Skip to Main Content

| Download (.pdf) | Print

Description of symptoms

S-Symptoms

What is bothering you?

C-Characteristics

What are the symptoms like?

H-History

What have you tried? Is this a new problem or a recurrence?

O-Onset

When or how did it start?

L-Location

Where are the problems/symptoms?

Description of things that may precipitate, exacerbate, or relieve symptoms

A-Aggravating factors

What makes it worse?

R-Remitting factors

What makes it better?

Objective information

M-Medications

What prescription, nonprescription, and herbal supplements do you take?

A-Allergies

What allergies do you have?

C-Coexisting conditions

What other medical conditions do you have?

Patient age, sex, height, weight

 

Subjective information

Patient occupation

 

Patient dietary habits

 

Patient sleep habits

 

*Table created by Bernadette Cornelison adapted from SCHOLARMAC.

References for SCHOLARMAC

1. +
Krinsky  DL, Ferreri  SP, Hemstreet  B,  et al. Handbook of Nonprescription Drugs: An Interactive Approach to Self-Care. 19th ed. Washington, DC: APhA Publications; 2018.
2. +
Wheeler  SQ, Windt  JH. Telephone Triage: Theory, Practice & Protocol Development. Albany, NY: Delmar Publishers Inc.; 1993:85.
3. +
Leibowitz  K, Ginsburg  D. Counseling self-treating patients quickly and effectively. Proceedings of the APhA Inaugural Self-Care Institute, May 17–19, 2002, Chantilly, VA.

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.