ear
12. Confirm understanding
13. Any other questions
14. Agree interval and follow up:
15. Safety netting: when/ what should they do/ How

16. My resourse: in the surgery :


17. IN house : dietician/ child nurse/ MH nurse / social prescriber/ HCA / nurse
18. Out house: matron/ DN/ social service/ care home / pharmacist/ OT PT/
heath visitor
19. Other cancer
20. Local charity: alcohol / gamble/ homeless

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